Volume : V, Issue : IV, April - 2015
Dexmedetomidine for post–spinal anaesthesiashivering : (comparision with Tramadol).
Dr. K. Anitha, Dr. C. Suryanaryana
Abstract :
Aims: The aim of this study was to evaluate and compare the efficacy, haemodynamic and adverse effects
of dexmedetomidine with those of tramadol, when used for control of post–spinal anaesthesia shivering.
Methods: A prospective, randomized and double blind study was conducted in 50 American Society of Anaesthesiologists Grade I and II patients of either gender, aged between 20 and 50 years, scheduled for various surgical procedures
under spinal anaesthesia. The patients were randomised in two groups of 25 patients each to receive either dexmedetomidine 0.5 µg/kg or tramadol 0.5 mg/kg as a slow intravenous bolus. Grade of shivering, onset of shivering, time
for cessation of shivering, recurrence, response rate, and adverse effects were observed at scheduled intervals. Unpaired
t–test was used for analysing the data. Results: Time taken for cessation of shivering was significantly less with dexmedetomidine when compared to tramadol. Nausea and vomiting was observed only in tramadol group (30% and; 25%
respectively). There was not much difference in the sedation profile of both the drugs. Conclusion: We conclude that
although both drugs are effective, the time taken for cessation of shivering is less with dexmedetomidine when compared
to tramadol. Moreover, dexmedetomidine has negligible adverse effects, whereas tramadol is associated with significant
nausea and vomiting
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DOI : 10.36106/ijar
Cite This Article:
DR.K.ANITHA, DR.C.SURYANARYANA Dexmedetomidine for post–spinal anaesthesiashivering : (comparision with Tramadol). Indian Journal of Applied Research, Vol.5, Issue : 4 April 2015
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DR.K.ANITHA, DR.C.SURYANARYANA Dexmedetomidine for post–spinal anaesthesiashivering : (comparision with Tramadol). Indian Journal of Applied Research, Vol.5, Issue : 4 April 2015
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