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Correspondence
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Volume 335:747-750 September 5, 1996 Number 10
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Perioperative Normothermia and Surgical-Wound Infection

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 by Kurz, A.
To the Editor: We are concerned about the report by Kurz et al. (May 9 issue)1 of a randomized clinical study in which intraoperative hypothermia was shown to increase the incidence of surgical-wound infection and prolong hospitalization as compared with normothermia.

The authors imply that only negative effects of unintended intraoperative hypothermia have been observed to date. In previous studies in animals, the same group showed that mild hypothermia significantly impairs resistance to dermal infection.2,3 With the exception of its effects in cardiac surgery and neurosurgery, we, too, know of no positive effects of intraoperative hypothermia on postoperative outcome. Nevertheless, . . . [Full Text of this Article]

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