Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Effect of CO2 gas warming on pain after laparoscopic surgery - A randomized double-blind controlled trial
Autore:
Slim, K; Bousquet, J; Kwiatkowski, F; Lescure, G; Pezet, D; Chipponi, J;
Indirizzi:
Hotel Dieu, Ctr J Perrin, Dept Gen & Digest Surg, F-63003 Clermont Ferrand1, France Hotel Dieu Clermont Ferrand France 1 , F-63003 Clermont Ferrand1, France
Titolo Testata:
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES
fascicolo: 11, volume: 13, anno: 1999,
pagine: 1110 - 1114
SICI:
0930-2794(199911)13:11<1110:EOCGWO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTOPERATIVE PAIN; INTRAPERITONEAL BUPIVACAINE; PULMONARY-FUNCTION; CHOLECYSTECTOMY; ANALGESIA; INSTILLATION; RESPONSES; RELIEF;
Keywords:
laparoscopic surgery; pneumoperitoneum; postoperative pain; randomized controlled trial;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Slim, K Hotel Dieu, Ctr J Perrin, Dept Gen & Digest Surg, BP 69, F-63003 Clermont Ferrand 1, France Hotel Dieu BP 69 Clermont Ferrand France 1 mont Ferrand 1, France
Citazione:
K. Slim et al., "Effect of CO2 gas warming on pain after laparoscopic surgery - A randomized double-blind controlled trial", SURG ENDOSC, 13(11), 1999, pp. 1110-1114

Abstract

Background: Previous studies have suggested that gas temperature has an influence on postlaparoscopy pain. This trial therefore was conducted to study the effect of gas warming on pain after upper abdominal laparoscopic surgery. Methods: Patients who underwent laparoscopic cholecystectomy, fundoplication, or Heller's myotomy were included and randomly allocated to receive either warm or cold gas. Primary end point was shoulder tip pain, and secondary end points were subcostal, trocar wound, and visceral pains, as well as other postoperative events. Criteria of pain assessment were the visual analog scale, verbal rating scale, and amount of analgesics. Results: A total of 100 patients were suitable for postoperative evaluation. The groups were well matched. Shoulder tip and subcostal pains were significantly more intense after gas warming (p < 0.05). The three assessment criteria showed the same differences. No difference was observed concerning trocar wound and visceral pains and the ether secondary end points. Subdiaphragmatic temperature was not significantly different (34.4 degrees with warming vs. 34 degrees without warming). Conclusions. Gas warming does not reduce, and probably increases, postoperative shoulder tip and subcostal pains.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 06:54:13