COMPARISION OF DEXMEDITOMEDINE, PETHIDINE & TRAMADOL IN POST NEURAXIAL SHIVERING

Dr.S.Anjaneya Vara Prasad; Dr.K.Anitha; Dr.C.Kailashnath Reddy

Volume : VIII, Issue : IX, September - 2018

COMPARISION OF DEXMEDITOMEDINE, PETHIDINE & TRAMADOL IN POST NEURAXIAL SHIVERING

Dr. S. Anjaneya Vara Prasad, Dr. K. Anitha, Dr. C. Kailashnath Reddy

Abstract :

Background: Dexmedetomidine a selective α2 adrenergic agonist is gaining popularity as adjuvant to spinal anesthesia

Aim: The purpose of study was to comparision of dexmedetomidine.pethidine,& tramadol in post neuraxial shivering ,

Methods : 90patients were recruited and randomly divided into 3 groups.

Group D– Dexmedetomidine 0.5mcg/kg.

Group–P:PETHIDINE0.5mg/kg

Group T: Tramadol 0,5mg/kg through intravenous route the onset of shivering, cessation &

recurrence of shivering noted in all three groups and com,pared with each other groups

Results: There was significant time for cessation of shivering in group D id 6.3±1,34 minutes wth comparision in group P 7.73±0.97 minutes & group T 7l27±1.24 minutesand the difference was statistically significant with p<0.005.The difference was statistically significant when dexmeditomidine group wascompared with pethidine group (p<0.001) & also with Tramadol group(p=0.004),while there was no significant difference statistically when Tramadol group andpethidine group were compared(p=0.098).

Conclusion: Dexmedetomidine .0.5mcg/kg seems to be an effective drug in treatment of post neuraxial shivering when compared to pethidine & tramadol in patients undergoing elecyive lower abdominal,urological,gynaecological & lower limb orhopedic surgeries.