A comparison of thiopentone and propofol with respect to the incidence of postoperative shivering

Singh, Prince Kumar; Harwood, R. J.; Cartwright, Dorwin; Crossley, A. W. A.

doi:10.1111/j.1365-2044.1994.tb04322.x

Cited by 17 publications

(10 citation statements)

References 18 publications

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“…Postoperative shivering occurred in 5%–65% of patients recovering from general anesthesia and in 30% of volunteers undergoing regional anesthesia, though an extensive data search did not reveal any new study to support this observation 3. Shivering was observed to occur more frequently in the female gender and on use of thiopentone compared with propofol after general anesthesia 12. Rigor occurs commonly, as a protective response to core hypothermia, though it may occur in the presence of normothermia.…”

Section: Discussionmentioning

confidence: 99%

Control of shivering with clonidine, butorphanol, and tramadol under spinal anesthesia: a comparative study

Bansal¹,

Jain²

2011

LRA

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IntroductionThe present study was designed to evaluate the efficacy of clonidine, butorphanol, and tramadol in control of shivering under spinal anesthesia, and to compare their side effects.MethodsThis randomized, prospective study was conducted in 90 patients who developed shivering under spinal anesthesia during various abdominal or orthopedic surgery procedures. On shivering, patients were randomly allocated to receive an intravenous, 1 mL bolus dose of 50 mg tramadol, or 1 mg butorphanol, or 150 μg clonidine, in a double blinded manner. Control of shivering, time taken for cessation, recurrence, hemodynamic changes, axillary temperatures, and side effects were noted and compared for all 3 groups. Collected data were analyzed using appropriate statistical tests.ResultsButorphanol and tramadol were more effective than clonidine in suppressing shivering. Butorphanol, tramadol, and clonidine completely controlled rigors in 83%, 73%, and 53% of cases, respectively, and incompletely suppressed rigors in 16%, 26%, and 46% of cases, respectively. Time taken to terminate rigors was significantly higher for clonidine (3.3 ± 0.9 minutes) than for butorphanol and tramadol (2.1 ± 1.0 minutes and 1.8 ± 0.5 minutes; P < 0.001).ConclusionButorphanol had an edge over tramadol in controlling shivering with lower chances of recurrence, though both were superior to clonidine for this purpose with an early onset of action. We conclude that both these opioids control rigors better than α-2 agonists.

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Section: Discussionmentioning

confidence: 99%

Control of shivering with clonidine, butorphanol, and tramadol under spinal anesthesia: a comparative study

Bansal¹,

Jain²

2011

LRA

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“…However, there were no significant differences between the groups with regard to the type of operation and rectal temperatures were not statistically different at any time. Several other factors may have an influence on the incidence of postanesthetic shivering: volatile anesthetics, 20 thiopentone, 21 length of surgery and anesthesia, 22 uninhibited spinal reflex- Aldrete score on arrival at recovery room 8.0 (7-9) 8.5 (8-10) 8.0 (7-10) 7.5 (6-10)* 8.0 (7-10) on discharge at recovery room 24 In the present study, we found that clonidine was effective in preventing shivering compared to placebo. This is in accordance with most other studies that had shown that clonidine reduced both shivering and vasoconstriction, and that it was effective in the treatment of established shivering 1,17,25,26 and for its prophylaxis.…”

Section: R E T Rmentioning

confidence: 99%

RETRACTED ARTICLE: Urapidil does not prevent postanesthetic shivering: a dose-ranging study

Piper

Fent

Röhm

et al. 2001

Can J Anesth/J Can Anesth

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“…Average duration in our study was approximately 110 ± 10 min more than the duration mentioned in these studies. [1418]…”

Section: Discussionmentioning

confidence: 99%

Efficacy of tramadol in preventing postoperative shivering using thiopentone or propofol as induction agent: A randomized controlled trial

Yousuf

Samad

Ullah

et al. 2013

J Anaesthesiol Clin Pharmacol

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Background:Postoperative shivering (POS) is a common and distressing experience occurring in up to 60% patients postoperatively. This study was designed to compare the efficacy of tramadol in preventing POS when used with two different induction agent, propofol or thiopentone.Materials and Methods:One hundred and twenty-four ASA I and II adult patients, aged between 18-60 years, undergoing general anesthesia of intermediate duration (60-240 min) for orthopedic, gynecological, and general surgical procedures were randomly divided to receive either thiopentone or propofol as induction agent. Each group was further subdivided (31 patients in each group) to receive either tramadol or saline 15 min before wound closure. Presence of POS after extubation till discharge from post anesthesia care unit (PACU) was recorded at six different time intervals.Results:The highest incidence of POS was observed in thiopentone-saline (TS) group 77.4%, while the lowest (12.9%) was in propofol-tramadol (PT) group (P > 0.001). Total number of shivering episodes was 122 out of which, 35 (28.7%) were of grade 2 and 3 (significant shivering) requiring treatment. The incidence of significant shivering was similar to the episodes of POS, highest in TS group and lowest being in PT group (P > 0.05).Conclusion:The prophylactic use of tramadol in a dose of 1 mg/kg with propofol as an induction agent significantly reduces the incidence of POS in patients recovering from general anesthesia of intermediate duration.

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A comparison of thiopentone and propofol with respect to the incidence of postoperative shivering

Cited by 17 publications

References 18 publications

Control of shivering with clonidine, butorphanol, and tramadol under spinal anesthesia: a comparative study

Control of shivering with clonidine, butorphanol, and tramadol under spinal anesthesia: a comparative study

RETRACTED ARTICLE: Urapidil does not prevent postanesthetic shivering: a dose-ranging study

Efficacy of tramadol in preventing postoperative shivering using thiopentone or propofol as induction agent: A randomized controlled trial

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