ReviewCureus2026
Perioperative Hypothermia in Medium- and Large-Volume Plastic Surgery: Clinical and Surgical Implications and Practical Prevention Strategies.
Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Inadvertent perioperative hypothermia (IPH), defined as a core temperature below 36 °C, is a common complication of elective procedures under general anesthesia and has traditionally been treated as an anesthetic concern. In medium- and large-volume plastic surgery, including abdominoplasty, large-volume liposuction, combined and postbariatric body contouring, and autologous and microsurgical reconstruction, wide body-surface exposure, cold tumescent solution, prolonged operative time, and combined anesthesia amplify this risk and make it directly relevant to surgical outcomes. This narrative review, structured around the Scale for the Assessment of Narrative Review Articles (SANRA) domains, synthesizes the pathophysiology; the wound-healing, flap, and microsurgical implications most relevant to plastic surgery; the subclinical hemodynamic consequences; the surgical outcomes; and practical prevention strategies for IPH, drawing on searches in PubMed/MEDLINE, Cochrane Library, SciELO, and Embase (1996-2024). Even mild IPH meaningfully increases the risks of surgical site infection, intraoperative bleeding, ischemic cardiac events, and delayed emergence; of particular concern in plastic surgery, it fosters a vasoconstricted, hypoperfused microcirculatory environment that threatens wound edges, random-pattern and pedicled flaps, and microsurgical anastomoses. Postoperative hypothermia is especially frequent after prolonged operations. Prewarming, forced-air warming, and fluid warming substantially reduce IPH incidence. We propose that perioperative normothermia be treated as an auditable institutional quality indicator, shared across the perioperative team, with the plastic surgeon contributing specific, protocol-driven actions.
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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.