Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia
Objective: To assess the efficacy of Pethidine versus Tramadol in controlling shivering after spinal anaesthesia in patients selected for lower limb surgery. Study Design: Quasi-experimental study Place and Duration of the Study: Department of Anaesthesiology, Combined Military Hospital, Mult...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2023-04-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/8817 |
| _version_ | 1797826719494701056 |
|---|---|
| author | Mazhar Ul Haq Saeed Bin Ayaz Sajjad Qureshi Habib ur Rehman Abdullah . Hina Iftikhar |
| author_facet | Mazhar Ul Haq Saeed Bin Ayaz Sajjad Qureshi Habib ur Rehman Abdullah . Hina Iftikhar |
| author_sort | Mazhar Ul Haq |
| collection | DOAJ |
| description |
Objective: To assess the efficacy of Pethidine versus Tramadol in controlling shivering after spinal anaesthesia in patients selected for lower limb surgery.
Study Design: Quasi-experimental study
Place and Duration of the Study: Department of Anaesthesiology, Combined Military Hospital, Multan Pakistan, from Jun 2019 to Dec 2020.
Methodology: Seventy-four individuals (aged: 18 to 65 years) selected through non-probability consecutive sampling for elective lower limb orthopaedic procedures under spinal anaesthesia were included in the study. The patients were distributed among two groups through computer-generated random numbers to receive Tramadol at a dose of 0.5 mg/kg (Group-T) or Pethidine at 0.5 mg/kg (Group-P). The frequency of post-anaesthetic shivering was recorded in all patients.
Results: The average age of patients in Groups T and P were 30.2 ± 9 years and 34.5 ± 10 years, respectively. Fifty (67.6%) patients were males, while 24(32.4%) were females. Post-anaesthetic shivering was reported in 37(78.7%) patients in the Tramadol- Group compared to 26(96.3 percent) patients in the Pethidine- Group (p = 0.041).
Conclusion: Tramadol caused less post-anaesthetic shivering than Pethidine after spinal anaesthesia in our sample of patients undergoing lower limb surgery.
|
| first_indexed | 2024-04-09T12:36:49Z |
| format | Article |
| id | doaj.art-be2ebd77bdaa481a899e3c4834c8a174 |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-09T12:36:49Z |
| publishDate | 2023-04-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-be2ebd77bdaa481a899e3c4834c8a1742023-05-15T09:44:35ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-04-0173210.51253/pafmj.v73i2.8817Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal AnaesthesiaMazhar Ul Haq0Saeed Bin Ayaz1Sajjad Qureshi2Habib ur Rehman3Abdullah .4Hina Iftikhar5Quetta Institute of Medical Sciences, Quetta/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital, Muzaffarabad/National University of Medical Sciences (NUMS) PakistanQuetta Institute of Medical Sciences, Quetta/National University of Medical Sciences (NUMS) PakistanCMH Multan Institute of Medical Sciences, Multan/National University of Medical Sciences (NUMS) PakistanCMH Multan Institute of Medical Sciences, Multan/National University of Medical Sciences (NUMS) PakistanCMH Multan Institute of Medical Sciences, Multan/National University of Medical Sciences (NUMS) Pakistan Objective: To assess the efficacy of Pethidine versus Tramadol in controlling shivering after spinal anaesthesia in patients selected for lower limb surgery. Study Design: Quasi-experimental study Place and Duration of the Study: Department of Anaesthesiology, Combined Military Hospital, Multan Pakistan, from Jun 2019 to Dec 2020. Methodology: Seventy-four individuals (aged: 18 to 65 years) selected through non-probability consecutive sampling for elective lower limb orthopaedic procedures under spinal anaesthesia were included in the study. The patients were distributed among two groups through computer-generated random numbers to receive Tramadol at a dose of 0.5 mg/kg (Group-T) or Pethidine at 0.5 mg/kg (Group-P). The frequency of post-anaesthetic shivering was recorded in all patients. Results: The average age of patients in Groups T and P were 30.2 ± 9 years and 34.5 ± 10 years, respectively. Fifty (67.6%) patients were males, while 24(32.4%) were females. Post-anaesthetic shivering was reported in 37(78.7%) patients in the Tramadol- Group compared to 26(96.3 percent) patients in the Pethidine- Group (p = 0.041). Conclusion: Tramadol caused less post-anaesthetic shivering than Pethidine after spinal anaesthesia in our sample of patients undergoing lower limb surgery. https://www.pafmj.org/index.php/PAFMJ/article/view/8817Adverse effectsPethidineShiveringSpinal anaesthesiaTramadol |
| spellingShingle | Mazhar Ul Haq Saeed Bin Ayaz Sajjad Qureshi Habib ur Rehman Abdullah . Hina Iftikhar Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia Pakistan Armed Forces Medical Journal Adverse effects Pethidine Shivering Spinal anaesthesia Tramadol |
| title | Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia |
| title_full | Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia |
| title_fullStr | Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia |
| title_full_unstemmed | Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia |
| title_short | Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia |
| title_sort | pethidine versus tramadol for post anaesthetic shivering control in patients going through elective surgery under spinal anaesthesia |
| topic | Adverse effects Pethidine Shivering Spinal anaesthesia Tramadol |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/8817 |
| work_keys_str_mv | AT mazharulhaq pethidineversustramadolforpostanaestheticshiveringcontrolinpatientsgoingthroughelectivesurgeryunderspinalanaesthesia AT saeedbinayaz pethidineversustramadolforpostanaestheticshiveringcontrolinpatientsgoingthroughelectivesurgeryunderspinalanaesthesia AT sajjadqureshi pethidineversustramadolforpostanaestheticshiveringcontrolinpatientsgoingthroughelectivesurgeryunderspinalanaesthesia AT habiburrehman pethidineversustramadolforpostanaestheticshiveringcontrolinpatientsgoingthroughelectivesurgeryunderspinalanaesthesia AT abdullah pethidineversustramadolforpostanaestheticshiveringcontrolinpatientsgoingthroughelectivesurgeryunderspinalanaesthesia AT hinaiftikhar pethidineversustramadolforpostanaestheticshiveringcontrolinpatientsgoingthroughelectivesurgeryunderspinalanaesthesia |