Ng 2006.
Methods | Design: RCT Operative phase: intraoperative Withdrawals: None Setting: multicentre (Hong Kong) Sample size: 60 Funding: not stated |
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Participants | Age (mean): 67.4 years Gender (M/F): 17/43 ASA grade: I ‐ III Surgery type: elective (total knee replacement) Surgery duration: < 2 hrs (90 mins) Anaesthesia type: spinal‐epidural |
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Interventions |
Intervention (ABSW1): n = 30 Upper‐body forced‐air warming (Bair Hugger®, Augustine Medical, Inc., Eden Prairie, MN) + a cotton blanket was folded once to make 2 layers in thickness, with the forced‐air warming blanket sandwiched between the 2 layers Duration: after induction until end of surgery Temperature setting at 43°C Body area covered: not stated Intervention (ABSW2): n = 30 Electric heating pads (Operatherm 20+ prewarmed gel) Duration: not stated Temperature setting at 39°C Body area covered: not stated Co‐interventions: all IV fluids were warmed to 37ºC with an infusion warmer (BW 485 l, Biegler GmbH, Austria) Room temperature: 20° ± 1ºC |
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Outcomes | Thermal comfort in post‐surgical waking‐up (VAS 0 ‐ 10) Shivering (present/absent) Blood loss (ml) Fluids infused (crystalloids) (ml) |
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Notes | Comparison 2 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding of participants and personnel (performance bias) All outcomes | High risk | The study was not blinded |
Blinding of outcome assessment (detection bias) All outcomes | High risk | The study was not blinded |
Baseline comparability of groups | Low risk | To a high extent according to Table 1 |
Co‐interventions equal between groups | Low risk | Yes |
Incomplete outcome data (attrition bias) All outcomes | Low risk | All randomized participants were analysed |
Selective reporting (reporting bias) | Unclear risk | We did not have access to the protocol, therefore we cannot exclude risk of selective reporting with the information provided |
Other bias | Low risk |