Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : June | Volume : 12 | Issue : 6 | Page : UC01 - UC04

Comparative Evaluation of Dexmedetomidine and Tramadol for Attenuation of Post-Spinal Anaesthesia Shivering

Arjun Verma, Dhiraj Bhandari, Pradeep Dhande, Sudha Jain, Sucheta Tidke

1. Senior Resident, Department of Anaesthesiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. 2. Associate Professor, Department of Anaesthesiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. 3. Professor, Department of Anaesthesiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. 5. Professor, Department of Anaesthesiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India. 4. Professor and Head, Department of Anaesthesiology, Mahatma Gandhi Institute of Medical Sciences, Wardha, Maharashtra, India.

Correspondence Address :
Dr. Dhiraj Bhandari,
Associate Professor, Department of Anaesthesiology, Mahatma Gandhi Institute of Medical Sciences, Wardha-442102, Maharashtra, India.
E-mail: dhirajbhandari@mgims.ac.in

Abstract

Introduction: It is important that as anaesthesiologists we understand the adverse effects of hypothermia and shivering on human body which can occur when the patients are anaesthetized, and provide timely intervention. Various non-pharmacological and pharmacological methods have been studied to control intraoperative shivering with varying success. Tramadol and dexmedetomidine have been studied in literature with varying success but few studies have been reported from the Indian subcontinent. Aim: To compare the effects of dexmedetomidine 0.5 g/kg with tramadol 0.5 mg/kg for treating shivering developed intraoperatively after spinal anaesthesia for patients undergoing lower limb, lower abdominal surgeries, gynaecological procedures and caesarean sections. Materials and Methods: This was a prospective, randomised, double blind comparative study carried out in the Department of Anaesthesiology of a tertiary care Rural Medical College and Hospital. All patients who fulfilled the inclusion criteria and developed post-spinal anaesthesia shivering during the intraoperative course were enrolled and randomised equally into either of the two groups. Group D (n=60) received inj. dexmedetomidine 0.5 g/kg IV whereas Group T received inj. tramadol 0.5 mg/kg IV after development of post-spinal anaesthesia shivering. Response rate, haemodynamics, recurrence of shivering and complications were monitored. The data was statistically evaluated using STATA version 10 software. Results: A 98.30% of patients shivering ceased after administration of dexmedetomidine, where as success rate was 86.67% in tramadol group. There was early response as well as less recurrence of shivering in dexmedetomidine group. Nausea and vomiting occurred significantly more in tramadol group. There was no significant haemodynamic instability in any group. Conclusion: Dexmedetomidine when used at a dose of 0.5 g/kg IV is more effective and rapid than tramadol used at a dose of 0.5 mg/kg IV to treat shivering as developed after spinal anaesthesia without any increased side effects as well as inducing a comfortable sedation for the patient.

Keywords

Haemodynamics, Lower abdominal surgery, Motor block, Peak sensory block

How to cite this article :

Arjun Verma, Dhiraj Bhandari, Pradeep Dhande, Sudha Jain, Sucheta Tidke. COMPARATIVE EVALUATION OF DEXMEDETOMIDINE AND TRAMADOL FOR ATTENUATION OF POST-SPINAL ANAESTHESIA SHIVERING. Journal of Clinical and Diagnostic Research [serial online] 2018 June [cited: 2018 Jun 24 ]; 12:UC01-UC04. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=June&volume=12&issue=6&page=UC01-UC04&id=11599

DOI and Others

DOI: 10.7860/JCDR/2018/28136.11599

Date of Submission: Mar 19, 2017
Date of Peer Review: Jun 17, 2017
Date of Acceptance: Aug 24, 2017
Date of Publishing: Jun 01, 2018

Financial OR OTHER COMPETING INTERESTS: None.

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