Pauca et al developed a grading scheme for quantifying shivering in a patient after surgery. This can be used to assess the patient initially and to monitor the effect of interventions.
Shivering is involuntary muscular activity that may be localized or generalized.
Parameters:
(1) degree of shivering in the head, jaws and neck
(2) degree of shivering in the thorax, shoulders and upper extremities
(3) degree of shivering in the rest of the body
Shivering in Head, Jaw and Neck
Shivering in Upper Body
Shivering in Rest of the Body
Grade
none
none
none
0
minimal fasciculations
none
none
1
visible
visible
none or minimal
2
intense
intense
visible or intense
3
where:
• The assumption is that shivering progresses from head and neck to upper torso to the rest of the body.
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