Shivering after Cesarean section under spinal anesthesia. Complication of anesthesia during labor and delivery, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who are candidates for spinal anesthesia in elective cesarean section Patients classified as ASA class 2 Age range between 18 and 45 years
Exclusion criteria
Exclusion criteria: Patients with systemic infections or infections at the site of spinal block History of cardiopulmonary disease History of hepatic or renal disease Individuals with psychiatric disorders Patients with diabetes mellitus Patients with thyroid disorders Baseline body temperature above 38°C or below 36.5°C Patients with a known history of alcohol dependence or substance abuse Receiving vasodilator medications Receiving drugs that interfere with thermoregulation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of shivering after spinal anesthesia. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: Observation and patient inquiry.;Severity of shivering after spinal anesthesia. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: Bedside Shivering Assessment Scale (BSAS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Central temperature. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: The core body temperature was measured through the external auditory canal using a tympanic thermometer (Model GENTLE TEMP 520, OMRON Co.).;Nausea and vomiting. Timepoint: 90 minutes after the initiation of spinal anesthesia. Method of measurement: Three-point scale including: Zero = No nausea or vomiting One = Mild to moderate nausea or vomiting not requiring treatment Three = Severe nausea or vomiting requiring treatment.;Patient satisfaction with the spinal anesthesia procedure. Timepoint: 90 minutes after the initiation of spinal anesthesia. Method of measurement: Eleven-point numerical scale including: Zero = Complete dissatisfaction Ten = Complete satisfaction.;Heart rate. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: Vital signs monitoring device.;Mean arterial pressure. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: Vital signs monitoring device.;Oxygen saturation. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: Vital signs monitoring device.;Peripheral temperature. Timepoint: 0, 5, 10, 15, 30, 45, 60, and 90 minutes after spinal anesthesia. Method of measurement: Axillary temperature measurement using a standard mercury thermometer. | — |
Countries
Iran (Islamic Republic of)
Contacts
Esfahan University of Medical Sciences