Shivering during Epidural Analgesia in Women in Labor

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Abstract
Shivering occurs in 20-50% of patients following initiation of peridural blockade. Shivering annoys the parturient and wastes energy by increasing O2 consumption and cardiac output. The etiology of shivering after peridural blockade remains unclear. In animals, shivering represents a response to the effect of cold solutions introduced into the epidural space or in the spinal cord. To test this hypothesis in a clinical setting, the incidence of shivering was related to the temperature of local anesthetics injected into the epidural space.

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