Comparison of Pethidine and Tramadol for the Control of Shivering in Patients undergoing Elective Surgery under Spinal Anesthesia

Authors

  • Mahesh Sharma Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa
  • Kalpana Kharbuja Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa
  • Bikash Khadka Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Keywords:

Adverse effects, Pethidine, Shivering, Spinal anesthesia, Tramadol

Abstract

Introduction: Shivering is a common problem faced by an anesthesiologist during intraoperative as well as in postoperative period. It is a frequent, unpleasant, and undesirable complication occurring after sub-arachnoid block (SAB), secondary to vasodilation as a result of sympathetic blockade. The incidence of shivering has been reported to be about 36-85% after SAB. The present study was designed to compare the efficacy of pethidine and tramadol on reducing postoperative shivering following sub-arachnoid block and to compare their adverse effects.

Methods: This randomized, experimental study was conducted in patients undergoing surgery under sub-arachnoid block over a four months period. Patients were randomized into Group P (receiving pethidine) or Group T (receiving tramadol). Patients received either tramadol or pethidine in a dose of 0.5mg/kg intravenously after the appearance of shivering. Disappearance of shivering as well as hemodynamics were observed at scheduled intervals.

Result: Shivering score was significantly lower in Group P at 10, 15, 20, and 30 min compared to Group T. Similarly, nausea/vomiting and dizziness were also lower in Group P but sedation score was higher.

Conclusion: Pethidine provide better antishivering effect than tramadol with less side effect in terms of nausea and vomiting but more sedation.

J. Lumbini. Med. Coll. Vol 4, No 2, July-Dec 2016, page: 66-67

DOI: https://doi.org/10.22502/jlmc.v4i2.92

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Author Biographies

Mahesh Sharma, Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Lecturer

Kalpana Kharbuja, Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Lecturer

Bikash Khadka, Department of Anesthesiology and Critical Care Lumbini Medical College Teaching Hospital, Palpa

Resident

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Published

2017-01-26

How to Cite

Sharma, M., Kharbuja, K., & Khadka, B. (2017). Comparison of Pethidine and Tramadol for the Control of Shivering in Patients undergoing Elective Surgery under Spinal Anesthesia. Journal of Lumbini Medical College, 4(2), 66–67. Retrieved from https://www.nepjol.info/index.php/JLMC/article/view/16464

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Section

Original Research Articles