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

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)
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
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
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:
  • Intraoperative complications: haemorrhage (< 150 mL / > 150 mL); organ injury

  • Postoperative complications

  • Postoperative haemoglobin

  • Coagulation markers at various time points before and during surgery and at the end of surgery (prothrombin time, activated partial thromboplastin time and thrombin time)

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