It is a double blinded randomized control trial.~Study population: parturients undergoing a cesarean delivery for labor dystocia under epidural anesthesia experiencing shivering grade III or IV on the standardized shivering scale of Crossley and Mahajan~Experimental group: dexmedetomidine 0.35 mcg/kg IV in 2 minutes~Control group: meperidine 0.35 mg/kg IV in 2 minutes~Primary outcome : Time to stop level III and IV shivering on the Crossley and Mahajan standardized shivering scale after the administration of the study drug~Secondary outcome: Response rate, incidence of nausea, vomiting, hypotension, bradycardia, maternal satisfaction and a cost-benefit analysis.~The hypothesis is that dexmedetomidine will act faster, will have a superior response rate with less adverse effects.
Comparing two treatments for shivering after cesarean delivery for labor dystocia under epidural anesthesia.