COMPARISION BETWEEN PETHIDINE VERSUS TRAMADOL IN TREATMENT OF POSTOPERATIVE SHIVERING UNDER SPINAL ANASTHESIA
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Objective: Quivering is very hostile and often stressful some patients after passing through a surgery. It may cause arterial hypoxemia, lactic acidosis, supplemented intracranial pressure as well intraocular pressure, may affect the hemodynamics and add to the pain. Numerous pharmacological and non- pharmacological approaches are available in order to control the potential shivering. Drugs like Tramadaol, Clonidine, Doxa pram, were assumed to control person suffering from shivering. Here, an artificial opioid, IV Tramadol at 1mg/kg will be compared with IV Pethidine 0.5mg/kg, standard drug for dealing with shivering and comparing between them. Method: The study involved fifty patients who were found with the case of shivering who were randomly chosen and classified into two groups with each containing twenty-five patients' tramadol content; group (Group 1) with pethidine group (Group 2). Patients were handled with 1mg/kg tramadol (Group 1) and 0.5mg/kg pethidine (Group 2). Results: After arterial administration of the tramadol substance of 1 mg/kg, termination of shivering took place instantly. The shivering lasted for additional time after the administration of pethidine 0.5 mg/kg. Repetition rate in tramadol category was recorded to be less than that of pethidine group. Where nausea as well as vomiting occurred in tramadol group. Novelty: venous tramadol 1 mg/kg is more efficient for the dealing with postoperative shivering than pethidine.
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