Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Changes in plasma potassium concentration during carbon dioxide pneumoperitoneum.

A Perner1, K Bugge, K M Lyng

  • 1Department of Anaesthesia, Sundby Hospital, University of Copenhagen, Denmark.

British Journal of Anaesthesia
|May 18, 1999
PubMed
Summary

Prolonged carbon dioxide pneumoperitoneum during laparoscopic surgery does not cause significant hyperkalemia in patients with normal kidney function. This finding is crucial for understanding the safety of laparoscopic procedures.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The complex circumstellar environment of supernova 2023ixf.

Nature·2024
Same author

Tuning the surface plasmon resonance in gold nanocrystals with single layer carbon nitride.

RSC advances·2022
Same author

A WC/WO star exploding within an expanding carbon-oxygen-neon nebula.

Nature·2022
Same author

Maternal and neonatal outcome after vaginal breech delivery at term after cesarean section - a prospective cohort study of the Frankfurt breech at term cohort (FRABAT).

European journal of obstetrics, gynecology, and reproductive biology·2020
Same author

Observation of inverse Compton emission from a long γ-ray burst.

Nature·2019
Same author

Effects of simulated sample sizes on mortality estimates-Protocol for a study in 3 randomised ICU trials.

Acta anaesthesiologica Scandinavica·2019

Area of Science:

  • Surgical Innovation
  • Physiology
  • Anesthesiology

Background:

  • Previous studies in pigs suggested hyperkalemia during prolonged carbon dioxide pneumoperitoneum.
  • The clinical significance of these findings in human patients remained unclear.

Purpose of the Study:

  • To investigate plasma potassium levels during laparoscopic surgery with carbon dioxide pneumoperitoneum in humans.
  • To compare outcomes between laparoscopic and open appendectomy, and between carbon dioxide pneumoperitoneum and abdominal wall lifting for colectomy.

Main Methods:

  • Randomized comparison of laparoscopic versus open appendectomy (11 patients).
  • Randomized comparison of carbon dioxide pneumoperitoneum versus abdominal wall lifting for laparoscopic colectomy (17 patients).
  • Monitoring of plasma potassium concentrations and metabolic acidosis during surgery.

Related Experiment Videos

Main Results:

  • Prolonged carbon dioxide pneumoperitoneum led to a slight, statistically and clinically insignificant increase in plasma potassium.
  • Metabolic acidosis increased during carbon dioxide pneumoperitoneum, but did not correlate with significant hyperkalemia.
  • No significant hyperkalemia was observed in either patient group.

Conclusions:

  • Carbon dioxide pneumoperitoneum is unlikely to cause hyperkalemia in patients with normal renal function undergoing laparoscopic surgery.
  • The study provides evidence supporting the safety of carbon dioxide pneumoperitoneum regarding potassium levels.
  • Further research may explore electrolyte balance in patients with renal impairment.