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Intraoperative shivering was seen in eighteen patients in saline group (58.06%) and only with four patients (13.79%) with ketamine group ( 0.001). Post operative shivering was also significantly less in ketamine group compared to saline ( = 0.01). Also, patients who received ketamine had significant sedation in the intraoperative period ( 0.001). Prophylactic low dose ketamine administered as a small bolus followed by an infusion was effective in preventing both intraoperative and postoperative shivering. Prophylactic low dose