Document Detail


Intrathecal meperidine for prevention of shivering during transurethral resection of prostate.
MedLine Citation:
PMID:  18270944     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The aim of this study was to investigate low-dose intrathecal meperidine for prevention or alleviation of shivering after induction of spinal anesthesia for transurethral resection of the prostate (TURP). MATERIALS AND METHODS: In a randomized controlled trial, 80 patients scheduled for TURP under spinal anesthesia were assigned into two groups of case and control. Spinal anesthesia was performed using 75 mg of hyperbaric lidocaine 5% plus meperidine, 15 mg, in the patients of the case group and the same dose of lidocaine plus normal saline in the patients of the control group. Shivering episodes were recorded during the operation and in the recovery room. Data on systolic blood pressure, heart rate, arterial oxygen saturation, and body temperature were collected before the induction of anesthesia; 5, 15, and 30 minutes after the induction; and in the recovery room. RESULTS: Maximum level of sensory block was similar in the patients of the case and control groups. Shivering was not seen in the patients who received meperidine, while in the control group, 11 (27.5%) experienced some degrees of shivering (P = .001). Blood pressure, body temperature, and arterial oxygen saturation did not have a clinically significant change and they were not different between the two groups. Side effects of opioids were unremarkable. CONCLUSION: Low-dose intrathecal meperidine is effective and safe in reducing the incidence of shivering associated with spinal anesthesia for TURP.
Authors:
Maryam Davoudi; Seyed Habib Mousavi-Bahar; Afshin Farhanchi
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Urology journal     Volume:  4     ISSN:  1735-546X     ISO Abbreviation:  -     Publication Date:  2007  
Date Detail:
Created Date:  2008-02-13     Completed Date:  2008-06-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101286676     Medline TA:  Urol J     Country:  Iran    
Other Details:
Languages:  eng     Pagination:  212-6     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
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MeSH Terms
Descriptor/Qualifier:
Adjuvants, Anesthesia / administration & dosage
Aged
Analgesics, Opioid / administration & dosage*
Anesthesia, Spinal*
Body Temperature
Humans
Injections, Spinal
Intraoperative Complications / prevention & control*
Male
Meperidine / administration & dosage*
Shivering* / drug effects
Transurethral Resection of Prostate*
Chemical
Reg. No./Substance:
0/Adjuvants, Anesthesia; 0/Analgesics, Opioid; 57-42-1/Meperidine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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