Shivering Clinical Trial
Official title:
Comparison Between Two Different Doses of Ondansetron on the Incidence of Spinal Shivering During Cesarean Section
Shivering is one of the most frequent complications occurring during or after spinal anesthesia with many side effects. The aim of the present study was to compare between two different doses of ondansetron for anti-shivering effect
Shivering is one of the most frequent complications occurring during or after spinal
anesthesia, it affects about 40%-60 % of patients under spinal anesthesia. Intra and Post
spinal shivering is distressing for the patients and anesthetist. Shivering may aggravate
medical conditions in patients with limited cardiac or respiratory functions. It increases
tissue oxygen demand many folds which in turn leads to increase the load on respiratory and
cardiac systems to cope with increased aerobic metabolism. Shivering interferes with good
patient monitoring by causing artifacts of electrocardiography, invasive and non-invasive
blood pressure, pulse oximetry, etc... . Postoperatively shivering may cause discomfort to
the patient, increases wound pain by stretching incision, increase the incidence of bleeding
and infection.
We aim to compare the prophylactic use of two different doses of ondansetron on the incidence
of shivering after spinal anesthesia in patients scheduled for lower limb surgery.
The primary outcome was percentage of patients suffering from shivering after spinal
anesthesia, secondary outcomes include any side effects related to both doses.
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