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Effect of Leaking CO  on Operating Laparoscopic Surgeons
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               In our study, we observed that there was no significant     4.  Roche S, Horvath S, Gliner J, et al. Sustained visual attention and
            increase in the EtCO  values before and after laparoscopic surgery   carbon monoxide: elimination of adaptation effects. Hum Factors
                           2
            in the surgeons. Considering the occupational safety and health   1981;23(2):175–184. DOI: 10.1177/001872088102300205.
            administration guidelines, CO  chromatography is advised for CO      5.  Weitzman DO, Kinner JS, Luria SM. Effects on vision of repeated measure
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            monitoring at workplaces, to prevent any untoward incidents. And   to carbon dioxide (Technical Report No. 6–8). New London, CT, USA: U.S.
                                                                    Navy Department, Bureau of Medicine and Surgery, Naval Submarine
            when any such incident is confronted, necessary immediate and   Medical Center, Submarine Medical Research Laboratory; 1969. p. 1–6.
            appropriate supportive care is provided.             6.  Weybrew BB. An exploratory study of the psychological effects of
               In conclusion, our current study shows that despite being   intermittent exposure to elevated carbon dioxide levels (Technical
            exposed to leaking CO  during laparoscopic surgeries, the operating   Report No. 647). Groton, CT, USA: U.S. Navy Department, Bureau of
                            2
            surgeons did not have significant changes in end-tidal carbon   Medicine and Surgery, Naval Submarine Medicine Center, Submarine
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            insignificant. However, further studies involving a larger number      7.  Brazier, Mary AB. The physiological effects of carbon dioxide on the
            of volunteers and prolonged duration of exposures need to be   activity of the CNS in man, Medicine: September 1943;22(3):205–222.
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                                                                    Part I. The vaso-motor centre. J Physiol 1911;42(4):283. DOI: 10.1113/
            a better understanding of the effects of CO  exposure.  jphysiol.1911.sp001435.
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                                                                 9.  https://www.osha.gov/dts/chemicalsampling/data/CH_225400.html.
                                                                 10.  Kupnik D, Skok P. capnometry in the prehospital setting: are we
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                                                        World Journal of Laparoscopic Surgery, Volume 14 Issue 2 (May–August 2021)  105
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