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. 2016 Apr 21;2016(4):CD009016. doi: 10.1002/14651858.CD009016.pub2

Ng 2006.

Methods Design: RCT
Operative phase: intraoperative
Withdrawals: None
Setting: multicentre (Hong Kong)
Sample size: 60
Funding: not stated
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
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
Outcomes Thermal comfort in post‐surgical waking‐up (VAS 0 ‐ 10)
Shivering (present/absent)
Blood loss (ml)
Fluids infused (crystalloids) (ml)
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