Thermoregulatory Effects of Spinal and Epidural Anesthesia During Cesarean Delivery

Intra-operative fluid warming in elective caesarean section: a blinded randomised controlled trial

“…Similarly, pain was scored from 0 (no pain) to 10 (worst imaginable pain). The blinded investigator also assessed the degree of shivering in the upper chest, neck and arms on a three-point scale, 16 where 0 = no shivering, 1 = mild, intermittent shivering and 2 = intense, continuous shivering.…”

Warm and Cold Bupivacaine; Comparing the Effect on Shivering During Infraumblical Surgeries in Children

“…18,19 In some vivo experiments it is observed that when local temperature of spinal cord is changed, there is a significant change in the heat gain and heat loss mechanisms such as panting and shivering separating distinctive warm and cold fibers of anterolateral tract of spinal cord. 20,21 In our study 74% patients in with warm bupivacain did not start shivering or having minimum shivering and with cold bupivacain (cold at 4 0 c), 19.3% remains at status of minimum or no shivering. Our study concluded that before spinal anesthesia local anesthetic must be warmed to reduce the incidence and intensity of shivering.…”

Comparison Of The Effects Of Bupivacaine Temperature Difference On Spinal Block Characteristics And Shivering In Cesarean Section Operation

“…Spinal ve epidural anestezi altında gerçekleşen sezaryen operasyonlarında hipotermi ve titremeyi araş-tırma amacıyla yapılmış klinik çalışmada timpamik membrandan yapılan ölçümlere göre spinal anestezi grubunda sıcaklık düşüşü daha hızlı olduğunu belirlemişler, ancak titreme açısından bir fark tespit etmemişlerdir (15) .…”