Abstract
We compared active warming (convective and IV fluid warming) with routine thermal care (RTC) in 383 adults. At the end of surgery, core temperature was higher in the actively warmed group compared with RTC (mean ± SD: 36.4 ± 0.5 vs 35.8 ± 0.6 oC, P < 0.0001). More patients in the RTC group were hypothermic (< 36°C) at the end of surgery compared with active warming (53 vs. 17%, P < 0.001). More patients shivered and required interventions for shivering and hypothermia in the RTC compared with the actively warmed group (20 vs 3%, P < 0.001). There was no difference in time to discharge between groups (114-115 min) or in patient satisfaction with their anesthetic at 2 weeks (92-95% good or excellent ratings). Only 1 patient (RTC) recalled shivering. Costs were higher with active warming compared with RTC ($26.26 vs. $6.70 per patient).
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