Shivering Clinical Trial
Official title:
Treatment of Intraoperative Shivering During Caesarean Section With Gloves Filled With Warm Water: a Multicentric, Randomised, Controlled Trial
Shivering is known to occur in around 40% of women as a side effect of neuraxial anaesthesia during caesarean section.Women undergoing caesarean section under neuraxial anaesthesia are randomised into either the treatment group or control group. Women in both groups are observed during caesarean section. This study is to test a non-pharmacological and non-invasive treatment with two groups, an intervention and a control group. In the intervention group, intraoperative shivering during caesarean section is treated by placing two surgical gloves filled with warm water into the women's hands. In the control group, women will be treated with the current standard of care, which does not include specific treatment of shivering.
Status | Recruiting |
Enrollment | 200 |
Est. completion date | December 2025 |
Est. primary completion date | December 2025 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 40 Years |
Eligibility | Inclusion Criteria: - Ability to give informed consent - Age older than 18 years and younger than 40 years. - Gestational age >36 weeks - Shivering during regional anaesthesia for caesarean section Exclusion Criteria: - Inability to give informed consent - Latex allergy - Receiving combined spinal epidural anaesthesia (CSEA) - Secondary spinal anaesthesia for caesarean section in patients with unsatisfactory epidural labour analgesia |
Country | Name | City | State |
---|---|---|---|
Switzerland | Kantonsspital Baden AG, Department of Anaesthesiology | Baden | Aargau |
Switzerland | University Hospital Basel; Department of Anaesthesiology | Basel |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Basel, Switzerland |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in intensity of shivering measured on a 5-point scale | Shivering is evaluated during caesarean section 5 minutes after intervention. Shivering is graded on a scale from 0 (No shivering) to 4 (Violent muscular activity that involves the entire upper body) .The score will be recorded before the intervention and at 2 and 5 minutes after initiation of the intervention, as well as after arrival at the recovery area. Score: 0 - No shivering.
- No visible muscle activity, but one or more of piloerection, peripheral vasoconstriction or peripheral cyanosis (other causes excluded). - Muscular activity in only one muscle group. - Moderate muscular activity in more than one muscle group, but not generalized shaking. - Violent muscular activity that involves the entire upper body. |
at baseline, at 2 and 5 minutes after the first assessment, and in the post-anaesthesia recovery room (approx.1 hour)ent. | |
Secondary | Change in subjective comfort levels of the patients before and after the intervention on a 11-point scale | Change in subjective comfort level of the participant before and after the intervention on a 11-point scale (0 being very uncomfortable; 10 being very comfortable). The patient will be asked to rate their comfort level every time a shivering score is obtained. | at baseline, at 2 and 5 minutes after the first assessment, and in the post-anaesthesia recovery room (approx.1 hour) |
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