Property | Value |
Name | Post anaesthesia shivering during neuraxial anaesthesia |
Description | Research article:- Anesthesia Ansari Mohammad U1, Porwal Sanjay K2*, Garg Ganga S1, Swarnkar Madhusudan3, Qureshi Salim4 & Lodha Lakhapat R5 1Assistant Professor,5Senior Professor, Department of Anesthesia,2Associate Professor, Department of Surgery ,3Assistant Professor, Department of P.S.M,4Medical Officer Jhalawar Hospital and Medical College Society, Jhalawar (Raj.) India. Abstract: Background: Shivering is a common problem faced by an anesthesiologist during intra operative as well as post operative period. Shivering occurs during both general anaesthesia and regional anaesthesia but it is more troublesome during neuraxial anaesthesia. Neuraxial anaesthesia impairs thermoregulatory control and upto 40-60% incidence of shivering has been reported. Aim: To evaluate the effectiveness of intravenous ketamine and tramadol in control of shivering and to note the side effects of drug used. Methods: This study was conducted in 60 ASA I and II patients. Neuraxial anaesthesia was performed with 3.0 ml (15 mg) of 0.5% of Bupivacaine heavy in all patients The patients were allocated in two groups of 30 each to receive ketamine 0.5 mg/kg (group K) and tramadol 0.5 mg/kg (group T) i. v. after the appearance of shivering. Disappearance and recurrence of shivering as well as temperature and haemodynamics were recorded with scheduled intervals. Shivering was graded from 0-4 grades and recurrence of shivering if occurred than additional dose of either ketamine or tramadol 0.5 mg/kg was given in respective group. Results: Onset of disappearance of shivering was found at 01 minute in tramadol group (T) P<0.05 and 3 minutes in ketamine group (K) <0.05. The complete disappearance of shivering took 5 minutes in T group and 8 minutes in K group. Recurrence rate of shivering was 10% in T and 20% in K group of patients respectively. None of the patients has any complication except nausea and vomiting (6.66% and 3.33% in group T and K respectively P<0.05). Conclusion: Thus tramadol and ketamine 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 ketamine for control of shivering. Keywords:- Shivering, Tramadol, Ketamine, Neuraxial anaesthesia.
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Copyright © 2013 Porwal Sanjay K et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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