Intravenous Dexmedetomidine for Treatment of Shivering During Cesarean Section Under Neuraxial Anesthesia

Intravenous Dexmedetomidine for Treatment of Shivering During Cesarean Section Under Neuraxial Anesthesia: A Randomized Controlled Trial

The purpose of this study is to determine whether dexmedotomidine is effective in the treatment of shivering associated with neuraxial anesthesia during cesarean delivery.

Inclusion Criteria:

• Cesarean delivery under neuraxial anesthesia (epidural or spinal) planned or unplanned between 8 am and 8 pm on week days when one of the investigator is present.
• Participants with fever or shivering before the cesarean section are include

Exclusion Criteria:

• No comprehension of french or english language
• Urgent cesarean delivery for non reassuring fetal tracing
• Extremely urgent cesarean delivery (grade 1)
• Weight < 60 kg ou > 120 kg
• Hypersensibility to dexmedetomidine
• Heart, renal or hepatic disease requiring follow up, medication or with a possibility of instability during cesarean delivery
• Pre-eclampsia
• Combined spinal-epidural anesthesia
• Conversion into general anesthesia
• Blood products transfusions or major complications during surgery