Maintaining perioperative normothermia

Harper, C Mark; McNicholas, Tom; Gowrie‐Mohan, S.

doi:10.1136/bmj.326.7392.721

Cited by 38 publications

(14 citation statements)

References 13 publications

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“…Patients undergoing TUR surgery tend to have all of these conditions, which put them in a relatively highrisk patient group, requiring that we have to be more careful about temperature management. [13][14][15] All the predicted risk factors for hypothermia, including age, BMI, ASA score, operation time, amount of iv and irrigation fluids used, and preoperative body temperature, MAP and HR were not significantly different between groups. In addition, room temperatures were set to 23°C for standardization in this study.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Irrigation Solution Temperature on Body Temperature in Transurethral Surgeries

Aksu¹,

İçli̇²,

Toker³

et al. 2017

Turkiye Klinikleri J Med Sci

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Section: Discussionmentioning

confidence: 99%

The Effects of Irrigation Solution Temperature on Body Temperature in Transurethral Surgeries

Aksu¹,

İçli̇²,

Toker³

et al. 2017

Turkiye Klinikleri J Med Sci

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“…It is somewhat surprising to learn that whilst the Department of Health has issued guidance on issues as diverse as West Nile fever [1] and botulism [2], it has yet to issue formal guidance on the use of specialist beds and pressure sores. However, on the 22nd September 2005 the National Institute for Clinical Excellence in conjunction with the Royal College of Nursing published a document entitled 'The Management of Pressure Ulcers in Primary and Secondary Care: A clinical practice guideline care' [3]. When printed, this impressive 245-page document, is, in premetric terms, an inch thick.…”

Section: ó 2006 the Association Of Anaesthetists Of Great Britain Andmentioning

confidence: 99%

“…This is a subject that is not normally taught or considered to be a main stream topic in the medical management of the critically ill patient [2]. Studies do exist [3][4][5][6], the most comprehensive being Clough's prospective collected data on 638 consecutive patients in intensive care [3]. This paper has the only UK cost analysis available, which showed that prevention of a pressure ulcer costs a mean of £125 and treatment £315 per patient at 1994 prices.…”

Section: Pressure Ulcers In Intensive Carementioning

confidence: 99%

“…Both articles reported the incidence of hypothermia associated with the administration of intrathecal opioids for Caesarean section. Despite the well-known effects of regional anaesthesia on core temperature [3] and the benefits of maintaining peri-operative normothermia, no attempt was made to warm the patients in either trial.…”

Section: Hypothermia and Spinal Anaesthesiamentioning

confidence: 99%

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Theaker¹,

Soni²

2006

Anaesthesia

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“…As mentioned by Harper et al, forced air warming devices are popular and widely used 2. However, their features vary between manufacturers, and few evaluations comparing performance have been published.…”

mentioning

confidence: 99%

Maintaining perioperative normothermia: Forced air warming devices require risk assessments before use

Cooke¹

2003

BMJ

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Randomisation to clinical trials may solve dilemma of treatment choice in prostate cancerEditor-Lilford uses the example of the ProtecT study to raise concerns about recruitment to clinical trials, taking quotations out of context from Donovan et al. 1 2 Lilford asserts that in this study men are simply told that the best treatment for localised prostate cancer is "uncertain"; that they are not given enough information or time to question the recruiter about essential details about treatments and side effects; and that they are not given sufficient clinical information about their disease. None of these assertions is true, as we argue on bmj.com. 3The ProtecT trial has been subject to extensive peer review and is conducted according to MRC guidelines for good clinical practice, with scrutiny by steering and data monitoring committees and the NHS research and development health technology assessment programme. Outside the trial a patient's choice of treatment is influenced by personal preference, the media, and recommendations by potentially biased clinicians.4 5 Within the trial we are committed to providing accessible, balanced, and comprehensive written and oral information about prostate cancer. Participants are encouraged to express and discuss their views, being given ample time to reflect before making the decision to join the trial or choose their treatment. Lilford's statements about what is "unknown" and "uncertain" in relation to prostate cancer are vague, confused, and misleading. Within ProtecT we give precise information on the risks and benefits of treatments, based on current evidence, for particular tumours. The ability to prolong survival and improve quality of life in localised prostate cancer is uncertain, with choice of treatment particularly difficult because of the balance between potential for cure and overtreatment. In this well informed context, randomisation often provides a solution to the dilemma of decision making.Lilford's assertions about the conduct of ProtecT are inaccurate and unjustified. We utterly refute that we are "glossing over the ethical complexities" and using "misleading" language. 1In the ProtecT study well informed patients and dedicated clinicians, nurses, and trialists are working together to provide robust and ethically based evidence, so urgently required in the management of prostate cancer.

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Maintaining perioperative normothermia

Cited by 38 publications

References 13 publications

The Effects of Irrigation Solution Temperature on Body Temperature in Transurethral Surgeries

The Effects of Irrigation Solution Temperature on Body Temperature in Transurethral Surgeries

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Maintaining perioperative normothermia: Forced air warming devices require risk assessments before use

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