Tramadol for control of shivering (Comparison with pethidine)

Shivering is common problem faced by an anaesthesiologist during intraoperative as well as in postoperative period. Shivering occurs during both general anaesthesia and regional anaesthesia, but it is more frequent and troublesome during regional anaesthesia. This randomized, prospective study condu...

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Main Authors: Aditi A Dhimar, Mamta G Patel, V N Swadia
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Anaesthesia
Subjects:
Online Access:http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=1;spage=28;epage=31;aulast=Dhimar
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author Aditi A Dhimar
Mamta G Patel
V N Swadia
author_facet Aditi A Dhimar
Mamta G Patel
V N Swadia
author_sort Aditi A Dhimar
collection DOAJ
description Shivering is common problem faced by an anaesthesiologist during intraoperative as well as in postoperative period. Shivering occurs during both general anaesthesia and regional anaesthesia, but it is more frequent and troublesome during regional anaesthesia. This randomized, prospective study conducted in 60 ASA grade I, II, or III patients, was designed to explore the efficacy and potency of Tramadol in comparison to Pethidine for control of shivering under regional anaesthesia. Patients received Tramadol or Pethidine in a dose of 1mg.kg -1 I.V after the appearance of shivering. Disappearance and recurrence of shivering, as well as haemodynamics were observed at scheduled intervals. Onset of disappearance of shivering was found at 1 minute in Tramadol group (T)( p < 0.05) and at 3 minutes in Pethidine group (P)( p < 0.05 ). The complete disappearance of shivering took 5 minutes in T group while 20 minutes in P group.Reccurence rate of shivering was 10% in T and 50% in P group patients respectively (p < 0.05). None of the patients had any complications except nausea and vomiting (6.6% and 20% in group T and P respectively, p> 0.05). Thus Tramadol and Pethidine were equally efficacious, but Tramadol was more potent with respect to control of shivering and its recurrence .It was concluded that I.V Tramadol is qualitatively superior to Pethidine for control of shivering.
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spelling doaj.art-966c91f84c1d48e5b170631ef01535542022-12-22T02:03:18ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492007-01-015112831Tramadol for control of shivering (Comparison with pethidine)Aditi A DhimarMamta G PatelV N SwadiaShivering is common problem faced by an anaesthesiologist during intraoperative as well as in postoperative period. Shivering occurs during both general anaesthesia and regional anaesthesia, but it is more frequent and troublesome during regional anaesthesia. This randomized, prospective study conducted in 60 ASA grade I, II, or III patients, was designed to explore the efficacy and potency of Tramadol in comparison to Pethidine for control of shivering under regional anaesthesia. Patients received Tramadol or Pethidine in a dose of 1mg.kg -1 I.V after the appearance of shivering. Disappearance and recurrence of shivering, as well as haemodynamics were observed at scheduled intervals. Onset of disappearance of shivering was found at 1 minute in Tramadol group (T)( p < 0.05) and at 3 minutes in Pethidine group (P)( p < 0.05 ). The complete disappearance of shivering took 5 minutes in T group while 20 minutes in P group.Reccurence rate of shivering was 10% in T and 50% in P group patients respectively (p < 0.05). None of the patients had any complications except nausea and vomiting (6.6% and 20% in group T and P respectively, p> 0.05). Thus Tramadol and Pethidine were equally efficacious, but Tramadol was more potent with respect to control of shivering and its recurrence .It was concluded that I.V Tramadol is qualitatively superior to Pethidine for control of shivering.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=1;spage=28;epage=31;aulast=DhimarShiveringTramadolPethidineRegional anaesthesia
spellingShingle Aditi A Dhimar
Mamta G Patel
V N Swadia
Tramadol for control of shivering (Comparison with pethidine)
Indian Journal of Anaesthesia
Shivering
Tramadol
Pethidine
Regional anaesthesia
title Tramadol for control of shivering (Comparison with pethidine)
title_full Tramadol for control of shivering (Comparison with pethidine)
title_fullStr Tramadol for control of shivering (Comparison with pethidine)
title_full_unstemmed Tramadol for control of shivering (Comparison with pethidine)
title_short Tramadol for control of shivering (Comparison with pethidine)
title_sort tramadol for control of shivering comparison with pethidine
topic Shivering
Tramadol
Pethidine
Regional anaesthesia
url http://www.ijaweb.org/article.asp?issn=0019-5049;year=2007;volume=51;issue=1;spage=28;epage=31;aulast=Dhimar
work_keys_str_mv AT aditiadhimar tramadolforcontrolofshiveringcomparisonwithpethidine
AT mamtagpatel tramadolforcontrolofshiveringcomparisonwithpethidine
AT vnswadia tramadolforcontrolofshiveringcomparisonwithpethidine