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

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

http://dx.doi.org/10.1136/ebn.10.4.114

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    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.OpenUrlCrossRefPubMedWeb of Science

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

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    {concealed}.*

    Embedded ImageBlinding:

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

    Embedded ImageFollow-up period:

    6–8 weeks after surgery.

    Embedded ImageSetting:

    a hospital in the UK.

    Embedded ImagePatients:

    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.

    Embedded ImageIntervention:

    all patients were placed on an Inditherm® warming mattress (Inditherm, …

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    Footnotes

    • ↵* Information provided by author.

    • For correspondence: MrP F Wong, James Cook University Hospital, Middlesbrough, Cleveland, UK. pwong23{at}hotmail.com

    • Source of funding: no external funding.