Treatment
Systemic warming before, during, and after major abdominal surgery reduced postoperative complications more than warming during surgery only
Wong PF, Kumar S, Bohra A, et al. Randomized clinical trial of perioperative systemic warming in major elective abdominal surgery. Br J Surg 2007;94:421–6.[CrossRef][Medline]
Q Does systemic warming before, during, and after major abdominal surgery reduce postoperative morbidity more than warming during surgery only?
Key Words: hypothermia • preoperative care • intraoperative care • postoperative care • postoperative complications
| The first 150 words of the full text of this article appear below. |
Design:
randomised controlled trial.
Allocation:
{concealed}.*
Blinding:
blinded (healthcare providers and {data collectors}*).
Follow-up period:
6–8 weeks after surgery.
Setting:
a hospital in the UK.
Patients:
103 adults >18 years of age (age range 20–88 y, 51% men) who were having major open abdominal surgery, mostly for colorectal cancer (69%). Exclusion criteria were laparoscopic procedures; use of corticosteroids or immunosuppressive drugs 4 weeks before surgery; recent fever or infection; serious malnutrition; and bowel obstruction.
Intervention:
all patients were placed on an Inditherm® warming mattress (Inditherm, Rotherham, UK) 2 hours before transfer to the operating theatre. 47 patients were allocated to the perioperative warming group, and the mattress was turned on to 40°C 2 hours before, during, and up to 2 hours after surgery. 56 patients were allocated to the control group, and the mattress was switched off. All patients were systemically warmed during surgery using a forced-air warming device
University of Durham, Stockton-on-Tees, UK
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