Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery
Objective: Electrocautery in laparoscopic surgeries converts abdominal carbon dioxide gas into carbon monoxide, which binds to hemoglobin with a higher affinity than oxygen and can impair oxygen transport and lead to hypoxia. This study aimed to assess changes in carboxyhemoglobin (COHb) levels and...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2024-07-01
|
| Series: | Gazi Medical Journal |
| Subjects: | |
| Online Access: | https://gazimedj.com/articles/retrospective-assessment-of-factors-affecting-carboxyhemoglobin-levels-in-patients-undergoing-robotic-surgery/doi/gmj.2023.3892 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841526695711997952 |
|---|---|
| author | Selin Erel Özge Erkoçak Ülgen Öztürk Toyran Gözde İnan |
| author_facet | Selin Erel Özge Erkoçak Ülgen Öztürk Toyran Gözde İnan |
| author_sort | Selin Erel |
| collection | DOAJ |
| description | Objective: Electrocautery in laparoscopic surgeries converts abdominal carbon dioxide gas into carbon monoxide, which binds to hemoglobin with a higher affinity than oxygen and can impair oxygen transport and lead to hypoxia. This study aimed to assess changes in carboxyhemoglobin (COHb) levels and investigate the factors affecting COHb levels in patients undergoing robotic surgery.
Methods: Forty-two patients were included in this retrospective study. Patient demographics, anesthetic used, airway pressures, and COHb levels at different time points (baseline COHb-1st hour COHb-post-pneumoperitoneum COHb-postoperative care unit COHb-deltaCOHb) were considered. Age, gender, American Society of Anesthesiology (ASA) physical score, body mass index, smoking status, surgery type, anesthesia type, patient position, fresh gas flow (FGF), insufflation, and airway pressures, which may have an effect on COHb levels, were compared.
Results: No significant relationship was found between COHb levels at all measured time points and factors such as gender, ASA scores, surgery type, anesthesia type, position, FGF, insufflation pressure, and airway pressure. Smokers had significantly higher COHb levels than passive smokers, non-smokers, and ex-smokers at baseline (p=0.003), 1st hour (p=0.006), and post-pneumoperitoneum COHb (p=0.009) levels.
Conclusion: Long surgery time, use of different types of anesthetics, and low FGF does not increase the risk of elevated COHb levels. Hence, different anesthetic drugs and low FGF, regardless of the position of the patient or the length of the procedure, can be used in robotic surgery without increasing the risk. |
| format | Article |
| id | doaj-art-01b1c1933b7a4b5bbde6a8dbe44e5528 |
| institution | Kabale University |
| issn | 2147-2092 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Gazi Medical Journal |
| spelling | doaj-art-01b1c1933b7a4b5bbde6a8dbe44e55282025-01-16T12:07:48ZengGalenos Publishing HouseGazi Medical Journal2147-20922024-07-0135326026410.12996/gmj.2023.3892Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic SurgerySelin Erel0https://orcid.org/0000-0002-6040-9815Özge Erkoçak1https://orcid.org/0000-0002-4516-1161Ülgen Öztürk Toyran2https://orcid.org/0000-0003-1704-6390Gözde İnan3https://orcid.org/0000-0003-0989-1914Department of Anesthesiology and Reanimation Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Anesthesiology and Reanimation Gazi University Faculty of Medicine, Ankara, TürkiyeDepartment of Anesthesiology and Reanimation University of Health Sciences Türkiye, İstanbul Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, TürkiyeDepartment of Anesthesiology and Reanimation Gazi University Faculty of Medicine, Ankara, TürkiyeObjective: Electrocautery in laparoscopic surgeries converts abdominal carbon dioxide gas into carbon monoxide, which binds to hemoglobin with a higher affinity than oxygen and can impair oxygen transport and lead to hypoxia. This study aimed to assess changes in carboxyhemoglobin (COHb) levels and investigate the factors affecting COHb levels in patients undergoing robotic surgery. Methods: Forty-two patients were included in this retrospective study. Patient demographics, anesthetic used, airway pressures, and COHb levels at different time points (baseline COHb-1st hour COHb-post-pneumoperitoneum COHb-postoperative care unit COHb-deltaCOHb) were considered. Age, gender, American Society of Anesthesiology (ASA) physical score, body mass index, smoking status, surgery type, anesthesia type, patient position, fresh gas flow (FGF), insufflation, and airway pressures, which may have an effect on COHb levels, were compared. Results: No significant relationship was found between COHb levels at all measured time points and factors such as gender, ASA scores, surgery type, anesthesia type, position, FGF, insufflation pressure, and airway pressure. Smokers had significantly higher COHb levels than passive smokers, non-smokers, and ex-smokers at baseline (p=0.003), 1st hour (p=0.006), and post-pneumoperitoneum COHb (p=0.009) levels. Conclusion: Long surgery time, use of different types of anesthetics, and low FGF does not increase the risk of elevated COHb levels. Hence, different anesthetic drugs and low FGF, regardless of the position of the patient or the length of the procedure, can be used in robotic surgery without increasing the risk.https://gazimedj.com/articles/retrospective-assessment-of-factors-affecting-carboxyhemoglobin-levels-in-patients-undergoing-robotic-surgery/doi/gmj.2023.3892robot-assisted surgerycarbon monoxidecarboxyhemoglobinrobotic surgery |
| spellingShingle | Selin Erel Özge Erkoçak Ülgen Öztürk Toyran Gözde İnan Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery Gazi Medical Journal robot-assisted surgery carbon monoxide carboxyhemoglobin robotic surgery |
| title | Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery |
| title_full | Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery |
| title_fullStr | Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery |
| title_full_unstemmed | Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery |
| title_short | Retrospective Assessment of Factors Affecting Carboxyhemoglobin Levels in Patients Undergoing Robotic Surgery |
| title_sort | retrospective assessment of factors affecting carboxyhemoglobin levels in patients undergoing robotic surgery |
| topic | robot-assisted surgery carbon monoxide carboxyhemoglobin robotic surgery |
| url | https://gazimedj.com/articles/retrospective-assessment-of-factors-affecting-carboxyhemoglobin-levels-in-patients-undergoing-robotic-surgery/doi/gmj.2023.3892 |
| work_keys_str_mv | AT selinerel retrospectiveassessmentoffactorsaffectingcarboxyhemoglobinlevelsinpatientsundergoingroboticsurgery AT ozgeerkocak retrospectiveassessmentoffactorsaffectingcarboxyhemoglobinlevelsinpatientsundergoingroboticsurgery AT ulgenozturktoyran retrospectiveassessmentoffactorsaffectingcarboxyhemoglobinlevelsinpatientsundergoingroboticsurgery AT gozdeinan retrospectiveassessmentoffactorsaffectingcarboxyhemoglobinlevelsinpatientsundergoingroboticsurgery |