Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section

Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019. Methodology: A tota...

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Main Authors: Komail Abid, Rashid Iqbal, Syed Ali Raza Shah, Sana Tariq
格式: Article
語言:English
出版: Army Medical College Rawalpindi 2023-12-01
叢編:Pakistan Armed Forces Medical Journal
主題:
在線閱讀:https://www.pafmj.org/PAFMJ/article/view/6688
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author Komail Abid
Rashid Iqbal
Syed Ali Raza Shah
Sana Tariq
author_facet Komail Abid
Rashid Iqbal
Syed Ali Raza Shah
Sana Tariq
author_sort Komail Abid
collection DOAJ
description Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019. Methodology: A total of 60 women undergoing LSCS under spinal anaesthesia were included. Group-A was given 8 mg/4 ml Ondansetron, while Group-B was given 4 ml Normal Saline 0.9% IV immediately before induction of spinal anaesthesia. Body temperature, level of sensory block, and shivering scores during the peri-operative period were recorded. After surgery, patients were shifted to Post Anaesthesia Care Unit (PACU). Shivering was graded using Crossley and Mahajan 5-item scale. Injection Tramadol 1mg/kg intravenously was used as a rescue anti-shivering drug. Results: The majority of the patients 33(55.0%) were between 18-25 years of age. Efficacy of Intravenous Ondansetron in preventing post-operative shivering during spinal anaesthesia in patients undergoing caesarean section was seen in 26 86(67%) patients (Group-A) as compared to 17(56.67%) patients in the Control Group (Group-B) (p-value=0.010). Conclusion: The study concluded that there was less post-operative shivering with intravenous Ondansetron during spinal anaesthesia in patients undergoing caesarean section as compared to the Control Group.
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spelling doaj.art-547938af83eb49cb8c7da9234479b1e32024-01-29T08:23:18ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-12-0173610.51253/pafmj.v73i6.6688Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean SectionKomail Abid0Rashid Iqbal1Syed Ali Raza Shah2Sana Tariq3Department of Anesthesia, Combined Military Hospital, Quetta/National University of Medical Sciences (NUMS) PakistanDepartment of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Cardiac Anesthesia, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan Objective: To determine IV Ondansetron efficacy in preventing post-spinal shivering during LSCS. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Anaesthesiology, Combined Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Mar 2019. Methodology: A total of 60 women undergoing LSCS under spinal anaesthesia were included. Group-A was given 8 mg/4 ml Ondansetron, while Group-B was given 4 ml Normal Saline 0.9% IV immediately before induction of spinal anaesthesia. Body temperature, level of sensory block, and shivering scores during the peri-operative period were recorded. After surgery, patients were shifted to Post Anaesthesia Care Unit (PACU). Shivering was graded using Crossley and Mahajan 5-item scale. Injection Tramadol 1mg/kg intravenously was used as a rescue anti-shivering drug. Results: The majority of the patients 33(55.0%) were between 18-25 years of age. Efficacy of Intravenous Ondansetron in preventing post-operative shivering during spinal anaesthesia in patients undergoing caesarean section was seen in 26 86(67%) patients (Group-A) as compared to 17(56.67%) patients in the Control Group (Group-B) (p-value=0.010). Conclusion: The study concluded that there was less post-operative shivering with intravenous Ondansetron during spinal anaesthesia in patients undergoing caesarean section as compared to the Control Group. https://www.pafmj.org/PAFMJ/article/view/6688Intravenous ondansetronSpinal anaesthesiaPost-operative shivering
spellingShingle Komail Abid
Rashid Iqbal
Syed Ali Raza Shah
Sana Tariq
Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
Pakistan Armed Forces Medical Journal
Intravenous ondansetron
Spinal anaesthesia
Post-operative shivering
title Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
title_full Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
title_fullStr Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
title_full_unstemmed Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
title_short Intravenous Ondansetron Efficacy in Preventing Post Spinal Shivering during Lower Segment Caesarean Section
title_sort intravenous ondansetron efficacy in preventing post spinal shivering during lower segment caesarean section
topic Intravenous ondansetron
Spinal anaesthesia
Post-operative shivering
url https://www.pafmj.org/PAFMJ/article/view/6688
work_keys_str_mv AT komailabid intravenousondansetronefficacyinpreventingpostspinalshiveringduringlowersegmentcaesareansection
AT rashidiqbal intravenousondansetronefficacyinpreventingpostspinalshiveringduringlowersegmentcaesareansection
AT syedalirazashah intravenousondansetronefficacyinpreventingpostspinalshiveringduringlowersegmentcaesareansection
AT sanatariq intravenousondansetronefficacyinpreventingpostspinalshiveringduringlowersegmentcaesareansection