Comparative Effectiveness of Tramadol, Clonidine & Butorphanol for the Control of Shivering in Patients Undergoing Neuraxial Blockade
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 4
Abstract
Aim: To compare efficacy of tramadol with that of clonidine and butorphanol for the control of shivering in patients undergoing neuraxial blockade. Materials & Methods: Consecutively 200 patients of either sex, age ranges between 18 to 60 years with ASA grade I and II status posted for elective surgery (lower abdominal and lower limb surgery under spinal anesthesia) were included in the study. Out of which 90 patients, who developed shivering after neuraxial blockade during intraoperative period up to 60 mins were randomly allocated to one of the following groups. Each group contains of 30 patients. Group I: (Tramadol Group) Patients were received tramadol i.v. (50 mg); Group II: (Butorphanol Group) Patients were received butorphanol i.v (1 mg); Group III: (Clonidine Group) Patients were received clonidine i.v (50 mcg). Results: Time taken to control Shivering was significantly lower in Group I (Tramadol) as compared to group II (Butorphanol). More patients with higher sedation score with Butorphanol group compared to Tramadol Group. Nausea and vomiting higher in Tramadol Group compared to Butorphanol Group. Conclusion: Tramadol is most rapid acting & effective in control of shivering with neauraxial block without any significant side effects and least reappearance of shivering as compared to Butorphanol.
Authors and Affiliations
Sheikh Mustak Ali, P. C. Debata
Keywords
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- EP ID EP546778
- DOI 10.21276/ijmrp.2017.3.4.025
- Views 68
- Downloads 0
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