2005
DOI: 10.1097/00003643-200505001-00321
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Nefopam or clonidine in the pharmacologic prevention of shivering in patients undergoing conscious sedation for interventional neuroradiology

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Cited by 5 publications
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“…Shivering during and after sedation for interventional neuroradiology can cause problems with movement, patient discomfort and noncooperation, and an increase in oxygen consumption. Clonidine and nefopam (an non-opioid analgesic) have been demonstrated to be effective in reducing the incidence of intraoperative shivering compared to placebo (6, 29 and 77%, respectively) 132 . Diligent positioning of patients, particularly when prone or lateral positioning is required, is important to prevent nerve injury.…”
Section: Other Issuesmentioning
confidence: 99%
“…Shivering during and after sedation for interventional neuroradiology can cause problems with movement, patient discomfort and noncooperation, and an increase in oxygen consumption. Clonidine and nefopam (an non-opioid analgesic) have been demonstrated to be effective in reducing the incidence of intraoperative shivering compared to placebo (6, 29 and 77%, respectively) 132 . Diligent positioning of patients, particularly when prone or lateral positioning is required, is important to prevent nerve injury.…”
Section: Other Issuesmentioning
confidence: 99%
“…Other than sedation, clonidine has been used for this shivering, both in neonates who have been cooled and in post operative adult patients [16,21]. A majority of our cooled babies received phenobarbitone, though we did not routinely give analgesia other than if ventilated.…”
Section: What This Study Adds?mentioning
confidence: 99%
“…However, nefopam provided the highest response rate. 26 Another adverse effect of both drugs was a decrease in mean arterial pressure, which required medical management in some patients in both treatment groups. Nefopam is not available in the US.…”
Section: Discussionmentioning
confidence: 99%