None listed
Conditions
Brief summary
In laparoscopic surgery, the use of dry, cold insufflation gas (to inflate the abdominal cavity for a clear view of operating field) results in the drying of the lining of the cavity, which has been suggested to be a negative determinant of length of recovery. Adult studies using warm humidified insufflation gas were suggestive of decreased post-operative pain, decreased fogging of the camera lens, decreased operative time and decreased length of Post-Anaesthetic Care Unit (PACU) stay - although findings were variable. No such studies have been done in children. This study will be the first in the paediatric population, aiming to measure; post-operative pain using the amount of PCA (patient controlled analgesia) morphine use; pain score; length of PACU and hospital stay and fogging of camera using Laparoscopic Fogging Criteria.
Interventions
The use of a laparoscopic humidification device to warm (to body temperature ) and humidify insufflation gas (carbon dioxide) for laparoscopic appendicectomy for the duration of the pneumoperitoneum
Sponsors
James Hamill
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
8 Years to 14 Years
Healthy volunteers
No
Inclusion criteria
Children with clinical signs of acute appendicitis undergoing laparoscopic appendicectomy
Exclusion criteria
Excluded criteria are previous open abdominal surgery, neurological disorder that may interfere with reliable use of patient controlled analgesia device (PCA), an abdominal prostheses such as a gastrostomy or ventriculo-peritoneal shunt, immunosuppression and allergy to morphine.
Outcome results
None listed