ReviewPerioperative medicine (London, England)2026
Perioperative normothermia in Asia and Australasia: challenges, implementation strategies, recommendations, and correct use of forced air warming.
Review in Perioperative medicine (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInadvertent perioperative hypothermia, a common complication secondary to anaesthesia and surgical exposure, affects patients globally and is associated with adverse outcomes. Interventions to prevent perioperative normothermia include consistent core temperature monitoring and active warming strategies. Forced-air warming is the key active warming strategy recommended in guidelines and requires consistent perioperative application to prevent hypothermia. Implementation of guidelines varies across the Asian Australasian Regional Section (AARS), characterised by diverse healthcare systems and resource constraints. An advisory panel was convened to identify regional challenges and propose recommendations for perioperative normothermia guideline implementation, including forced air warming.
methodsAn expert advisory panel of 15 healthcare professionals, including anaesthesiologists, registered nurses, and perioperative normothermia research experts from Australia, Japan, Korea, Malaysia, Singapore and Thailand, convened during October 2024. Panellists reviewed relevant literature, shared clinical experiences, discussed challenges, and proposed evidence-based recommendations for safe practices. Meeting outcomes are summarised in this publication. DISCUSSION: Obstacles for guideline implementation of perioperative hypothermia prevention were identified and classified into four areas: 1) economic constraints, 2) practical limitations, 3) educational gaps, and 4) environmental challenges. Limited insurance coverage for forced air warming systems, resource limitations, time pressures and inconsistent technology availability were among the identified barriers. The panel recommended leveraging cost-effectiveness studies and conducting future analyses to support hypothermia prevention, emphasising long-term financial benefits of avoiding complications associated with hypothermia. Panel members advocated for the adoption of established guidelines and simplifying and customising them to align with the unique contexts of individual institutions. They recommended improved access to accurate non-invasive monitoring devices within each institution, and for training regarding continuous temperature monitoring. To enhance knowledge among surgical teams, the panel emphasised the importance of establishing ongoing comprehensive training and structured workflow systems, supplemented by regular audits. The panel identified incorrect use of forced air warming systems as a significant barrier to perioperative hypothermia prevention. Members stressed the necessity of incorporating proper usage training into a comprehensive educational program detailing correct application of forced air warmers, infection control, and liability awareness. This work aims to enhance patient safety, improve clinical outcomes, and reduce economic burdens across diverse AARS healthcare systems.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.