• Regional anesthesia · Jan 1989

    Randomized Controlled Trial Clinical Trial

    Temperature changes and shivering after epidural anesthesia for cesarean section.

    • V W Chan, P K Morley-Forster, and H A Vosu.
    • Department of Anaesthesia, St. Joseph's Hospital, London, Ontario, Canada.
    • Reg Anesth. 1989 Jan 1;14(1):48-52.

    AbstractChanges in bladder, tympanic membrane, and skin temperature were monitored in two groups of parturients after they received epidural anesthesia for elective Cesarean sections. Group 2 patients (n = 21) received warm intravenous crystalloid and prep solutions as well as extra body covering, whereas Group 1 patients (n = 19) did not. The drop in bladder temperature over the course of the procedure was significantly greater in Group 1 patients (1.0 +/- .02 degrees C vs. 0.6 +/- 0.01 degrees C, SEM p less than 0.05). The incidence of shivering was similar in both groups (52% vs. 68%, x2 = 0.42). The peak onset of shivering occurred within 10 minutes of epidural anesthesia and preceded any significant decline in core temperature. However, a positive correlation was noted between shivering and bladder temperature decline over the full course of Cesarean section.

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