Comparison Of Intravenous Tramadol And Intravenous Clonidine On Post Spinal Anaesthesia Shivering

Indian Journal of Applied Basic Medical Sciences
Year: 2019, Volume: 21(A), Issue. (1), January
First page: (137) Last page: (172)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:

Comparison Of Intravenous Tramadol And Intravenous Clonidine On Post Spinal Anaesthesia Shivering
Gargi M. Bhavsar1, Rupal Kapadia2*, Jyotsana Sirohi3, Mulani Akash4
1,2Assistant Professor, 32ND Year Resident, 41ST Year Resident, Department of anaesthesia , NHL Medical college Ahmedabad
Corresponding author email id: rkk301@yahoo.co.in

Online Published on 02-Jan-2019

ABSTRACT

INTRODUCTION:- Post anesthesia shivering is very unpleasant, uncomfortable to the patient as well as to the operating room personnel. It is spontaneous, involuntary, rhythmic, tremor-like muscle hyperactivity that increases metabolic heat production upto 600% after general or regional anesthesia.There are various methods available to control shivering during anaesthesia, which include non-pharmacological methods and pharmacological methods using drugs which have anti-shivering properties. We conducted thisrandomised study to compare the relative efficacy of Tramadol and Clonidine for control of intraoperative shivering under spinal anaesthesia.AIMS AND OBJECTIVES:- The present study is undertaken to clinically compare the efficacy, haemodynamic effects, complications and side effects of Clonidine & Tramadol on control of postspinal shivering.MATERIAL AND METHOD:- After obtaining written and informed consent, We conducted a randomised study in 60 patients (30 in each group)and compared the efficacy of Tramadol and Clonidine for controlling postspinal shivering.Patients were given injection Tramadol (Group T – I.V Tramadol 1 mg/kg) or injection Clonidine (Group C I.V Clonidine 1mcg/kg)when shivering of grade 2 to 4 was noted which lasted for minimum period of 2 minutes after institution of subarachnoid block.CONCLUSION:- Both Tramadol and Clonidine effectively treated patients with post spinal shivering, but time taken for complete cessation of shivering was earlier in Tramadol. From our study we conclude that, I.V Tramadol is a better alternative than I.V Clonidine in treatment of postspinal anesthesia shivering with prophylactic administration of Ondansetron 4mg I.V to prevent nausea and vomiting.

Keywords

I.v Tramadol, Clonidine, Post Spinal Anaesthesia Shivering

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