spinal anesthesia is a widely used technique for both elective
and emergency surgeries. Shivering is one of the most
commonly recognized complications of the central neuraxial
blockade because of impairment of thermoregulatory
control, reported in 40%-70% of the patients undergoing
surgery under spinal anaesthesia. Post-anesthetic shivering
is defined as an involuntary,spontaneous,rhythmic oscillating
muscle hyperactivity that increases metabolic heat
production up to 600% after anesthesia. Shivering during
neuraxial anesthesia is a common issue that could have
possibly adverse impacts, for example, increased oxygen
consumption, carbon dioxide production, lung ventilation
and cardiac work, as well as causing diminished mixed
venous oxygen saturation. Spinal anesthesia impedes the
thermoregulatory system by restraining tonic vasoconstriction
which assumes significant role in the regulation of
temperature
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