COMPARISON OF PROPHYLACTIC DOSE OF TRAMADOL AND DEXAMETHASONE IN PREVENTING SHIVERING IN PATIENTS UNDERGOING SUBARACHNOID BLOCK

MR BUTT; HM JAVED; MA ASHFAQ; A IQBAL; MM ZAHID; M KHALID

doi:10.54112/bcsrj.v2023i1.331

Authors

MR BUTT Department of anesthesiology, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, Pakistan
HM JAVED Department of anesthesiology, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, Pakistan
MA ASHFAQ Department of anesthesiology, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, Pakistan
A IQBAL Department of anesthesiology, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, Pakistan
MM ZAHID Department of surgery, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, Pakistan
M KHALID Department of anesthesiology, Aziz Bhatti Shaheed Teaching Hospital, Gujrat, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.331

Keywords:

Dexamethasone, Tramadol, Prophylaxis

Abstract

This study aimed to assess the prophylactic efficacy of Tramadol and Dexamethasone in preventing shivering following spinal anesthesia. A total of 162 patients aged 18 to 60, with ASA physical status I or II, undergoing various surgical procedures, were randomly assigned to receive intravenous normal saline (Group C), intravenous tramadol at a dose of 1 mg/kg (Group T), or intravenous dexamethasone at a dose of 0.1 mg/kg (Group D). The occurrence of shivering, its impact, and the onset of dizziness, nausea, and perspiration were documented. Baseline demographics, body temperature, type of operation, sensory blockade level, duration of surgery, and anesthesia were comparable among patients. Shivering was observed in 42 out of 162 patients (25.92%). Shivering occurred in 24 patients in the placebo group, 11 in Group D, and 7 in Group T. A statistically significant difference was found between Group T and Group C (p = 0.004). However, there was no significant difference between Group T and Group D (p = 0.771). Hallucination was reported in 1 patient (1.85%) in Group T. In conclusion, tramadol at a dose of 1 mg/kg effectively reduces shivering induced by spinal anesthesia compared to a placebo. Nevertheless, our study did not find a statistically significant difference between intravenous tramadol at 1 mg/kg and intravenous Dexamethasone at 0.1 mg/kg.

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