| Randomized clinical trial of perioperative systemic warming in major elective abdominal surgery. | |
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MedLine Citation:
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PMID: 17380549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Hypothermia is common in the operating theatre and may increase susceptibility to postoperative complications. Intraoperative systemic warming has been shown to improve outcomes of surgery. This study aimed to examine the effects of additional perioperative systemic warming on postoperative morbidity. METHODS: All patients admitted for elective major abdominal surgery and fulfilling the inclusion criteria were randomized into control or warming groups. Both groups were warmed during surgery, but patients in the warming group were additionally warmed 2 h before and after surgery using a conductive carbon polymer mattress. RESULTS: The trial recruited 103 patients (56 in the control group, 47 in the warming group). Both groups were well matched for age, sex and clinical state. Patients in the warming group had lower blood loss (median 200 (range 5-1000) ml versus median 400 (range 50-2300) ml in the control group; P = 0.011) and complication rates (15 (32 per cent) of 47 versus 30 (54 per cent) of 56 in the control group; P = 0.027). There were three deaths; two in the control group (P = 0.566). CONCLUSION: Extending systemic warming to the perioperative period had additional beneficial effects, with minimal additional cost and patient discomfort. |
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Authors:
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P F Wong; S Kumar; A Bohra; D Whetter; D J Leaper |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: The British journal of surgery Volume: 94 ISSN: 0007-1323 ISO Abbreviation: Br J Surg Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-04-02 Completed Date: 2007-05-17 Revised Date: 2007-11-21 |
Medline Journal Info:
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Nlm Unique ID: 0372553 Medline TA: Br J Surg Country: England |
Other Details:
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Languages: eng Pagination: 421-6 Citation Subset: AIM; IM |
Affiliation:
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Professorial Unit of Surgery, University Hospital of North Tees, Stockton-on-Tees TS19 8PE, UK. pwong23@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Body Temperature Regulation Digestive System Diseases / mortality, surgery* Digestive System Surgical Procedures / methods, mortality Female Humans Hyperthermia, Induced / methods* Hypothermia / prevention & control* Intraoperative Care / methods Male Middle Aged Postoperative Care / methods Postoperative Complications / mortality, prevention & control* Preoperative Care / methods Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Evid Based Nurs. 2007 Oct;10(4):114
[PMID:
17905766
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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