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Evid Based Nurs 10:114 doi:10.1136/ebn.10.4.114
  • Treatment

Systemic warming before, during, and after major abdominal surgery reduced postoperative complications more than warming during surgery only


 
 Q Does systemic warming before, during, and after major abdominal surgery reduce postoperative morbidity more than warming during surgery only?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{concealed}.*

GraphicBlinding:

blinded (healthcare providers and {data collectors}*).

GraphicFollow-up period:

6–8 weeks after surgery.

GraphicSetting:

a hospital in the UK.

GraphicPatients:

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.

GraphicIntervention:

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 …

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