Clinical Research Directory

Effect Of Acupressure On Hypothermıa And Shıverıng After Cesarean Sectıon

This research was planned to determine the effect of acupressure on hypothermia and shivering after cesarean section. H01: There is no difference in hypothermia findings between women who received acupressure and women in the control group. H02: There is no difference in shivering findings between women who received acupressure and women in the control group. Women who present to the hospital for cesarean delivery and who meet the inclusion criteria and volunteer to participate in the study will be informed, and their verbal and written consent will be obtained. Before the acupressure application, the women will be interviewed face-to-face, and a pregnancy information form will be recorded by the researcher. Subsequently, a vital signs monitoring form, a temperature comfort perception scale, and a shivering level assessment form will be completed. Acupressure group: Half an hour prior to cesarean delivery, pressure was applied to the Yong Quan point (Kd1), the Chongyang point (ST42) on both feet, and the Zu San Li point (ST36) located under the patella. The application involved applying pressure to both feet simultaneously, first to ST42 and Kd1, then to ST36, for 3 minutes each time using the index finger, followed by a 3-minute rest period. This was repeated three times. Control group: Women who underwent cesarean section received routine postpartum care procedures.

Optimizing the Paracetamol Dose for Prevention of Post-Spinal Shivering in Lower Limb Orthopedic Surgeries

Shivering is a common and distressing complication following spinal anesthesia, affecting up to 70% of patients. It significantly increases oxygen consumption, places stress on the cardiovascular system, and interferes with postoperative monitoring. While intravenous paracetamol has been shown to reduce post-spinal shivering without the sedation or respiratory side effects associated with other medications, existing trials have only investigated a standard 1-gram dose. This study aims to evaluate whether a higher dose of intravenous paracetamol (2 grams) provides superior prevention of post-spinal shivering compared to the standard 1-gram dose and an inactive placebo. Adult patients scheduled for elective lower-limb orthopedic surgery under spinal anesthesia will be randomly allocated to one of three study groups: * High-dose group: intravenous paracetamol 2 g * Standard-dose group: intravenous paracetamol 1 g * Control group: intravenous normal saline placebo Each infusion will be administered over 15 minutes immediately prior to spinal anesthesia. Participants will be observed intraoperatively and for at least 60 minutes in the post-anesthesia care unit (PACU) to measure the incidence and severity of shivering, core body temperature changes, the need for rescue medication, and any adverse events.

Comparison of Intravenous Ondansetron and Low Dose Ketamine in Preventing Post Spinal Shivering

This randomized controlled trial assessed whether intravenous ondansetron is more effective than low dose ketamine in preventing shivering after spinal anesthesia in adults undergoing elective surgery. Post spinal shivering is a frequent and uncomfortable complication of spinal anesthesia and may increase oxygen demand and interfere with routine monitoring. Adults aged 20 to 70 years (body weight 50 to 80 kg; American Society of Anesthesiologists class I to II) scheduled for elective procedures under standardized spinal anesthesia were randomly allocated in equal numbers to receive either ondansetron 8 mg intravenously or ketamine 0.25 mg/kg intravenously, administered 5 minutes after the spinal injection. Perioperative temperature management was standardized for all participants. The primary outcome was the occurrence of post spinal shivering during intraoperative monitoring. Among 180 participants, shivering occurred in 30.0% of those receiving ondansetron and 44.4% of those receiving ketamine, showing a statistically significant reduction with ondansetron.

Spinal Anesthesia With Bupivacaine Versus Prilocaine on Postoperative Shivering After Inguinal Hernia Repair

Effect of spinal anesthesia with bupivacaine versus prilocaine on postoperative shivering after inguinal hernia repair : a prospective randomized double blind study

Menstrual Cycle and Postanesthetic Shivering

The goal of this observational study is to learn about the effect of menstrual cycle on postoperative shivering in women of fertile age. The main question it aims to answer is: \- Do women in the luteal phase have less postoperative shivering? Participants will have their intraoperative body temperature recorded and will be observed for postanesthetic shivering, depending on whether they are in the luteal phase or follicular phase.

The Role of Perfusion Index in Defining Postoperative Shivering

The relationship between perfusion index and postanesthetic shivering has been investigated in limited studies. Previous studies have investigated the relationship between postanesthetic shivering after total intravenous anesthesia and perfusion index. The relationship between inhalational anesthesia and postoperative shivering has been investigated, but the role of perfusion index on shivering has also been evaluated in limited studies. Therefore, investigators aimed to investigate whether perianesthetic changes in perfusion index in patients under general anesthesia (inhalation anesthesia and total intravenous anesthesia) correlate with the incidence of postanesthetic shivering and whether they are useful in predicting postanesthetic shivering.