Postoperative Shivering

This research was planned to determine the effect of acupressure on hypothermia and shivering after cesarean section. H01: There is no difference in hypothermia findings between women who received acupressure and women in the control group. H02: There is no difference in shivering findings between women who received acupressure and women in the control group. Women who present to the hospital for cesarean delivery and who meet the inclusion criteria and volunteer to participate in the study will be informed, and their verbal and written consent will be obtained. Before the acupressure application, the women will be interviewed face-to-face, and a pregnancy information form will be recorded by the researcher. Subsequently, a vital signs monitoring form, a temperature comfort perception scale, and a shivering level assessment form will be completed. Acupressure group: Half an hour prior to cesarean delivery, pressure was applied to the Yong Quan point (Kd1), the Chongyang point (ST42) on both feet, and the Zu San Li point (ST36) located under the patella. The application involved applying pressure to both feet simultaneously, first to ST42 and Kd1, then to ST36, for 3 minutes each time using the index finger, followed by a 3-minute rest period. This was repeated three times. Control group: Women who underwent cesarean section received routine postpartum care procedures.

Shivering is a common and distressing complication following spinal anesthesia, affecting up to 70% of patients. It significantly increases oxygen consumption, places stress on the cardiovascular system, and interferes with postoperative monitoring. While intravenous paracetamol has been shown to reduce post-spinal shivering without the sedation or respiratory side effects associated with other medications, existing trials have only investigated a standard 1-gram dose. This study aims to evaluate whether a higher dose of intravenous paracetamol (2 grams) provides superior prevention of post-spinal shivering compared to the standard 1-gram dose and an inactive placebo. Adult patients scheduled for elective lower-limb orthopedic surgery under spinal anesthesia will be randomly allocated to one of three study groups: * High-dose group: intravenous paracetamol 2 g * Standard-dose group: intravenous paracetamol 1 g * Control group: intravenous normal saline placebo Each infusion will be administered over 15 minutes immediately prior to spinal anesthesia. Participants will be observed intraoperatively and for at least 60 minutes in the post-anesthesia care unit (PACU) to measure the incidence and severity of shivering, core body temperature changes, the need for rescue medication, and any adverse events.

Effect of spinal anesthesia with bupivacaine versus prilocaine on postoperative shivering after inguinal hernia repair : a prospective randomized double blind study

The goal of this observational study is to learn about the effect of menstrual cycle on postoperative shivering in women of fertile age. The main question it aims to answer is: \- Do women in the luteal phase have less postoperative shivering? Participants will have their intraoperative body temperature recorded and will be observed for postanesthetic shivering, depending on whether they are in the luteal phase or follicular phase.