Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia
Objectives: The aim of the study is to compare the effectiveness of tramadol vs pethidine for treatment of shivering occurring after spinal anesthesia. Study Design: Double blind comparative study. Place and duration of study: Department of anesthesiology and pain medicine, Combined Military H...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2019-09-01
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| Series: | Journal of Rawalpindi Medical College |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/1202 |
| _version_ | 1811259707282685952 |
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| author | Faisal Wahid Aftab Hussain Faiz ur Rehman |
| author_facet | Faisal Wahid Aftab Hussain Faiz ur Rehman |
| author_sort | Faisal Wahid |
| collection | DOAJ |
| description | Objectives: The aim of the study is to compare the effectiveness of tramadol vs pethidine for treatment of shivering occurring after spinal anesthesia.
Study Design: Double blind comparative study.
Place and duration of study: Department of anesthesiology and pain medicine, Combined Military Hospital Malir Cantt Karachi from 1st September to 31st December 2017.
Methodology: 70 patients were selected following non-random convenient sampling and were divided into Group A and B. Group A received 0.25mg/kg tramadol while Group B received 0.35mg/kg pethidine. Time to complete control of shivering was noted. Nausea and vomiting were also evaluated by using a four-point scale (Table1).
Results: Shivering was successfully controlled in 91.4% and 85.7% respectively in group A and B; success rates were not statistically different (p=0.23). Average time between injection tramadol to complete control of shivering in successfully treated Group A patients was 210±63 seconds (range of 100 to 310 seconds) and for pethidine average time was 174±52 seconds (range of 90 to 258 seconds). Pethidine showed a shorter time to control shivering which was statistically significant (p=0.09) but in real time amounted to an average of 0.6 minutes (Figure 2). Nausea and vomiting were more frequent (14.3% vs 8.6%) in group B as compared to Group A and this was statistically significant (p=0.03).
Conclusion: Tramadol was found to be as effective as pethidine in controlling shivering with fewer side effects in spinal anesthesia |
| first_indexed | 2024-04-12T18:35:39Z |
| format | Article |
| id | doaj.art-2df562860a2f4a77ae203968b7455ba5 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-04-12T18:35:39Z |
| publishDate | 2019-09-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-2df562860a2f4a77ae203968b7455ba52022-12-22T03:20:57ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702019-09-01233Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesiaFaisal Wahid0Aftab HussainFaiz ur Rehman1Combined Military Hospital Malir CanttCombined Military Hospital Malir CanttObjectives: The aim of the study is to compare the effectiveness of tramadol vs pethidine for treatment of shivering occurring after spinal anesthesia. Study Design: Double blind comparative study. Place and duration of study: Department of anesthesiology and pain medicine, Combined Military Hospital Malir Cantt Karachi from 1st September to 31st December 2017. Methodology: 70 patients were selected following non-random convenient sampling and were divided into Group A and B. Group A received 0.25mg/kg tramadol while Group B received 0.35mg/kg pethidine. Time to complete control of shivering was noted. Nausea and vomiting were also evaluated by using a four-point scale (Table1). Results: Shivering was successfully controlled in 91.4% and 85.7% respectively in group A and B; success rates were not statistically different (p=0.23). Average time between injection tramadol to complete control of shivering in successfully treated Group A patients was 210±63 seconds (range of 100 to 310 seconds) and for pethidine average time was 174±52 seconds (range of 90 to 258 seconds). Pethidine showed a shorter time to control shivering which was statistically significant (p=0.09) but in real time amounted to an average of 0.6 minutes (Figure 2). Nausea and vomiting were more frequent (14.3% vs 8.6%) in group B as compared to Group A and this was statistically significant (p=0.03). Conclusion: Tramadol was found to be as effective as pethidine in controlling shivering with fewer side effects in spinal anesthesiahttps://www.journalrmc.com/index.php/JRMC/article/view/1202 |
| spellingShingle | Faisal Wahid Aftab Hussain Faiz ur Rehman Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia Journal of Rawalpindi Medical College |
| title | Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia |
| title_full | Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia |
| title_fullStr | Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia |
| title_full_unstemmed | Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia |
| title_short | Comparison of Tramadol and Pethidine for the treatment of shivering during spinal anesthesia |
| title_sort | comparison of tramadol and pethidine for the treatment of shivering during spinal anesthesia |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/1202 |
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