Anaesthesia
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA physical status II female patients, 18-40 years old scheduled for caesarean section under spinal anesthesia.
Exclusion criteria
Exclusion criteria: fever or hypothermia before the procedure. History of hypertension, cardiovascular, psychiatric, neurological, endocrine, chest disease, and/or severe renal or hepatic dysfunction . obese patients (BMI =30 kg/m2) those who will need intraoperative blood transfusion those with known allergy to any of this study drugs. Any contraindication to neuraxial block
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| occurrence of shivering The shivering severity will be graded as: grade 1(piloerection or peripheral cyanosis, but without visible muscle activity), grade 2 (visible muscle activity confined to one muscle group), grade 3(visible muscle activity in more than one muscle group), or grade 4 (gross muscle activity involving the whole body).Any shivering attack with a score >2 will be treated with Meperidine 25 mg IV. Shivering will be analysed for incidence (number of attacks), severity, time to occur after the intrathecal anesthetic, and its response to meperidine administration. | — |
Secondary
| Measure | Time frame |
|---|---|
| totally received meperidine doses, the time for first postoperative analgesia request, the occurrence of hypotention or bradycardia, the perioperative complications (nausea, vomiting, dry mouth, dizziness, and desaturation). | — |
Countries
Egypt
Contacts
Lecturer of anesthesia