Prevention of post Spinal Shivering: using combination of Ketamine plus Midazolam Vs Tramadol and Placebo.

KANHAIYA LAL KISHNANI; SANJAY P DAVE; PRIYA JAIN

Volume : VII, Issue : III, March - 2018

Prevention of post Spinal Shivering: using combination of Ketamine plus Midazolam Vs Tramadol and Placebo.

Kanhaiya Lal Kishnani, Sanjay P Dave, Priya Jain

Abstract :

Shivering is frequently found during post–spinal anaesthesia period in recovery rooms. This is distressing to patients. The objective of this study was to compare the effectiveness of Ketamine plus Midazolam with that of Tramadol, and placebo in the prevention of post–spinal shivering.

Material & Methods

We studied 90 patients between the age group of 30 to 65 years undergoing elective surgery under spinal anaesthesia. Patients were allocated to one of three groups each of 30 patients, group T (n= 30) received 1mg/Kg of Tramadol, group K (n= 30) received Ketamine 0.25 mg/Kg plus

Midazolam 40 micro–gm/ kg while group S (n= 30) received saline 0.9% as placebo.

Results: – Significant reduction was observed in the incidence of shivering in group T and group K in comparison to group S. There were no significant differences in hypotension and adycardia in all groups. There was significant sedation in group K in comparison with groups N and S.

Conclusion: The conclusion of our study drawn was that 1mg/Kg of Tramadol is as effective as Ketamine 0.25 mg/Kg plus Midazolam 40 microgram/ kg in the prophylactic prevention of post spinal shivering. We found sedation in patients in group K in comparison with other two groups.