A retrospective study of risk factors and prevention for shivering after intrathecal anesthesia
10.3760/cma.j.issn.1673-4904.2012.27.007
- VernacularTitle:椎管内麻醉后寒战发生的危险因素及预防的回顾性研究
- Author:
Rui ZHANG
;
Xiaoping GU
;
Juan ZHANG
;
Zhengliang MA
- Publication Type:Journal Article
- Keywords:
Anesthesia,local;
Shivering;
Risk factors
- From:
Chinese Journal of Postgraduates of Medicine
2012;35(27):20-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk factors and prevention for shivering after intrathecal anesthesia.Methods Atotal of 1008 patients which received intrathecal anesthesia were visited after operation.Patient gender,age,ASA status,type of surgery,anesthesia method,preventive medications,local anesthetics and postanesthetic shivering were recorded.Results Age was negatively correlated with shivering (B =-0.019,P ＜ 0.05 ).Type of surgery,anesthesia method was correlated with shivering,too( P ＜ 0.05).The likelihood of shivering after combined spinal epidural anesthesia was 1.851 times than spinal anesthesia.Preventive medications were correlated with shivering(P ＜ 0.05 ).The likelihood of shivering after prophylactic use of ondansetron plus dexamethasone was 0.196 times than that without prophylactic medication.Selection of local anesthetics were correlated with shivering (B =0.443,P ＜ 0.05 ).The likelihood of shivering after use of bupivacaine was 1.558 times than that use of ropivacaine.Conclusions Risk factors for shivering after intrathecal anesthesia are patient age,type of surgery,anesthesia method,the selection of local anesthetics.Prophylactic use of dexamethasone plus ondansetron can be an effective prevention of shivering after intrathecal anesthesia.
