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(Can J Anesth/J Can Anesth. 2019;66:751–754) Perioperative shivering is a commonly observed clinical problem for women undergoing cesarean delivery (CD). The median incidence of shivering in patients having a CD with epidural or spinal anesthesia is estimated to be 52%. Previous studies have analyzed pharmacologic agents such as meperidine, butorphanol, clonidine, fentanyl, tramadol, and dexmedetomidine and their ability to reduce shivering following neuraxial anesthesia. However, side effects including nausea, hypotension, vomiting, and excessive sedation limit the utility of these agents.

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