An assessment by calorimetric calculations of the potential thermal benefit of warming and humidification of insufflated carbon dioxide.
Heat transfer from a patient to warm and humidify insufflated carbon dioxide (CO2) during laparoscopic surgery may contribute to perioperative hypothermia. The magnitude of this effect was calculated using calorimetric calculations. Warming to 37°C and humidifying to 100%, each 100 L of insufflated CO2 would prevent a heat transfer of 3220 calories, which would result in a decrease of temperature by 0.06°C in a 70 kg patient after total body distribution of heat. We conclude that the thermal benefit of warming and humidifying insufflated CO2 is minor, particularly in comparison with other effective and inexpensive perioperative technologies, some of which are not always used out could easily be used. The decision to use heating and humidification of insufflated CO2 should be based on its other risks, benefits, and costs.
*Department of Anesthesiology, Thomas Jefferson School of Medicine †Department of Surgery, Albert Einstein Medical Center, Philadelphia, PA.
Jonathan V
JV
Roth
Stephanie
S
Sea
D002151:Calorimetry / Q000379:methods*; D002245:Carbon Dioxide / Q000737:chemistry*; D006801:Humans; D006813:Humidity; D007327:Insufflation; D010535:Laparoscopy; D011028:Pneumoperitoneum, Artificial / Q000379:methods*; D013696:Temperature
D002245:Carbon Dioxide