A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period
Introduction: Regional anaesthesia (spinal anaesthesia) is widely used as a safe anaesthetic technique for both elective and emergency operations. Shivering is known to be a frequent complication, reported in 40 to 70% of patients undergoing surgery under regional anaesthesia. Various methods ar...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/5148/10584_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdf |
| Summary: | Introduction: Regional anaesthesia (spinal anaesthesia) is
widely used as a safe anaesthetic technique for both elective
and emergency operations. Shivering is known to be a frequent
complication, reported in 40 to 70% of patients undergoing
surgery under regional anaesthesia. Various methods are
available for the control of shivering during anaesthesia. Here
we have compared Tramadol, a synthetic opioid with Pethidine,
the gold standard drug for the treatment of shivering, in the
quest for more safe and efficacious drug.
Materials and Methods: Forty patients of ASA 1 and 2 status
posted for elective surgical procedures under neuraxial block
were selected. Group P (n=20) received Pethidine 0.5mg/kg IV
and group T (n=20) received tramadol 1.0 mg/kg IV.
Results: Both the drugs were found to be effective in reducing
shivering. Nineteen patients in the Group T had control of
shivering at end of 5 minutes but there were no patients who had
control of shivering Group P (p < 0.0001) which is statistically
significant.
Conclusion: Tramadol reduced the occurrence of postanesthetic
shivering more significantly than pethidine. |
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| ISSN: | 2249-782X 0973-709X |