Document Detail
Tramadol versus meperidine in the treatment of shivering during spinal anesthesia in cesarean section
Abstract/OtherAbstract :
BACKGROUND: The aim of this study was to evaluate the efficacy and side effects of tramadol comparing with meperidine on post-spinal shivering in cesarean section. METHODS: In a prospective, controlled, randomized, double-blind clinical trial 73 ASA-I pregnant patients candidates of cesarean section under spinal anesthesia who had shivering postoperatively were selected and classified into two groups receiving tramadol or meperidine to control postoperative shivering. Spinal anesthesia was done by injection of epinephrinized 5% lidocaine at L3-L4 or L4-L5 segment. Pruritis, somnolence, dizziness, nausea, vomiting and the duration of shivering control were evaluated and recorded. All data were analyzed by using Fisher and Chi-square tests. RESULTS: There were no significant differences between two groups in age (P = 0.1) and weight (P = 0.8) of patients. There was no significant difference in response rate after injection of both drugs (P = 0.3). The time elapsed from treatment to ceased shivering was significantly less (P = 0.001) but frequency of somnolence (P = 0.001), nausea (P = 0.001) and vomiting (P = 0.005) were significantly more in tramadol group. Dizziness was significantly more common in meperidine group (P = 0.001) and pruritis was not seen in any group. CONCLUSION: Tramadol is more effective in controlling post-spinal shivering but results in more frequent nausea, vomiting and somnolence in comparison with meperidine. KEYWORDS: Shivering, meperidine, tramadol, spinal anesthesia, cesarean section.
Authors :
R Talakoub; Dep. of Anesthesia, Isfahan University of Medical Sciences, Sh Noori Meshkat; Dep. of Anesthesia, Isfahan University of Medical Sciences
Related Documents :
338639 - Comparison of granisetron, metoclopramide and gastric decompression for prevention of p...
3132919 - Probioticaprofylaxe bij voorspeld ernstige acute pancreatitis : een gerandomiseerde, du...
1587749 - Symposium - cutaneous leishmaniasis: an overview
1993819 - Net study - comparative efficacy of intralesional sodium stibogluconate (ssg) alone and...
Contributors :
-
Publication Detail :
Publisher :  Isfahan University of Medical Sciences     Type :  -     Format :  application/pdf    
Date Detail :
2006-07-25
Subject :
-
Coverage :
-
Relation :
-
Source :
Journal of Research in Medical Sciences; Vol 11, No 3 (2006); 151-155
Copyright Information :
<p>Journal of Research in Medical Sciences (JRMS) applies the <a href="http://creativecommons.org/licenses/" target="_blank">Creative Commons Attribution License</a> (CCAL) to all of its published papers. Under the CCAL, authors retain ownership of the copyright for their article, but authors allow anyone to download, reuse, reprint, modify, distribute, and/or copy articles in JRMS, so long as the original authors and source are cited. No permission is required from the authors or the publishers. [ <strong><a href="http://creativecommons.org/licenses/by/3.0/" target="_blank">License summary</a>&nbsp;]&nbsp; [ </strong><strong><a href="http://creativecommons.org/licenses/by/3.0/legalcode" target="_blank">License full text</a>&nbsp;]</strong></p>
Other Details :
Languages :  en    
Export Citation :
APA/MLA Format     Download EndNote     Download BibTex

Previous Document:  Average annual crestal bone loss of ITI implants following the first year of loading
Next Document:  Analgesic effects of intra-articular fentanyl, pethidine and dexamethasone after knee arthroscopic s...