Efficacy of Dexmedetomedine and Butarphanol on post spinal Anesthesia shivering---A comparative study

Dr. Krishna Priya Poda; Dr. Praveen Kumar Moturi

Volume : VIII, Issue : VIII, August - 2019

Efficacy of Dexmedetomedine and Butarphanol on post spinal Anesthesia shivering---A comparative study

Dr. Krishna Priya Poda, Dr. Praveen Kumar Moturi

Abstract :

Purpose of the study: The most common adverse event after spinal anesthesia is shivering. Multiple etiologies have been made responsible for this. .Opiods have been used extensively for control of shivering, but opiods are associated with increased incidence of nausea and vomiting. So there is a need to find a drug to control shivering with fewer side effects. In the present study we are compå the efficacy of dexmedetomedine and butarphanol in the treatment of post spinal anesthesia shivering along with the side effects of both the drugs Materials and Methods: A prospective double blind randomized controlled trial was conducted in tertiary care hospital in Visakhapatnam over a period of six months. Total 60 patients who developed shivering after spinal anesthesiawere taken into consideration for study and were randomly allotted into two groups; Group D, where dexmedetomedine was given and Group B where Butarphanol was given.Time for cessation of shivering with response rate was noted. Any incidence of side effects were noted. All the results were analyzed using students T test and chi–square test RESULTS: In both groups D and B there was cessation of shivering. GroupDexmedetomedine had faster onset with cessation of shivering in lesser time i.e.(170.12+12.3sec) than with butarphanol (275.06+21.725). The recurrence rate of shivering was less with dexmedetomedine (6.66%) as compared to butarphanol (16.60%). Incidence of nausea and vomiting was high in butarphanol , while moderate sedation of Ramsay sedation score 3–4 was noted in dexmedetomedine group. CONCLUSION: Dexmedetomedine is more efficacious than butarphanol in control of post spinal anesthesia shivering with lesser side effects.