COMPARISON OF EFFICACY OF INTRAVENOUS TRAMADOL AND INTRAVENOUS DEXMEDETOMIDINE ON POST-SPINAL ANAESTHESIA SHIVERING IN CAESAREAN SECTION

Abstract

Postanaesthetic shivering is a usual manifestation after neuraxial anesthesia. Tramadol and Meperidine are the commonly employed agents to abort shivering but unfortunately, these agents are associated with significant nausea and vomiting thus adding to morbidity. The objective of this study was to compare the efficacy profile of tramadol and dexmedetomidine in hampering post spinal shivering in obstetric patients.

Study Design:              

Quasi-Experimental Study

Methods:

A total of 120 patients who have undergone elective cesarean section and exhibited post spinal shivering enrolled in the study with uniform distribution in two groups Group T(Tramadol) and group D(Dexmedetomidine). The favorable response, time to termination of shivering, and adverse effects were recorded with subsequent analysis with independent sample t-test and Chi-square test.

Results: A total of (120) female patients underwent elective cesarean section with a mean age of 23±13.00 (18 - 35 years) enrolled in the study. The time to terminate shivering with dexmedetomidine was (172.12 ± 14.26 seconds) whereas tramadol was (278.06 ± 23.17 seconds) (p-value < 0.001). The overall incidence of shivering recurrence was recorded in Group D to be 3(5%) and 10(16.66%) in Group T (p-value 0.03) respectively with a greater propensity of nausea and vomiting with tramadol and moderate sedation with dexmedetomidine.

Conclusion:    

Dexmedetomidine exhibited a favorable shivering control profile without notable adverse effects.