The effect of low-dose granisetron on shivering in subarachnoid block

Background: Shivering has many negative effects on the postanesthesia patient. Shivering is regulated by serotonin. The serotonin antagonists such as ondansetron and granisetron are widely used to prevent nausea and vomiting. Ondansetron is used in regional and general anesthesia, while granisetron...

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Main Authors: Isngadi Isngadi, Wiwi Jaya, Dedy Fardian
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Bali Journal of Anesthesiology
Subjects:
Online Access:http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2019;volume=3;issue=3;spage=166;epage=169;aulast=Isngadi
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author Isngadi Isngadi
Wiwi Jaya
Dedy Fardian
author_facet Isngadi Isngadi
Wiwi Jaya
Dedy Fardian
author_sort Isngadi Isngadi
collection DOAJ
description Background: Shivering has many negative effects on the postanesthesia patient. Shivering is regulated by serotonin. The serotonin antagonists such as ondansetron and granisetron are widely used to prevent nausea and vomiting. Ondansetron is used in regional and general anesthesia, while granisetron is widely used in chemotherapy. This study aimed to determine the effect of low-dose granisetron on the incidence of shivering in postspinal anesthesia. Patients and Methods: The study conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia. Twenty-three patients divided into two groups: Group C (control) received no premedication and Group G (granisetron) received low-dose granisetron 10 μg/kg. The shivering grade and shivering intensity were recorded every 5 min in the first 1-h postanesthesia. The data were analyzed using t-test, regression test, and effective contribution test. Results: The shivering incidence in Group K was 71.9% and Group G was 9.4% (P = 0.018). The control group experienced shivering Grade I, II, III, and IV. Granisetron group only experienced shivering Grade I and II. Conclusion: The administration of low-dose granisetron before the spinal anesthesia significantly reduced the incidence of shivering in adult patients with no side effects.
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spelling doaj.art-b99c16a0a77a4ae5a4449bfa882bf5c52022-12-21T18:02:13ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762019-01-013316616910.4103/BJOA.BJOA_4_19The effect of low-dose granisetron on shivering in subarachnoid blockIsngadi IsngadiWiwi JayaDedy FardianBackground: Shivering has many negative effects on the postanesthesia patient. Shivering is regulated by serotonin. The serotonin antagonists such as ondansetron and granisetron are widely used to prevent nausea and vomiting. Ondansetron is used in regional and general anesthesia, while granisetron is widely used in chemotherapy. This study aimed to determine the effect of low-dose granisetron on the incidence of shivering in postspinal anesthesia. Patients and Methods: The study conducted at Dr. Saiful Anwar General Hospital, Malang, Indonesia. Twenty-three patients divided into two groups: Group C (control) received no premedication and Group G (granisetron) received low-dose granisetron 10 μg/kg. The shivering grade and shivering intensity were recorded every 5 min in the first 1-h postanesthesia. The data were analyzed using t-test, regression test, and effective contribution test. Results: The shivering incidence in Group K was 71.9% and Group G was 9.4% (P = 0.018). The control group experienced shivering Grade I, II, III, and IV. Granisetron group only experienced shivering Grade I and II. Conclusion: The administration of low-dose granisetron before the spinal anesthesia significantly reduced the incidence of shivering in adult patients with no side effects.http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2019;volume=3;issue=3;spage=166;epage=169;aulast=Isngadigranisetronlow-doseshiveringspinal anesthesia
spellingShingle Isngadi Isngadi
Wiwi Jaya
Dedy Fardian
The effect of low-dose granisetron on shivering in subarachnoid block
Bali Journal of Anesthesiology
granisetron
low-dose
shivering
spinal anesthesia
title The effect of low-dose granisetron on shivering in subarachnoid block
title_full The effect of low-dose granisetron on shivering in subarachnoid block
title_fullStr The effect of low-dose granisetron on shivering in subarachnoid block
title_full_unstemmed The effect of low-dose granisetron on shivering in subarachnoid block
title_short The effect of low-dose granisetron on shivering in subarachnoid block
title_sort effect of low dose granisetron on shivering in subarachnoid block
topic granisetron
low-dose
shivering
spinal anesthesia
url http://www.bjoaonline.com/article.asp?issn=2549-2276;year=2019;volume=3;issue=3;spage=166;epage=169;aulast=Isngadi
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