Cochrane · systematic review · CD009891

Warming of intravenous and irrigation fluids for preventing inadvertent perioperative hypothermia

Campbell, G, Alderson, P, Smith, AF, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 12.5%Moderate 7 · 87.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Warmed intravenous fluids for preventing inadvertent perioperative hypothermia

Population: patients with inadvertent perioperative hypothermia
6 questions
OutcomeEffectEvidenceStatus / GRADE
Core temperature at 30 minutes after induction degrees Celsius
no estimate extracted9 studies · 374 participantsModerate
Downgraded: risk of bias
Core temperature at 60 minutes after induction degrees Celsius
no estimate extracted8 studies · 312 participantsModerate
Downgraded: risk of bias
Core temperature at 90 minutes after induction degrees Celsius
no estimate extracted3 studies · 109 participantsModerate
Downgraded: risk of bias
Core temperature at 120 minutes after induction degrees Celsius
no estimate extracted4 studies · 149 participantsModerate
Downgraded: risk of bias
Core temperature at end of procedure/arrival to PACU ‐ simple design degrees Celsius
no estimate extracted11 studies · 682 participantsModerate
Downgraded: risk of bias
Patient‐reported outcome: shivering various tools
RR 0.39 [0.23, 0.67]9 studies · 428 participantsModerate
Downgraded: risk of bias

Warmed irrigation fluids for preventing inadvertent perioperative hypothermia

Population: patients with inadvertent perioperative hypothermia
2 questions
OutcomeEffectEvidenceStatus / GRADE
Temperature at end of procedure /arrival in PACU
no estimate extracted5 studies · 310 participantsModerate
Downgraded: risk of bias
Event rate of shivering various tools
RR 0.09 [0.01, 1.55]2 studies · 102 participantsLow
Downgraded: risk of bias