Shivering of postoperative patients: Cases reported in the gynaecology ward

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.

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.

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.