{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:55:02Z","timestamp":1772988902045,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T00:00:00Z","timestamp":1747699200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001785","name":"Flinders University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001785","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Using chilled saline as a medium for Coblation has been shown to reduce post\u2010operative pain in both paediatric and adult extracapsular tonsillectomy. Its effect on the more minimally invasive intracapsular tonsillectomy (ICT) is unknown. A double\u2010blind randomised controlled trial was performed to identify the effect of chilled saline on operation length, intra\u2010\/postoperative bleeding, postoperative pain and return to normal activity in paediatric Coblation ICT with adenoidectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Forty\u2010two paediatric patients undergoing Coblation ICT and adenoidectomy for sleep\u2010disordered breathing were randomly assigned to receive either room temperature (22.5\u00b0C) or chilled saline (3.8\u00b0C) as the Coblation plasma medium. Duration of surgery, intra\u2010\/postoperative bleeding, postoperative pain (using the Wong\u2013Baker Pain Scale) and return to normal activity were recorded. Both the surgeon and patients\/parents were blinded to the procedure arm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Results had a nonparametric distribution and were analysed using a Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test. Chilled saline extended median total procedure time (17.5 vs. 15 min;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) when compared to room temperature saline. There was no statistically significant difference in postoperative pain, nor was there a difference in secondary outcomes: intra\u2010\/postoperative bleeding and return to normal activity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The use of chilled saline for paediatric Coblation ICT carries no advantages in terms of postoperative pain or bleeding. Chilled saline actually extends procedure time when compared to room temperature saline.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      Australian Clinical Trial Registry Number: ACTRN12624001267549\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70180","type":"journal-article","created":{"date-parts":[[2025,5,20]],"date-time":"2025-05-20T07:59:44Z","timestamp":1747727984000},"page":"1855-1861","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Chilled Versus Room Temperature Saline on Procedure Time and Postoperative Outcomes Following Coblation Intracapsular Tonsillectomy and Adenoidectomy in Children With Sleep Disordered Breathing: A Randomised Control Trial"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9137-436X","authenticated-orcid":false,"given":"James","family":"Fowler","sequence":"first","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishan","family":"Chahal","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamish","family":"Mckenzie","sequence":"additional","affiliation":[{"name":"College of Medicine and Public Health Flinders University  Bedford Park South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7507-7983","authenticated-orcid":false,"given":"A. 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