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  • Title: [Carbon dioxide pneumoperitoneum with gynecologic laparoscopy as a safe procedure in general anesthesia].
    Author: Zajac K, Kokoszka W.
    Journal: Przegl Lek; 1990; 47(10):715-7. PubMed ID: 2150993.
    Abstract:
    The studies have been performed in 33 women aged 12 to 60 years, underwent gynecological laparoscopy in complex general anesthesia with intubation. The pneumoperitoneum was induced by CO2. Laparoscopy was made according to the H. Frangenheim method. Patients showed no pathological changes when examined electrocardiographically, CTK, pulse frequency, total lung capacity, acid-base balance in the blood well as the CO2 blood concentration remained also within normal range. Above result showed that CO2 as a gas used for pneumoperitoneum induction during laparoscopy is a secure agent. Full security of the gas use in conditioned by caution concerning the lung ventilation, patient monitoring, the gas flow equal to 1000 ml/min during the pneumoperitoneum induction and the final intraabdominal pressure 17-18 mm Hg.
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