IJSR - International Journal of Scientific Research

Dr Shailendra R Shiravadkar; Dr. Anadkumar H. Pande

Volume : VIII, Issue : VIII, August - 2019

COMPARATIVE STUDY OF INTRAVENOUS DEXMEDETOMIDINE AND INTRAVENOUS TRAMADOL FOR CONTROL OF POST SPINAL SHIVERING.

Dr Shailendra R Shiravadkar, Dr. Anadkumar H. Pande

Abstract :

Introduction– Dexmedetomidine has been used for prevention of post anaesthesia shivering. Its use for treatment of post spinal shivering is under–evaluated. We aimed to evaluate and compare effectiveness, hemodynamic and adverse effects of dexmedetomidine with those of tramadol for control of post spinal shivering. Methods– Prospective randomized double blinded study in 100 patients undergoing surgery in spinal anaesthesia randomised in two groups to receive either Dexmedetomidine 0.5µg/kg or Tramadol 0.5mg/kg.Grade,onset,time to cessation of shivering,recurrence,response rate, side effects were noted.Results–Time to shivering control was less with Dexmedetomidine but with minimal sedation.Nausea and vomiting seen only with Tramadol.Conclusion–Dexmedetomidime 0.5µg/kg more efficient to control post spinal shivering than Tramadol 0.5mg/kg which causes nausea vomiting.