Pu 2014.
Methods | Design: RCT Operative phase: intraoperative Withdrawals: none Setting: 1 centre (China) Sample size: 110 Funding: In part by the Science and Technology Commission of Shanghai Jiao Tong University (Project Jyh0913) |
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Participants | Age (mean): 68 yrs Gender (M/F): 60/50 ASA grade: I ‐ II Surgery type: open and laparoscopic surgery for gastrointestinal tumours Surgery duration (mean): > 2 hrs (146/149 mins) Anaesthesia type: general |
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Interventions |
Intervention (ABSW): n = 55 Forced‐air warming disposable underbody warming blanket (Model 545, 585, 3MTM Bair Hugger®, Saint Paul, MN, USA) with reusable forced‐air warming system (Model 750, 3MTM Bair Hugger®) for either horizontal position or lithotomy position Temperature set at: up to 41ºC Body area covered: legs up to the pubis Control: n = 55 Warm quilt Co‐interventions: The CO₂ used for maintaining pneumoperitoneum was not prewarmed (room temperature) and the fluids intake during the operation were room‐temperature crystalloid solutions Room temperature: 22° ‐ 24 ºC |
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Outcomes | Fluids infused (total) (ml) Blood loss (ml) Wound infection Shivering (VAS 0 ‐ 10) Pain (VAS 0 ‐ 10) Other outcomes reported not included in the review:
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Notes | Comparison 1 | |
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 | Unclear risk | Open‐label ('risk of bias' judgement depending on the nature of the outcome) |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Open‐label ('risk of bias' judgement depending on the nature of the outcome) |
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 |