Skip to main navigation menu Skip to main content Skip to site footer

Original Article

Vol. 1 No. 3 (2022): September 2022

The relationship between operation duration and shivering in post-spinal anaesthesia patients

May 25, 2022


Background: Giving spinal anaesthesia is an effort to relieve pain to create optimal conditions for surgery operation consciously. A shivering event frequently follows the phenomenon of the long duration of the operation. 

Purpose: The study aimed to determine the relationship between operation duration and shivering in post spinal anaesthesia patients.

Methods: The study design is a quantitative study and uses a cross-sectional approach. Sampling used a systematic sampling technique on the population of patients undergoing surgery under spinal anaesthesia. The instrument used Croessley and Mahajan’s observation sheet. This study uses Spearman rank rho as the statistical test with a significant value of p=0.05. 

Results: The study showed almost respondents, as many as 86.15 respondents (56 patients) experienced shivering. Based on the Spearman statistical test, the p-value is 0.046.

Conclusions: It can be concluded that there was a relationship between operation duration and incidence of shivering. Therefore, to reduce the occurrence of shivering, it is necessary to take measures such as giving warm blankets, warm fluids, and tools to maintain body temperature (force air warming).


  1. Azam, M., Asad, N., Butt, T. A., & Ahmad, W. (2018). Efficacy of prophylactic intravenous ketamine vs tramadol for preventing intraoperative shivering in spinal anaesthesia for patient undergoing cesarean section. Pakistan Journal of Medical and Health Sciences, 12(2), 455–458.
  2. Ekorini, D., & Lumadi, S. A. (2021). The effect of giving a warm blanket to changes in the central temperature of postoperative patients with subarachnoid block anaesthesia in RSSA Malang. Jurnal of Nursing, 12(1), 83–92.
  3. Gunadi, M., Fuadi, I., & Bisri, T. (2015). Perbandingan efek pencegahan magnesium sulfat dengan petidin intravena terhadap kejadian menggigil selama operasi reseksi prostat transuretra dengan anestesi spinal. Jurnal Anestesi Perioperatif, 3(3), 165–172.
  4. Hermanns, H., Werdehausen, R., Hollmann, M. W., & Stevens, M. F. (2018). Assessment of skin temperature during regional anaesthesia—What the anaesthesiologist should know. Acta Anaesthesiologica Scandinavica, 62(9), 1280–1289.
  5. Hidayah, E. S., Khalidi, M. R., & Nugroho, H. (2021). Perbandingan Insiden Shivering Pasca Operasi dengan Anestesi Umum dan Anestesi Spinal di RSUD Abdul Wahab Sjahranie Samarinda. Jurnal Sains Dan Kesehatan, 3(4), 525–530.
  6. le Roux, J. J., Wakabayashi, K., & Jooma, Z. (2022). Defining the role of thoracic spinal anaesthesia in the 21st century: a narrative review. British Journal of Anaesthesia.
  7. Lenhardt, R. (2018). Body temperature regulation and anaesthesia . Handbook of Clinical Neurology, 157, 635–644.
  8. Levy, S. B., & Leonard, W. R. (2022). The evolutionary significance of human brown adipose tissue: Integrating the timescales of adaptation. Evolutionary Anthropology: Issues, News, and Reviews, 31(2), 75–91.
  9. Lopez, M. B. (2018). Postanaesthetic shivering–from pathophysiology to prevention. Romanian Journal of Anaesthesia and Intensive Care, 25(1), 73.
  10. Mashitoh, D., Mendri, N. K., & Majid, A. (2018). Lama operasi dan kejadian shivering pada pasien pasca spinal anestesi. Journal of Applied Nursing (Jurnal Keperawatan Terapan), 4(1), 14.
  11. Prasetyo, U. S., Sugeng, & Ratnawati, A. (2017). Hubungan oksigenasi dengan kejadian shivering pasien spinal anestesi di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Teknologi Kesehatan, 13(1), 1–4.
  12. Qi, X., Chen, D., Li, G., Cao, J., Yan, Y., Li, Z., Qiu, F., Huang, X., & Li, Y. (2022). Risk factors associated with intraoperative shivering during caesarean section: a prospective nested case-control study. BMC Anesthesiology, 22(1), 1–10.
  13. Ramanathan, R., Sethi, R., Singh, S., Varshney, M., Das, D., Nandagopalou, D., & Dwivedi, D. (2022). Efficacy of prophylactic ketamine, ondansetron, and pethidine in preventing perioperative shivering in patients undergoing elective knee replacement surgery under spinal anaesthesia. Turkish Journal of Anaesthesiology and Reanimation, 50(1), 44–51.
  14. Syauqi, D., Purwandar, H., & Priyono, D. (2019). Hubungan lama operasi dengan terjadinya shivering pada pasien operasi dengan anestesi spinal di kamar operasi RSUD Nganjuk. Jurnal Sabhanga, 1(1), 55–63.
  15. Valencak, T. G., Osterrieder, A., & Schulz, T. J. (2017). Sex matters: The effects of biological sex on adipose tissue biology and energy metabolism. Redox Biology, 12, 806–813.
  16. Widiyono, W., Suryani, S., & Setiyajati, A. (2020). Hubungan antara usia dan lama operasi dengan hipotermi pada pasien paska anestesi spinal di instalasi bedah sentral. Jurnal Ilmu Keperawatan Medikal Bedah, 3(1), 55–65.
  17. Winarni, E. (2020). Efektivitas penggunaan blanket warmer terhadap suhu pada pasien shivering post spinal anestesi replacement ekstremitas bawah. STIKes Kusuma Husada Surakarta.


Download data is not yet available.


Metrics Loading ...