RETRACTED ARTICLE: Urapidil does not prevent postanesthetic shivering: a dose-ranging study

Piper, Swen N.; Fent, Moritz T.; Röhm, Kerstin D.; Maleck, Wolfgang H.; Suttner, Stefan; Boldt, Joachim

doi:10.1007/bf03016688

Cited by 21 publications

(12 citation statements)

References 28 publications

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“…Postoperative shivering has been attributed to the following factors: uninhibited spinal reflexes, pain, decreased sympathetic activity, adrenal suppression, release of pyrogenic mediators during surgery, administration of volatile anaesthetics, opiate withdrawal, blood loss, duration of surgery and thermoregulatory shivering in response to intraoperative hypothermia [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

Dexmedetomidine and postoperative shivering in patients undergoing elective abdominal hysterectomy

Elvan

Öç

Uzun

et al. 2008

European Journal of Anaesthesiology

100

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Section: Discussionmentioning

confidence: 99%

Dexmedetomidine and postoperative shivering in patients undergoing elective abdominal hysterectomy

Elvan

Öç

Uzun

et al. 2008

European Journal of Anaesthesiology

100

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“…Titremenin hasta konforunu bozmakla birlikte, çeşitli hemodinamik sonuçları da vardır; titreme durumunda artmış oksijen tüketimi, artmış karbondioksit üretimi ve artmış kardiyak iş, bu değişikliklere örnek gösterilebilir (7) .…”

Section: Introductionunclassified

Comparison Of The Effects Of Bupivacaine Temperature Difference On Spinal Block Characteristics And Shivering In Cesarean Section Operation

Baysal¹,

Gölboyu²,

Ekinci³

et al. 2017

Okmeydani Medical Journal

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“…It increases oxygen consumption, lactic acidosis, carbon dioxide production and catecholamine release [4][5][6][7] . One of the primary causes of post anesthesia shivering (PAS) is hypothermia which is due to direct inhibition of body thermoregulatory mechanisms by anesthetics, decreased metabolism, patient's exposure to cold environment of operating rooms and body cavity exposure of postoperative shivering [11] .…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Three Different Doses of Intrathecal Fentanyl for Prevention of Shivering in Lower Limb Orthopedic Surgeries: A Randomized Double-Blind Controlled Trial

Safavi¹

2016

JAS

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. Shivering, along with pain, nausea and vomiting are cases of discomfort and dissatisfaction in patients undergoing spinal anesthesia [9] . The combination of lipophilic opioids with hyperbaric bupivacaine during spinal anesthesia provides reduced latency, longer duration of anesthesia and better quality of anesthesia [10] . Another known effect of intrathecal opioids is prevention and treatment AbstractBackground: Fentanyl has been used to prevent shivering in spinal anesthesia but still the effects of different doses have not been appropriately specified. The aim of this study was to assess the effect of 10 µg, 20 µg and 30 µg intrathecal fentanyl on prevention of shivering during and after lower limb orthopedic surgeries under spinal anesthesia. Materials and Methods:One hundred and twenty patients undergoing elective orthopedic surgery under spinal anesthesia were enrolled in this clinical trial. Subjects were randomly divided to four groups; Group P received 3 cc bupivacaine 0.5% plus normal saline intrathecally; Group A10 received 10 µg fentanyl plus 3 cc bupivacaine 0.5% intrathecally; Group B20 received 20 μg fentanyl plus 3 cc bupivacaine 0.5% intrathecally; and Group C30 received 30 μg fentanyl plus 3 cc bupivacaine 0.5% intrathecally. Shivering and the complications were recorded. Results: Shivering intensity was different between 4 groups (P = 0.014). There was no moderate, severe and very severe shivering seen in Group C30 but there was 16.7% moderate, 10% sever, and 6.7% very severe shivering seen in Group P. The total incidence of shivering after spinal anesthesia in Groups A10, Group B20, Group C30 and Group P were 53.5%, 26.7% , 6.7% and 63.3% respectively and there was statistically significant difference between 4 group in this regard (P < 0.001). Conclusion: Intrathecal bupivacaine combined with 30 μg fentanyl was superior to using 10 µg or 20 μg fentanyl for prevention of shivering during lower extremity orthopedic surgery.

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RETRACTED ARTICLE: Urapidil does not prevent postanesthetic shivering: a dose-ranging study

Cited by 21 publications

References 28 publications

Dexmedetomidine and postoperative shivering in patients undergoing elective abdominal hysterectomy

Dexmedetomidine and postoperative shivering in patients undergoing elective abdominal hysterectomy

Comparison Of The Effects Of Bupivacaine Temperature Difference On Spinal Block Characteristics And Shivering In Cesarean Section Operation

The Efficacy of Three Different Doses of Intrathecal Fentanyl for Prevention of Shivering in Lower Limb Orthopedic Surgeries: A Randomized Double-Blind Controlled Trial

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