Shivering following epidural anesthesia in obstetrics is not only distressing to the parturient, but it also substantially increases oxygen consumption and cardiac output. A study was undertaken to determine the value of warm local anesthetic and warm parenteral fluids in reducing the incidence of this complication. The combined use of warm parenteral fluids and warm local anesthetic significantly reduced the incidence of shivering. For the first time, shivering was also studied in relation to epidural reinjections and the results conclusively established the relationship between shivering and epidural anesthesia.
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Presented in part at the Annual Meeting of American Society of Regional Anesthesia, March 1983.
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