Evaluation of Efficacy of Intra Thecal Tramadol for Prevention of Shivering Post Spinal Anaesthesia in Patients Undergoing Caesarian Section

Bansal, Ayush Pal; Chakole, Vivek; Singam, Amol; Latwal, Basant Singh

doi:10.13005/bpj/1999

Cited by 3 publications

(3 citation statements)

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“…There are previous studies comparing different doses of IT tramadol with other additives or placebo in patients undergoing cesarean sections, 19 lower limb surgeries, 20 and shivering prophylaxis. There are only few studies done on patients undergoing urological surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…Bansal et al, 19 evaluated the efficacy of IT tramadol in preventing post-spinal shivering in patients undergoing cesarean sections, in Groups T (20 mg tramadol IT) and C (control group). They found a significantly lower incidence of shivering in Group T. The result is consistent with that of our study in spite of them using 20 mg of IT tramadol compared to 25 mg in ours.…”

Section: Discussionmentioning

confidence: 99%

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Antishivering effect of intrathecal versus intravenous tramadol in patients undergoing urethroscopic lithotripsy under spinal anesthesia

Manasa M,

Jyoti Petkar,

Dokku Kirtana

et al. 2024

Asian J Med Sci

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Background: Shivering is the most common complication seen in the perioperative period in patients undergoing urological surgeries under spinal anesthesia. Intravenous tramadol is used for the treatment of shivering. Aims and Objectives: In this study, we wanted to assess the prophylactic effect of tramadol, intrathecal (IT) versus intravenous with the control group, in decreasing the incidence of shivering. Materials and Methods: Fifty-four eligible patients posted for urethroscopic lithotripsy (URSL) were randomly allocated into three equal groups – Group C: Received 2.5 mL 0.5% bupivacaine heavy + 0.5 mL normal saline intrathecally and 5 mL of normal saline intravenously, Group V: Received 2.5 mL of 0.5% bupivacaine heavy+0.5 mL normal saline intrathecally and 25 mg tramadol in 5 mL of normal saline intravenously, and Group T: Received 2.5 mL of 0.5% bupivacaine heavy + 25 mg (0.5 mL) of tramadol intrathecally and 5 mL of normal saline intravenously. The incidence and severity of shivering were noted. Onset of sensory and motor block, duration of post-operative analgesia, core body temperature, and adverse effects such as nausea, vomiting, and hypotension were noted. Results: The incidence of intraoperative shivering was significantly lower in Group T versus C (P=0.014) but comparable among Group I versus C (P=0.502) and Group T versus I (P=0.06). The duration of analgesia was significantly higher in Group T compared to Groups I and C (P<0.001). The additional tramadol requirement was significantly lower in Group T versus I and in Group T versus C but comparable among Group I versus C. Conclusion: The addition of 25 mg tramadol to IT 0.5% bupivacaine heavy is effective in preventing intraoperative shivering in patients undergoing urological surgeries like URSL.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Antishivering effect of intrathecal versus intravenous tramadol in patients undergoing urethroscopic lithotripsy under spinal anesthesia

Manasa M,

Jyoti Petkar,

Dokku Kirtana

et al. 2024

Asian J Med Sci

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“…3 The incidence of perioperative shivering during cesarean sections can be up to 85%. 4 Many modalities of treatment are currently employed for the treatment of shivering. Several classes of substances, including N-methyl-D-aspartate (NMDA) receptor antagonists, cations, endogenous proteins, monoamines and cholinomimetics appear to play a role in the shivering control via modulation of central thermoregulatory control mechanisms.…”

Section: Introductionmentioning

confidence: 99%

Tramadol vs. pethidine to control perioperative shivering in cesarean section under spinal anesthesia: a double-blind study

Yaakop¹,

Hassan²,

Omar³

et al. 2022

Anaesth. pain intensive care

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Background & objective: Perioperative shivering after spinal anesthesia for cesarean section is a common and unpleasant complication. Currently pethidine is being used but the search continues to look for other agents with faster action and with fewer side effects. Tramadol is a potential anti-shivering drug with modulation of central thermoregulation. We compared the efficacy of tramadol versus pethidine in the treatment of perioperative shivering of patients undergoing cesarean section under spinal anesthesia. Methodology: After institutional ethical review committee approval, 42 patients undergoing cesarean section under spinal anesthesia, who experienced shivering, were randomized into two groups, Group T (n = 21) received 1 mg/kg tramadol and Group P (n = 21) received 0.5 mg/kg pethidine. The outcome measures included the time taken to cessation of shivering after the medication, recurrence of shivering and the incidence of side effects. Results: The parturients with mean age 30.2 ± 5.2 y and body mass index (BMI) 29.9 ± 4.9 kg/m2 were recruited with comparable data between the two groups. Median time taken from drug administration until cessation of shivering of the tramadol group was faster than the pethidine group (7 min vs 13 min, P = 0.049). However, there was no significant difference in terms of the number of recurrences of shivering (P = 0.606) and incidence of nausea (P = 0.19) between the two groups. Conclusion: Intravenous tramadol has faster alleviation of perioperative shivering than intravenous pethidine in the treatment of perioperative shivering. Key word: Tramadol; Pethidine; Cesarean section; Shivering; Anesthesia, Spinal Citation: Yaakop AF, Hassan MH, Omar SC, Mazlan MZ, Mukmin LA, Hassan WNW. Tramadol vs pethidine to control perioperative shivering in cesarean section under spinal anesthesia: a double-blind study. Anaesth. pain intensive care 2022;26(3):283-290; DOI: 10.35975/apic.v26i3.1893 Received: March 15, 2022, Reviewed: March 27, 2022, Accepted: May 09, 2022

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Anti-shivering effect of intrathecal tramadol versus intravenous tramadol in patients Received spinal anesthesia for lower limb surgery. A randomized controlled clinical trial

Azeem

Abdel-Ghaffar

Al-Touny

2023

Egyptian Journal of Anaesthesia

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Evaluation of Efficacy of Intra Thecal Tramadol for Prevention of Shivering Post Spinal Anaesthesia in Patients Undergoing Caesarian Section

Cited by 3 publications

References 0 publications

Antishivering effect of intrathecal versus intravenous tramadol in patients undergoing urethroscopic lithotripsy under spinal anesthesia

Antishivering effect of intrathecal versus intravenous tramadol in patients undergoing urethroscopic lithotripsy under spinal anesthesia

Tramadol vs. pethidine to control perioperative shivering in cesarean section under spinal anesthesia: a double-blind study

Anti-shivering effect of intrathecal tramadol versus intravenous tramadol in patients Received spinal anesthesia for lower limb surgery. A randomized controlled clinical trial

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