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Category: Volume 05 Issue 10 October 2017
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Title: A Comparative Study for Control of Shivering with Clonidine, Butorphanol and Tramadol in Patients Undergoing Neuraxial Blockade

Authors: Dr Somnath Longani, Dr Abhishek Srivastava, Dr Jaishree Bogra, Dr Archana Agarwal

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i10.114

Abstract

Background: Shivering is a typical issue amid neuraxial anesthesia. This investigation intended to assess the relative adequacy of intravenously directed clonidine, butorphanol and tramadol for control of intraoperative shivering in patients undergoing Neuraxial Blockade.

Materials and Methods: This investigation was led in 120 patients of age 25-50 years. Neuraxial block was performed with 2.8 mL (14 mg) of 0.5% bupivacaine overwhelming in all patients. On shivering, patients were arbitrarily assigned to get an intravenous, 1 mL bolus dosage of 50 mg tramadol, or 1 mg butorphanol, or 150 μg clonidine, in a twofold blinded way. Control of shivering, time taken for discontinuance, recurrence, hemodynamic changes, axillary temperatures, and side effects were noted and analyzed for each of the 3 gatherings. Shivering was reviewed from 0 to 4 grades and, if review 3 shivering happened, the investigation medicate was considered as inadequate and intravenous pethidine 25 mg was given as safeguard sedate.

Result: Time taken to control Shivering was altogether lower in Group I (Tramadol) when contrasted with Group II (Butorphanol). More patients with higher sedation score with Butorphanol amass contrasted with Tramadol Group. Nausea and regurgitating higher in Tramadol Group contrasted with Butorphanol Group.

Conclusion: Tramadol is most fast acting and successful responsible for control of shivering with neauraxial block with no critical symptoms and minimum return of shivering when contrasted with Butorphanol and Clonidine.

Keywords: Shivering; Spinal anaesthesia; Clonidine; Tramadol.

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Corresponding Author

Dr Abhishek Srivastava

Assistant Professor, Department of Anesthesiology,

Critical Care and Pain Medicine, Hind Institute of Medical Sciences,

Barabanki, Uttar Pradesh, India