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Preventing hypothermia in elective arthroscopic shoulder surgery patients: a protocol for a randomised controlled trial

Citation

Duff, J and Di Staso, R and Cobbe, KA and Draper, N and Tan, S and Halliday, E and Middleton, S and Lam, L and Walker, KN, Preventing hypothermia in elective arthroscopic shoulder surgery patients: a protocol for a randomised controlled trial, Bmc Surgery, 12, (14) pp. 2-6. ISSN 1471-2482 (2012) [Refereed Article]


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Copyright Statement

Copyright 2012 Duff et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Official URL: http://www.biomedcentral.com/1471-2482/12/14

DOI: doi:10.1186/1471-2482-12-14

Abstract

Background: Patients having arthroscopic shoulder surgery frequently experience periods of inadvertent hypothermia. This common perioperative problem has been linked to adverse patient outcomes such as myocardial ischaemia, surgical site infection and coagulopathy. International perioperative guidelines recommend patient warming, using a forced air warming device, and the use of warmed intraoperative irrigation solutions for the prevention of hypothermia in at-risk patient groups. This trial will investigate the effect of these interventions on patients temperature, thermal comfort, and total recovery time. Method/Design: The trial will employ a randomised 2 × 2 factorial design. Eligible patients will be stratified by anaesthetist and block randomised into one of four groups: Group one will receive preoperative warming with a forced air warming device; group two will receive warmed intraoperative irrigation solutions; group three will receive both preoperative warming and warmed intraoperative irrigation solutions; and group four will receive neither intervention. Participants in all four groups will receive active intraoperative warming with a forced air warming device. The primary outcome measures are postoperative temperature, thermal comfort, and total recovery time. Primary outcomes will undergo a two-way analysis of variance controlling for covariants such as operating room ambient temperature and volume of intraoperative irrigation solution. Discussion: This trial is designed to confirm the effectiveness of these interventions at maintaining perioperative normothermia and to evaluate if this translates into improved patient outcomes. © 2012 Duff et al.; licensee BioMed Central Ltd.

Item Details

Item Type:Refereed Article
Keywords:Perioperative inadvertant hypothermia
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health services and systems not elsewhere classified
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Duff, J (Dr Jed Duff)
UTAS Author:Walker, KN (Professor Kim Walker)
ID Code:86974
Year Published:2012
Web of Science® Times Cited:9
Deposited By:Health Sciences B
Deposited On:2013-11-04
Last Modified:2014-06-05
Downloads:326 View Download Statistics

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