Local insufflation of warm humidified CO2 increases open wound and core temperature during open colon surgery: A randomized clinical trial

Anesthesia and Analgesia

Volumn 115, Issue 5, 2012, Pages 1204-1211

  Frey, Joana M ^a,b   Janson, Martin ^a,b,c   Svanfeldt, Monika ^a,b,c   Svenarud, Peter K ^a,b   Van Der Linden, Jan A ^a,b  

^a KAROLINSKA INSTITUTE   (Sweden)

^b KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^c Interventions and Technology ^*  (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE;

ADULT; AIR TEMPERATURE; ARTICLE; CAMERA; COLON SURGERY; CONTROLLED STUDY; CORE TEMPERATURE; FEMALE; HUMAN; HUMIDIFIER; HUMIDITY; HYPOTHERMIA; LAMINAR FLOW; MAJOR CLINICAL STUDY; MALE; MEDICAL DEVICE; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE; SURGICAL APPROACH; SURGICAL WOUND; TYMPANIC THERMOMETER; WARMING; WOUND CARE;

ABDOMINAL WOUND CLOSURE TECHNIQUES; AGED; BODY TEMPERATURE; CARBON DIOXIDE; COLON; FEMALE; HOT TEMPERATURE; HUMANS; HUMIDITY; MALE; MIDDLE AGED; SURGICAL PROCEDURES, ELECTIVE; WOUND HEALING;

EID: 84868303967     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ANE.0b013e31826ac49f     Document Type: Article

References (30)

1. Persson M, Elmqvist H, van der Linden J. Topical humidified carbon dioxide to keep the open surgical wound warm: the greenhouse effect revisited. Anesthesiology 2004;101: 945-9
2. Frey JM, Svegby HK, Svenarud PK, van der Linden JA. CO2 insufflation influences the temperature of the open surgical wound. Wound Repair Regen 2010;18:378-82
3. Persson M, van der Linden J. Can wound desiccation be averted during cardiac surgery? An experimental study. Anesth Analg 2005;100:315-20
4. Persson M, Svenarud P, Flock JI, van der Linden J. Carbon dioxide inhibits the growth rate of Staphylococcus aureus at body temperature. Surg Endosc 2005;19:91-4
5. Persson M, van der Linden J. Wound ventilation with carbon dioxide: a simple method to prevent direct airborne contamination during cardiac surgery? J Hosp Infect 2004;56:131-6
6. Gottrup F. Prevention of surgical-wound infections. N Engl J Med 2000;342:202-4
7. Sessler DI. Temperature monitoring and perioperative thermoregulation. Anesthesiology 2008;109:318-38
8. Kurz A, Sessler DI, Lenhardt R. Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. N Engl J Med 1996;334:1209-15
9. Melling AC, Ali B, Scott EM, Leaper DJ. Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomised controlled trial. Lancet 2001;358:876-80
10. Greif R, Akca O, Horn EP, Kurz A, Sessler DI. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection: Outcomes Research Group. N Engl J Med 2000;342:161-7
11. Sheffield CW, Sessler DI, Hopf HW, M S, Moayeri A, Hunt TK, West JM. Centrally and locally mediated thermoregulatory responses alter subcutaneous oxygen tension. Wound Rep Reg 1996;4:339-45
12. Beilin B, Shavit Y, Razumovsky J, Wolloch Y, Zeidel A, Bessler H. Effects of mild perioperative hypothermia on cellular immune responses. Anesthesiology 1998;89:1133-40
13. Wenisch C, Narzt E, Sessler DI, Parschalk B, Lenhardt R, Kurz A, Graninger W. Mild intraoperative hypothermia reduces production of reactive oxygen intermediates by polymorphonuclear leukocytes. Anesth Analg 1996;82:810-6
14. Rajagopalan S, Mascha E, Na J, Sessler DI. The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology 2008;108:71-7
15. Frank SM, Fleisher LA, Breslow MJ, Higgins MS, Olson KF, Kelly S, Beattie C. Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial. Jama 1997;277:1127-34
16. National Institute for Health and Clinical Excellence. Perioperative hypothermia (inadvertent): the management of inadvertent peri-operative hypothermia in adults NICE Clinical Guideline 65 London: National Institute for Health and Clinical Excellence. London, U.K.: National Institute for Health and Clinical Excellence 2008
17. Torossian A. Survey on intraoperative temperature management in Europe. Eur J Anaesthesiol 2007;24:668-75
18. Forbes SS, Stephen WJ, Harper WL, Loeb M, Smith R, Christoffersen EP, McLean RF. Implementation of evidence-based practices for surgical site infection prophylaxis: results of a pre- and postintervention study. J Am Coll Surg 2008;207:336-41
19. Hedrick TL, Heckman JA, Smith RL, Sawyer RG, Friel CM, Foley EF. Efficacy of protocol implementation on incidence of wound infection in colorectal operations. J Am Coll Surg 2007;205:432-8
20. Persson M, Svenarud P, van der Linden J. What is the optimal device for carbon dioxide deairing of the cardiothoracic wound and how should it be positioned? J Cardiothorac Vasc Anesth 2004;18:180-4
21. Persson M, van der Linden J. De-airing of a cardiothoracic wound cavity model with carbon dioxide: theory and comparison of a gas diffuser with conventional tubes. J Cardiothorac Vasc Anesth 2003;17:329-35
22. Pearson J, Ganio MS, Seifert T, Overgaard M, Secher NH, Crandall CG. Pulmonary artery and intestinal temperatures during heat stress and cooling. Med Sci Sports Exerc 2012;44:857-62
23. Svenarud P, Persson M, van der Linden J. Intermittent or continuous carbon dioxide insufflation for de-airing of the cardiothoracic wound cavity? An experimental study with a new gas-diffuser. Anesth Analg 2003;96:321-7
24. Sessler DI. Complications and treatment of mild hypothermia. Anesthesiology 2001;95:531-43
25. Greif R, Sessler DI. Supplemental oxygen and risk of surgical site infection. Jama 2004;291:1957, author reply 8-9
26. Hopf HW, Hunt TK, West JM, Blomquist P, Goodson Iii WH, Jensen JA, Jonsson K, Paty PB, Rabkin JM, Upton RA, Von Smitten K, Whitney JD. Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. Arch Surg 1997;132:997-1005
27. Rabkin JM, Hunt TK. Local heat increases blood flow and oxygen tension in wounds. Arch Surg 1987;122:221-5
28. Sessler DI. Perioperative heat balance. Anesthesiology 2000;92:578-96
29. Sajid MS, Mallick AS, Rimpel J, Bokari SA, Cheek E, Baig MK. Effect of heated and humidified carbon dioxide on patients after laparoscopic procedures: a meta-analysis. Surg Laparosc Endosc Percutan Tech 2008;18:539-46
30. Sammour T, Kahokehr A, Hill AG. Meta-analysis of the effect of warm humidified insufflation on pain after laparoscopy. Br J Surg 2008;95:950-6