The Effect of Prophylactic Steroids on Shivering in Adults Undergoing Surgery: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

S. Misra, S. Singh, S. Sarkar, B.K. Behera, S.S. Jena
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Abstract

(Anesth Analg. 2023;137(2):332–344) Shivering is a common side effect to numerous things, such as hypothermia and often anesthetic drugs. Shivering is often an involuntary contraction of the skeletal muscles. It is often unwarranted and during surgery or delivery a patient can shiver due to general anesthetic drugs. Up to 65% of patients shiver when given general anesthetics and up to 60% also have it with spinal anesthesia. Certain nonpharmacological interventions have been attempted to decrease shivering for patients. Corticosteroids and anti-inflammatories may be given to help constrict the shivering effect of an anesthetic. To assess patients and decrease the risk of shivering for those undergoing surgery, additional studies have been made in using these types of drugs and research in randomized trials in perioperative shivering.
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预防性类固醇对接受手术的成人颤抖的影响:随机对照试验的系统回顾和元分析
(Anesth Analg.2023;137(2):332-344)颤抖是许多情况下常见的副作用,如体温过低和麻醉药物。颤抖通常是骨骼肌的不自主收缩。它通常是不必要的,在手术或分娩过程中,病人会因全身麻醉药物而颤抖。多达 65% 的病人在使用全身麻醉药时会出现颤抖,多达 60% 的病人在使用脊髓麻醉药时也会出现颤抖。已经尝试过一些非药物干预措施来减少患者的颤抖。可使用皮质类固醇和消炎药来帮助抑制麻醉剂的颤抖效应。为了对患者进行评估并降低接受手术的患者出现颤抖的风险,在使用这类药物方面进行了更多的研究,并对围术期颤抖进行了随机试验研究。
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