{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T14:19:17Z","timestamp":1785161957487,"version":"3.55.0"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Perioperative Practice"],"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Open abdominal procedures under combined general and epidural anaesthesia are at high risk of thermal loss due to prolonged operating times and significant exposure of internal organs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Design:<\/jats:title>\n                    <jats:p>In this prospective observational study, the effects of short-duration prewarming were assessed in participants who underwent open abdominal procedures with combined epidural and general anaesthesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Materials:<\/jats:title>\n                    <jats:p>A total of 72 patients were observed, with 36 receiving 15\u2009min of prewarming before surgery and 36 receiving warming only during surgery. Core temperature (tympanic) was measured with an infrared thermometer both before prewarming and at the end of surgery. The incidence of postoperative hypothermia (core temperature &lt;36\u2009\u00b0C) and shivering was also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Statistical analysis:<\/jats:title>\n                    <jats:p>Chi-square test, Student\u2019s t test or Pearson \u03c7\u00b2 were used for comparisons between two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The median temperature difference (baseline temperature \u2013 postoperative temperature) was lower in the prewarmed group (0.5\u2009\u00b0C vs. 0.75\u2009\u00b0C). The incidence of postoperative hypothermia and shivering was also lower in the prewarmed group than in the non-prewarmed group (22% vs. 50% and 5.56% vs. 25%, respectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A 15-min prewarming protocol is associated with a lower incidence of postoperative hypothermia and shivering in patients who undergo major abdominal surgery under combined general and epidural anaesthesia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17504589251392041","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T12:37:01Z","timestamp":1767357421000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of short-duration prewarming on postoperative hypothermia in patients undergoing open abdominal surgery under combined epidural and general anaesthesia: A prospective observational study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7948-2876","authenticated-orcid":false,"given":"Aniketh Kumar","family":"Shetty","sequence":"first","affiliation":[{"name":"Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0228-9354","authenticated-orcid":false,"given":"Savan Kumar","family":"Nagesh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Kasturba Medical College and Hospital, Manipal, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blessing","family":"Dhas A","sequence":"additional","affiliation":[{"name":"Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,2]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-52960-6"},{"key":"e_1_3_3_3_1","article-title":"Prevention of inadvertent perioperative hypothermia \u2013 guideline compliance in German hospitals","volume":"17","author":"Gabriel P","year":"2019","unstructured":"Gabriel P, H\u00f6cker J, Steinfath M, et al 2019 Prevention of inadvertent perioperative hypothermia \u2013 guideline compliance in German hospitals GMS German Medical Science 17 Doc07","journal-title":"GMS German Medical Science"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-017-0384-3"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2012.07073.x"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000000369"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-200202000-00034"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-019-0828-1"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.17085\/apm.20006"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009016.pub2"},{"key":"e_1_3_3_11_1","unstructured":"National Institute for Health and Care Excellence (NICE) 2008 Hypothermia: prevention and management in adults having surgery. NICE Guideline CG65 [online] Available from: https:\/\/www.nice.org.uk\/guidance\/cg65\/chapter\/Recommendations [Accessed August 2025]"},{"key":"e_1_3_3_12_1","unstructured":"Ramaswamy KK 2025 Perioperative hypothermia prevention and management [online] WFSA Resource Library. Available from: https:\/\/resources.wfsahq.org\/atotw\/perioperative-hypothermia-prevention-and-management-tutorial-of-the-week-number-117\/ [Accessed August 2025]"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59122082"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2025.01.021"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00981-2"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jopan.2023.11.003"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/aorn.13667"}],"container-title":["Journal of Perioperative Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589251392041","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17504589251392041","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17504589251392041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:07:38Z","timestamp":1777709258000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17504589251392041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,2]]},"references-count":16,"alternative-id":["10.1177\/17504589251392041"],"URL":"https:\/\/doi.org\/10.1177\/17504589251392041","relation":{},"ISSN":["1750-4589","2515-7949"],"issn-type":[{"value":"1750-4589","type":"print"},{"value":"2515-7949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,2]]},"article-number":"17504589251392041"}}