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Volume 48, Issue 1, Page 123 (January 2003)


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Full Body Heat☆☆

Ben Milder, MD

Article Outline

Copyright

In one of Lancet's late editions*

Research done by three clinicians

Offers us a bit of news

That ophthalmologists might use.

Their work is not just anecdotic:

Instead of drugs antibiotic,

Now used routinely as protection

Against unwelcome wound infection,

They substituted heat atop

The laparotomy site pre-op,

And they also used full body heat

To make pre-op drugs obsolete.

So…

It seems to me that we might try

A thermal pre-op for the eye,

With prophylactic drugs unneeded

If the eye has been pre-heated!

Medication bills would plummet

HMO's would profit from it

A sure-fire win-win situation

For HMOs and for the patient.

The patient's in a heated tub,

Good for the eye—but here's the rub:

For the surgical site to be accessible,

Must the surgeon, likewise, be undressible?

Since eye surgery is not X-rated

Hot tubs must be eliminated—

A shame to throw cold water on it

But the brass, alas, put thumbs down on it

Yet the research must eschew tepidity

For an eye heat trial to have validity

This dilemma must be why I can't

Obtain an eye heat research grant

 BENJAMIN MILDER, EDITOR

☆☆ Ed. note: An article in Lancet reports that body warming, either whole body or local heat, using radiant heating, can reduce the incidence of post-operative infections after clean surgery. They suggest that this technique may be as effective as pre-operative antibiotics.

 Always looking for ways to be of assistance to our colleagues, we propose that eye surgeons consider the potentials of full body heating.

* Melling AC, et al: Effects of preoperative warming on the incidence of wound infection after clean surgery: a randomized controlled trial. Lancet 385:876–80, 2001

PII: S0039-6257(02)00396-X


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