A Retrospective Comparative study between Tramadol & Pethidine for the control of Shivering during Intraoperative & Postoperative period

Dr. Saurabh Bhandge; Dr. Om Prakash Aditya

Volume : IX, Issue : V, May - 2020

A Retrospective Comparative study between Tramadol & Pethidine for the control of Shivering during Intraoperative & Postoperative period

Dr. Saurabh Bhandge, Dr. Om Prakash Aditya

Abstract :

Introduction : Around 40-60% of the patients under regional anaesthesia develop shivering. Aim of this study was to compare the interventional use of tramadol and pethidine as anti-shivering agents for spinal anaesthesia induced shivering rug for the treatment of shivering, in the quest for more safer and efficacious drug. We conducted this study to compare the efficacy, potency, haemodynamics effects and complications or side effects of Tramadol with that of Pethidine for the control of shivering. Methods: This was a Retrospective study . Data of 100 Cases from either gender, , BMI range of 18.5-25, systolic blood pressure of 120 to 140 mmHg & aged between 20-60 yrs of ASA PS I, II or III undergoing various surgeries under regional anaesthesia were taken for the study. Patients were randomly allocated into two groups of 50 each. Randomization was done using computer tables in selecting data. The intergroup comparisons were made by Student�s t-test and chi-square test for categorical variable. Results: There was no significant difference between different Age , weight , gender , duration of surgery, axillary temperature as well as shivering grades in two groups. The differences observed in baseline HR, SBP, DBP, and mean blood pressure between the two groups were statistically insignificant. Onset of Disappearance of Shivering was earlier in Tramadol group. Recurrence of shivering was more in Pethidine group Conclusion : We can derive at a conclusion that Tramadol is effective in treating shivering under regional anaesthesia due to its rapid onset, effective control, less recurrence rate and minimum side effects when compared to Pethidine.