{"title":"Shivering of postoperative patients: Cases reported in the gynaecology ward.","authors":"Saqib Riaz, Shammas Ali, Zia Ur Rehman, Robina Malik, Hashar Abdullah, Hafiz Rashid Hussain","doi":"10.1177/17504589261448152","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Post-anaesthesia shivering (PAS) occurs in 33%-56.7% of spinal anaesthesia patients and is associated with cold exposure, patient factors, and prolonged surgical and anaesthesia duration. Physiological changes may heighten the risk of postoperative problems, especially in vulnerable patients, and often cause considerable discomfort.</p><p><strong>Cases presentation: </strong>This study reports four cases of women having scheduled caesarean sections while under spinal anaesthesia (lignocaine and bupivacaine). Following surgery in the postoperative ward, they had fever, raised blood pressure (170/110 mm Hg), and shivering for 1.5 min while receiving their intravenous medications.</p><p><strong>Conclusion: </strong>Proper perioperative monitoring of caesarean patients receiving spinal anaesthesia is crucial to minimise complications. Prompt action is made possible by early detection of adverse events like fever, shaking, and changes in blood pressure. Both patient safety and postoperative outcomes are improved by this approach.</p>","PeriodicalId":35481,"journal":{"name":"Journal of perioperative practice","volume":" ","pages":"17504589261448152"},"PeriodicalIF":0.9000,"publicationDate":"2026-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of perioperative practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/17504589261448152","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Post-anaesthesia shivering (PAS) occurs in 33%-56.7% of spinal anaesthesia patients and is associated with cold exposure, patient factors, and prolonged surgical and anaesthesia duration. Physiological changes may heighten the risk of postoperative problems, especially in vulnerable patients, and often cause considerable discomfort.
Cases presentation: This study reports four cases of women having scheduled caesarean sections while under spinal anaesthesia (lignocaine and bupivacaine). Following surgery in the postoperative ward, they had fever, raised blood pressure (170/110 mm Hg), and shivering for 1.5 min while receiving their intravenous medications.
Conclusion: Proper perioperative monitoring of caesarean patients receiving spinal anaesthesia is crucial to minimise complications. Prompt action is made possible by early detection of adverse events like fever, shaking, and changes in blood pressure. Both patient safety and postoperative outcomes are improved by this approach.
期刊介绍:
The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.