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...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2014-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/5148/10584_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdf |
| _version_ | 1818835994338656256 |
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| author | MAHESH T LAVANYA KAPARTI |
| author_facet | MAHESH T LAVANYA KAPARTI |
| author_sort | MAHESH T |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-19T02:59:33Z |
| format | Article |
| id | doaj.art-ae575f0109044aeaa8724fb62ecfadd4 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-19T02:59:33Z |
| publishDate | 2014-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-ae575f0109044aeaa8724fb62ecfadd42022-12-21T20:38:16ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-11-01811GC07GC0910.7860/JCDR/2014/10584.5148A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative PeriodMAHESH T0LAVANYA KAPARTI1Professor, Department of Anaesthesiology, Pesimsr, Kuppam, Andhra Pradesh, India.Assistant Professor, Department of Anaesthesiology, Pesimsr, Kuppam, Andhra Pradesh, India.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.https://jcdr.net/articles/PDF/5148/10584_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdfpethidineshiveringtramadol |
| spellingShingle | MAHESH T LAVANYA KAPARTI A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period Journal of Clinical and Diagnostic Research pethidine shivering tramadol |
| title | A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period |
| title_full | A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period |
| title_fullStr | A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period |
| title_full_unstemmed | A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period |
| title_short | A Randomised Trial Comparing Efficacy, Onset and Duration of Action of Pethidine and Tramadol in Abolition of Shivering in the Intra Operative Period |
| title_sort | randomised trial comparing efficacy onset and duration of action of pethidine and tramadol in abolition of shivering in the intra operative period |
| topic | pethidine shivering tramadol |
| url | https://jcdr.net/articles/PDF/5148/10584_CE(Ra)_F(Sh)_PF1(SNAK)_PFA(Sh)_PF2(PAG).pdf |
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