Article Text

Download PDFPDF
Shivering and Neuraxial Anesthesia
  1. Larry J. Crowley, M.B., M.R.C.P.I., F.C.A.R.C.S.I. and
  2. Donal J. Buggy, M.D., F.R.C.P.I., F.C.A.R.C.S.I., F.R.C.A.
  1. Department of Anesthesia, Intensive Care & Pain Medicine, Mater Misericordiae University Hospital, Dublin, Republic of Ireland.


Shivering, which usually occurs as a thermoregulatory response to cold, may also occur following general or neuraxial anesthesia. Some of the causative factors of this type of shivering may be common to both, but some are particular to neuraxial anesthesia. Although shivering may have beneficial thermoregulatory effects, it places the body under increased physiological stress. In a broad sample of 21 studies, the median incidence of shivering related to neuraxial anesthesia in the control groups was 55%. Both pharmacological and nonpharmacological mechanisms have been found to be effective in reducing this shivering. This review aims to elucidate the mechanisms of the shivering that occurs during neuraxial anesthesia, and to examine strategies for prevention and treatment of this shivering.

  • Epidural anesthesia
  • Spinal anesthesia
  • Shivering
  • Anesthesia side effects

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Reprint requests: Larry J. Crowley, M.B., M.R.C.P.I., F.C.A.R.C.S.I., Department of Anesthesia, Intensive Care & Pain Medicine, Cork University Hospital, Cork, Republic of Ireland. E-mail: larryjcrowley{at}