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NICE and warm
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Inadvertent perioperative hypothermia, defined as core body temperature
36.0°C, is a common consequence of anaesthesia. Its adverse effects are well known to anaesthetists and include greater intraoperative blood loss and consequent blood transfusion.1 After operation, inadvertent perioperative hypothermia can lead to an increased rate of wound infection,2 morbid cardiac events,3 and pressure sores,4 and also a longer stay in both recovery and hospital.5 These are apart from the subjective discomfort and wound pain which cold and shivering may cause the patient. Significantly, maintaining normothermia perioperatively can modify these adverse effects.
Despite this knowledge, implementation of warming strategies remains patchy. An audit in the hospital of one of the authors (C.M.H.) indicated that there is an incidence of
Declaration of interest
1 Royal Sussex County Hospital
Brighton BN2 5BE
UK
2 Royal Hallamshire Hospital
Sheffield
UK
3 Worcestershire Royal Hospital
Worcester
UK
* E-mail: mark.harper@doctors.org.uk
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