Treatment of intra or postoperative shivering. Other complications of spinal and epidural anaesthesia during labour and delivery
Conditions
Interventions
Intervention 1: Intervention group: After spinal anesthesia and ensuring sensory block at the T4 level, all patients will be prepped and covered with a double layer of surgical drapes and the surg
Sponsors
Hamedan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 46 Years
Inclusion criteria
Inclusion criteria: Conscious consent to participate in the study Parturients candidate for cesarean section under spinal anesthesia 18 to 46 years old Patients with shivering during surgery or in recovery with a grade of more than 2
Exclusion criteria
Exclusion criteria: Withdrawal from participation of the study Cardiac and pulmonary, hepatic, renal diseases, hypertension, diabetes, arrhythmia and heart failure Eclampsia and preeclampsia Contraindications of spinal anesthesia (high ICP, hypovolemia, anemia, coagulation disorders) History of seizures or Parkinson's disease Intraoperative transfusion History of taking sedative-hypnotic and vasodilator drugs Dysautonomia Allergy to the drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shivering intensity. Timepoint: In 5,10,15 and 20 minutes after the administration of meperidine and dexmedomidine drugs. Method of measurement: Observation based on crossley score of shivering. | — |
Secondary
| Measure | Time frame |
|---|---|
| Systolic and diastolic blood pressure. Timepoint: Before injection and in 5,10,15,20 and 30 minutes after the administration of shivering drugs. Method of measurement: Non-invasive automatic barometric device.;Heart Rate. Timepoint: Before injection and in 5,10,15,20 and 30 minutes after the administration of shivering drugs. Method of measurement: Pulse oximetry.;Percentage of arterial oxygen saturation. Timepoint: Before injection and in 5,10,15,20 and 30 minutes after the administration of shivering drugs. Method of measurement: Pulse oximetry.;Nausea & vomiting. Timepoint: After the injection of drugs for the treatment of shivering until the patient leaves the operating room. Method of measurement: Observation.;Sedation score. Timepoint: Before injection and in 5,10,15,20 and 30 minutes after the administration of shivering drugs. Method of measurement: Ramsy sedation score.;Dizziness. Timepoint: After the injection of drugs for the treatment of shivering until the patient leaves the operating room. Method of measurement: Question from the patient. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNahid Manouchehrian
Hamedan University of Medical Sciences
Outcome results
None listed