To compare efficacy of Dexmedetomidine and Tramadol in treating post subarachnoid block shivering and their side effects.

Dr. Shankar Agrawal; Dr.Sourabh Jain; Dr.Vaishali Waindeskar; Dr.Arti Jain; Dr.Akanksha Bansal

Volume : VIII, Issue : II, February - 2018

To compare efficacy of Dexmedetomidine and Tramadol in treating post subarachnoid block shivering and their side effects.

Dr. Shankar Agrawal, Dr. Sourabh Jain, Dr. Vaishali Waindeskar, Dr. Arti Jain, Dr. Akanksha Bansal

Abstract :

Background: Shivering is a frequent complication of regional anaesthesia. This study aimed to compare efficacy of Dexmedetomidine and Tramadol in treating post subarachnoid block shivering and their side effects.

Methods: Prospective, experimental, randomized, comparative study of 60 patients of ASA grade–l & II of either gender, aged 18 to 60 years scheduled for elective surgeries, under subarachnoid block were allocated to two groups: Group T (n=30) received intravenous (IV) Tramadol 0.5 mg/kg and Group D (n=30) received IV Dexmedetomidine 0.5 µg/kg. Grade of shivering, time interval from treatment to cessation of shivering, hemodynamics and side effects were observed.

Results: Recovery time from shivering was 40.34(± 6.20) sec in Dexmedetomidine whereas 210.3(±26.97) sec in Tramadol group. Side effects nausea and vomiting in Tramadol group whereas sedation and adycardia in Dexmedetomidine group were significant.

Conclusion: Dexmedetomidine offers better thermodynamics than Tramadol.