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Postoperative shivering in children and causative factors

Aynur Akin1, Aliye Esmaoglu, Adem Boyaci

  • 1Department of Anesthesiology, Erciyes University School of Medicine, Kayseri, Turkey. aaynur@erciyes.edu.tr

Paediatric Anaesthesia
|December 6, 2005
PubMed

Insights

Postoperative shivering in children is uncommon (3.5%), often linked to IV anesthesia, older age, and longer surgeries. Treatment is only needed when shivering occurs, not for prevention.

Area of Science:

  • Anesthesiology
  • Pediatric Surgery
  • Postoperative Care

Background:

  • Postoperative shivering is a common concern in pediatric patients.
  • Understanding its incidence and contributing factors is crucial for effective management.

Purpose of the Study:

  • To determine the incidence of shivering in children after general anesthesia.
  • To identify factors associated with shivering and its clinical implications.

Main Methods:

  • A cohort of 1507 children undergoing surgery under general anesthesia was studied.
  • Data collected included operative details, anesthesia methods, patient demographics, and tympanic membrane temperatures.
  • Caudal block usage was also recorded.

Main Results:

  • The incidence of shivering was 3.5% (53 out of 1507 children).
  • Intravenous induction agents, age over 6 years, and prolonged surgery duration were significantly associated with shivering.
  • Caudal block was associated with a statistically significant reduction in shivering frequency.

Conclusions:

  • The overall incidence of postoperative shivering in children is low.
  • Risk factors include intravenous induction agents, older age, and extended operative times.
  • Prophylaxis is generally not required; treatment should be initiated only when shivering manifests.
Abstract

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