Document Detail


Randomized clinical trial of perioperative systemic warming in major elective abdominal surgery.
MedLine Citation:
PMID:  17380549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
P F Wong; S Kumar; A Bohra; D Whetter; D J Leaper
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The British journal of surgery     Volume:  94     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-02     Completed Date:  2007-05-17     Revised Date:  2007-11-21    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  421-6     Citation Subset:  AIM; IM    
Affiliation:
Professorial Unit of Surgery, University Hospital of North Tees, Stockton-on-Tees TS19 8PE, UK. pwong23@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
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:
Evid Based Nurs. 2007 Oct;10(4):114   [PMID:  17905766 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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