Postoperative drowsiness and emetic sequelae correlate to total amount of carbon dioxide used during laparoscopic cholecystectomy

Abstract

Avoiding excessive CO2 is beneficial for smoother and more uneventful recovery after laparoscopic cholecystectomy.

Randomized trial of different intraabdominal pressures and acid-base balance alterations during laparoscopic cholecystectomy

“…In accordance with reports in the literature, the typical change in ABB during laparoscopic cholecystectomy and after the operation is a shift from normal homeostasis toward acidosis [5,7,8,21]. In this study, respiratory and mixed acidosis predominated, and the change in insufflation pressure from 15 to 10 mmHg did not influence it significantly.…”

“…Transperitoneal CO 2 absorption during laparoscopic operations and during the immediate postoperative period and its influence on ABB remain an object of research [3,8,10,13]. Some studies show that CO 2 absorption depends on the level of intraabdominal pressure and peritoneal absorption capacity.…”

Low-pressure pneumoperitoneum combined with intraperitoneal saline washout for reduction of pain after laparoscopic cholecystectomy: a prospective randomized study

“…In view of reports associating the postlaparoscopy intensification of pain and nausea with the total volume of gas used in the course of the procedure, this parameter was also analyzed [10]. In the LPSW group, gas consumption was found to be higher by a mean value of 1.69 dm 3 as compared to the LP group, and the difference was statistically significant (mean difference, 4.24%; p = 0.03); yet it is hard to believe that the increased gas consumption led to a reduction in pain.…”

The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

“…When the operation time is prolonged over 2 h, the risk for perioperative complications is four times higher compared with an intervention that lasts for less than 60 min [12]. In case of prolonged operation duration in patients undergoing laparoscopic surgery, it is noted that postoperative symptoms of drowsiness or dizziness increased with the duration of anaesthesia [13] and there was a positive correlation with the total amount of CO2 used and the duration of drowsiness [14] Incidence of postoperative emetic symptoms incresead with the duration of anaesthesia [15]. Postoperative nausea and vomiting can lead to delayed postanaesthesia care unit recovery room discharge and unanticipated hospital admission, thereby increasing medical costs and also affects degree of patients' satisfaction, comfort and quality of life.…”