What should be ensured when performing a laparoscopic procedure regarding CO2 insufflation?

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When performing a laparoscopic procedure, regulating the pressure carefully during CO2 insufflation is crucial for several reasons. First, proper pressure control helps create and maintain a stable working space in the abdominal cavity, allowing for better visualization and maneuverability of instruments. Typically, the insufflation pressure is maintained between 12 to 15 mmHg to ensure that the abdominal wall is distended adequately while also minimizing the risk of complications such as subcutaneous emphysema or organ injury.

Excessive pressure can lead to complications such as cardiovascular effects, respiratory compromise, or pneumothorax, while too low pressure may not provide sufficient workspace, making the procedure more challenging and potentially increasing the risk of injury. Therefore, careful regulation of the insufflation pressure is vital for patient safety and the overall success of the laparoscopic procedure.

The other options do not align with best practices regarding CO2 insufflation in laparoscopic surgery. Maintaining a straight course, for instance, is not as directly tied to the important considerations surrounding pressure management. Similarly, using less gas than necessary may inhibit the procedure's effectiveness, and while CO2's solubility in blood is a relevant topic, it is not the primary concern during CO2 insufflation in laparoscopic procedures.

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