Management of Shivering in Post-Spinal Anesthesia Using Warming Blankets and Warm Fluid Therapy

Abstract

Hypothermia is a common and serious complication of spinal surgery and it is associated with many harmful perioperative outcomes. The aim of this study was to compare the effectiveness of warming blankets and warm fluid therapy to manage shivering. A quasi-experiment with a non-equivalent control group was applied as the research design. There were 60 patients involved in the study. The instrument of this study was a warmer fluid modification, a warming blanket and a cotton blanket. The data was analyzed using an applied paired t-test and independent t-test. After 60 minutes of the intervention, the mean and SD of body temperature of the patients receiving warm fluids was 36.71 ± 0.18, a warming blanket was 36.12 ± 0.35, and the control group was 35.76 ± 0.22. The p values were 0,000. Warm fluid therapy and warming blankets are significant in terms of increasing the body temperature of post-spinal anesthesia patients. Warm fluids are more effective than warming blanket. Warming blankets and warm fluid therapy can be used as a way to increase the body temperature of patients with hypothermia.

Management of shivering after spinal anesthesia in parturient

“…The study of Sadegh et al (30) reported the incidence of shivering is 10% in the treatment group (fentanyl) and 75% in control groups, and the study of Qian et al (31) reported the incidence of shivering was 20% in the treatment group (fentanyl) and 60% in the control groups. While some studies reported that the incidence of shivering is about 0% in treatment groups (32,33), others reported that the incidence of shivering is higher than 30% in patients who received the pharmacological intervention (34)(35)(36). In addition, most of the studies reported the incidence of shivering was higher in the control (untreated) group, which was consistent with the results of our study, however, the study of Abdollah-pour et al reported the incidence of shivering was higher in the treatment group (48% in treatment, and 40% in control).…”

The Effect of Giving a Hot Pack to Grade Shivering in Post-Operative Patients Following a Cesarian Section in the Recovery Room

“…Post-Anesthetic Shivering is vascular in relation to the skeletal muscles on the face, jaw, head, body, and extremities. It lasts for more than 15 seconds accompanied by hypothermia and vasodilation (7,(9)(10)(11)(12). The incidence of shivering after anesthesia for clients undergoing spinal anesthesia is around 40 %-60 % (13).…”

Comparison of Ketamine and Tramadol for Prevention of Shivering During Spinal Anesthesia

“…After receiving spinal anesthesia, a patient may experience hypothermia due to vasodilation below the blockade level, a transfer of body heat from the core to the periphery, and a resistance of shivering to the muscle mass above the level of blockade (Qona'ah et al, 2019). The risk exists that perioperative shivering causes physiological stress.…”