Tramadol versus Clonidine on management of post neuraxial spinal anaesthesia induced shivering - A Randomised study

Dr. Partha Sarathi Halder

Volume : VIII, Issue : VI, June - 2019

Tramadol versus Clonidine on management of post neuraxial spinal anaesthesia induced shivering - A Randomised study

Dr. Partha Sarathi Halder

Abstract :

The aim of the study is to ascertain the efficacy, potency of clonidine as compared to Tramadol Hydrochloride in managing post spinal anaesthesia induced shivering. In this randomised clinical trial 80 American Society of Anaesthesiologists Grade – I (ASA – I) patient within the age group of 20 to 50 years where scheduled for various surgical procedures under spinal anaesthesia who subsequently developed shivering were included. The patients were divided into 2 Groups, Group C (n=40), Group C comprised of patients who were given Clonidine 0.50 µg/kg and another group receiving Tramadol 0.60 mg/kg intravenously. We observed Grades of shivering, hemodynamics and side effects at specified intervals. Absence of shivering was significant in Group C (2.54 ± 0.76) than in Group T (5.01 ± 1.02) (p = 0.0000001). On analysis it was found response to treatment in Group C was more (95 %) compared to Group T (90 %). Side effects like nausea vomiting were high in Group T and patients in Group C were more sedated. We infer that the drug Clonidine Hydrochloride thermodynamics than Tramadol with less side effects