Singh et al developed a scale to grade shivering following anesthesia. This can be used during the initial assessment and to monitor the response to interventions. The authors are from Queen's Medical Center in Nottingham, England.
Parameters:
(1) cutaneous signs without other explanation (piloerection, peripheral vasoconstriction, peripheral cyanosis)
(2) visible muscular activity
Cutaneous Signs
Visible Muscular Activity
Grade
none
none
0
one or more present
none
1
NA
confined to one muscle group
2
NA
confined to 2 or more muscle groups but not the entire body
3
NA
generalized with gross activity involving the entire body
4
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