Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia

J. R. Sharp, W. P. Pierson, Charles E Brady Iii

Research output: Contribution to journalArticle

74 Citations (Scopus)

Abstract

The most comfortable gas for peritoneoscopy has been the subject of debate. We subjected 46 patients to double-blind comparison of carbon dioxide and nitrous oxide during initial pneumoperitoneum. The discomfort from local anesthesia was similar in both patient groups. The patient's and the physician's assessment of discomfort during gas insufflation showed that carbon dioxide was more uncomfortable as perceived by the patient (p = 0.02), the physician (p = 0.0006), and objectively assessed by degree of abdominal splinting (p = 0.006). The presence of intraabdominal adhesions had no relationship to discomfort. We conclude that nitrous oxide is more comfortable for institution of pneumoperitoneum during peritoneoscopy under local anesthesia.

Original languageEnglish (US)
Pages (from-to)453-456
Number of pages4
JournalGastroenterology
Volume82
Issue number3
StatePublished - 1982
Externally publishedYes

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Local Anesthesia
Laparoscopy
Pneumoperitoneum
Nitrous Oxide
Carbon Dioxide
Gases
Physicians
Insufflation

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Sharp, J. R., Pierson, W. P., & Brady Iii, C. E. (1982). Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia. Gastroenterology, 82(3), 453-456.

Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia. / Sharp, J. R.; Pierson, W. P.; Brady Iii, Charles E.

In: Gastroenterology, Vol. 82, No. 3, 1982, p. 453-456.

Research output: Contribution to journalArticle

Sharp, JR, Pierson, WP & Brady Iii, CE 1982, 'Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia', Gastroenterology, vol. 82, no. 3, pp. 453-456.
Sharp, J. R. ; Pierson, W. P. ; Brady Iii, Charles E. / Comparison of CO2- and N2O-induced discomfort during peritoneoscopy under local anesthesia. In: Gastroenterology. 1982 ; Vol. 82, No. 3. pp. 453-456.
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