Perioperative medicine & outcomes

Evaluating Shivering and Hypothermia After Removing Forced‐Air Heating From Short‐Duration Surgery

Acta Anaesthesiol ScandPublished Prospective before-and-after cohort study

Authors' conclusion

Omitting forced-air heating significantly increased hypothermia occurrence by 2.85% and shivering by 2.18%, while reducing costs and carbon emissions.

Study context

Population
Adults undergoing orthopaedic or abdominal procedures below 90 min, surgical ward of a secondary university hospital, 2023surgeries
Participants
1,059 vs 1,106
Exposure
No heating vs active forced-air heating after a guideline change
  • Heatingn = 1,059reference
  • No-heatingn = 1,106
Outcome
Co-primary: intraoperative hypothermia (< 35.5°C) and shivering (symptom or need for rescue medication) in the PACU
Methodological detailspragmatic, co-primary outcomes, Data extracted from electronic health records, Protocol on Zenodo prior to data analysis
  • Pragmatic
  • Co-primary outcomes
  • Data extracted from electronic health records
  • Protocol on Zenodo prior to data analysis

Main finding

As reported in the abstract

No-heating vs HeatingRelative risk (97.5% CI)P value
Intraoperative hypothermia
2.04(1.11–3.95)
P = 0.011
Shivering
1.55(1.02–2.41)
P = 0.021

Observational data: associations, not effects.

Further findings

Cost and emissions to prevent one shivering event

Cost to prevent one shivering event
$235
CO2 equivalents to prevent one shivering event
62.9 kg

Anaesthesia emergence time, need for/length of PACU stay

No differences

Original publication

Evaluating Shivering and Hypothermia After Removing Forced‐Air Heating From Short‐Duration Surgery. Acta Anaesthesiol Scand. Published 16 February 2026. doi:10.1111/aas.70204

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