Paper Key : IRJ************839
Author: Sahil Ahmad Khan
Date Published: 20 Oct 2023
Abstract
ABSTRACT & INTRODUCTION: Shivering is a normal thermoregulatory mechanism in patients undergoing central neuraxial anaesthesia.Shivering is common in women undergoing caesarian section under spinal anaesthesia and can interfere with patients monitoring. It can cause discomfort to patient and also increases tissue oxygen demand.AIM AND OBJECTIVE: The aim of the study was to evaluate the incidence of shivering using bupivacaine with and without fentanyl in patients undergoing LSCS under spinal anaesthesia. Our objective was to study the incidence of shivering with addition of 20 mcg of fentanyl to bupivacaine in spinal anaesthesia for LSCS surgeries.MATERIAL AND METHOD: A total of 60 healthy women belonging to ASA grade I and II were enrolled in our study that were scheduled for both elective as well as emergency caesarian section under spinal anaesthesia. They were randomly divided into 2 groups. Group C with 30 patients were given 0.5% hyperbaric bupivacaine (3ml) and group F with 30 patients were given 0.5% hyperbaric bupivacaine (3ml) with 20 mcg fentanyl.OBSERVATIONS AND RESULTS: The overall incidence of shivering in group F was lower (5 out of 30 patients) as compared to group C (13 out of 30 patients). There was significant difference in the incidence of shivering between group F and group C, (16.66% in group F; 43.33% in group C, P<0.012). The severity of shivering was also reported less in group F as compared to group C.CONCLUSION: Patients who received 20 mcg fentanyl with bupivacaine had less incidence and severity of shivering than those who did not receive fentanyl with bupivacaine.