Evaluating Effect of Prophylactic Intravenous Dexamethasone in Post Spinal Shivering: A Single Centre Randomised Controlled Study

Introduction: Shivering is a common side effect of central neuraxial anaesthesia. Intravenous pethidine commonly used in reducing shivering but has been associated with significant opioid effects. Dexamethasone as powerful anti-inflammatory and analgesia agent postulated to inhibit inflammatory mediators’ release thus inhibiting thermoregulatory centre, potentially attenuating post spinal shivering. This double-blinded randomised controlled study was determine the ability intravenous dexamethasone decreasing incidence, severity need for treatment shivering.
 Methods: We recruited 72 patients requiring anaesthesia them receive either 0.1 mg/kg (up 8 mg) or normal saline (placebo). observed their tympanic membrane temperatures, mean arterial pressures scores at regular intervals up 2 hours post-spinal till end surgery (minimum 30 minutes spinal).
 Results: Both groups showed consistent comparable drop temperatures after anaesthesia, except 15 which group demonstrated significantly higher than (p=0.04). There were also less reporting incidence visible compared placebo (p=0.003). No difference seen usage pethidine.
 Conclusion: potential mitigate reduction core body temperature, especially spinal. It can reduce clinically grade