Shivering after Cesarean section under spinal anesthesia. Complication of anesthesia during labor and delivery, unspecified
Conditions
Interventions
Intervention 1: Intervention group: In the intravenous paracetamol group, each patient will receive 1 gram of paracetamol diluted in 100 mL of normal saline, administered intravenously over 15 minutes
Sponsors
Esfahan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Patients who are candidates for spinal anesthesia in elective cesarean section ASA class I and II Age between 18 and 45 years
Exclusion criteria
Exclusion criteria: Patients with systemic infections or infections at the site of spinal block Patients with thyroid disorders Patients with cardiovascular or pulmonary diseases Individuals with coagulation disorders Patients with neurological impairments Individuals with psychiatric disorders Patients with a known history of alcohol dependence or substance abuse Body Mass Index greater than 35 Baseline body temperature above 38°C or below 36.5°C, or those receiving vasodilator medications or drugs that interfere with thermoregulation Known history of hypersensitivity to paracetamol or meperidine
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of shivering after spinal anesthesia. Timepoint: 5, 10, 15, 30, 60, and 90 minutes after spinal anesthesia. Method of measurement: Observation and patient inquiry.;Severity of shivering after spinal anesthesia. Timepoint: 5, 10, 15, 30, 60, and 90 minutes after spinal anesthesia. Method of measurement: Bedside Shivering Assessment Scale (BSAS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: 5, 10, 15, 30, 60, and 90 minutes after spinal anesthesia. Method of measurement: Vital signs monitoring device.;Central temperature. Timepoint: 5, 10, 15, 30, 60, and 90 minutes after spinal anesthesia. Method of measurement: Core temperature assessment using a standard tympanic thermometer through the external auditory canal.;Peripheral temperature. Timepoint: 5, 10, 15, 30, 60, and 90 minutes after spinal anesthesia. Method of measurement: Axillary temperature measurement using a standard mercury thermometer.;Level of sedation in patients following spinal anesthesia. Timepoint: Every 15 minutes from the initiation of spinal anesthesia up to 90 minutes post-procedure. Method of measurement: Richmond Agitation-Sedation Scale (RASS).;Patient satisfaction with the spinal anesthesia procedure. Timepoint: 90 minutes after the initiation of spinal anesthesia. Method of measurement: 7-point verbal Likert scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMilad Masaeli
Esfahan University of Medical Sciences
Outcome results
None listed