Comparison of Intrathecal Tramadol with Bupivacaine and Bupivacaine alone to Control Shivering in Patients Undergoing Caesarean Surgery
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 2
Abstract
Context: It’s important to prevent shivering in parturient undergoing caesarean surgery under spinal anaesthesia as shivering results in increased metabolic rate, CO2 and oxygen consumption. Aims: Intrathecal tramadol as an adjuvant to bupivacaine, to assess incidence and grading of post spinal shivering, onset and duration of sensory and motor block, haemodynamic changes and APGAR score of the new born. Material and methods: Thirty patients aged 21-35 years of ASA I & II posted for elective or emergency caesarean section were randomly allocated into two groups. Group B (n=15) received inj. bupivacaine 0.5% heavy 2 ml+0.2 ml 0.9% normal saline and group T (n=15) received inj. bupivacaine 0.5% heavy 2 ml+inj. tramadol 0.2 ml (10 mg) preservative free intrathecally. Statistical analysis: The statistical analysis was assessed by unpaired students t-test and Chi square test. Results: Intra-operatively, shivering in 66.67% compared to 13.3% and post-operatively in 80% compared to 6.67% was seen, in group B & group T respectively. Onset of sensory blockade was 8.33 ± 0.90 minutes versus 9.20±0.68 minutes and motor blockade was 11.13 ± 0.834 minutes versus 12.00 ± 0.756 minutes, in group T and group B respectively whereas, duration of sensory and motor blockade were prolonged in group T (p<0.05). No differences in APGAR score, hemodynamic parameters and incidence of complication between both groups. Conclusion: Intrathecal tramadol significantly reduces the incidence of shivering in parturient undergoing caesarean surgery without significant adverse effect on mother and neonates while having early onset of both motor and sensory components in subarachnoid block.
Authors and Affiliations
Kanika Agrawal
Keywords
Related Articles
- EP ID EP618955
- DOI 10.21088/ijaa.2349.8471.6219.13
- Views 51
- Downloads 0
Study on Traditional Didactic Teaching versus VideolaryngoscopyAssisted Feedback for Teaching Endotracheal Intubation
Direct laryngoscopy and endotracheal intubation is an integral part of many fields of medical care including anaesthesia, intensive care and emergency medicine. Aim: The aim of the study was to assess the relative effica...
The Efficacy of Dexmedetomidine as Adjuvant in Caudal Block for Postoperative Pain Relief in Children
Introduction: In paediatric patients, optimum pain relief is a big challenge. An effective therapy to block or modify the physiological responses to painful stimulus is an essential. Hence, here is an attempt to study ad...
Magnesium Sulphate as an Adjuvant to Ropivacaine in Ultrasound Guided Supraclavicular Brachial Plexus Block: A Comparative Prospective Randomized Controlled Study
Background: Ropivacaine has been chosen for supraclavicular brachial plexus blockfor its safety profile. Magnesium Sulphate is used as an adjuvant to local anaesthetics as it is known to potentiate sensory and motor bloc...
A Comparative Study of the Effect of 0.5% Hyperbaric Bupivacaine and 0.5% Isobaric Levobupivacaine on Spinal Anaesthesia in Patients Scheduled for Lower Abdominal Surgeries
Introduction: Recent advances in pharmacology introduced newer local anaesthestic drugs which can be used in subarachnoid block with less motor blockade and less effect on bladder had changed the patient care from prolon...
Comparison of Ondensetron & Dexamethasone Alone and Combination as Prophylaxis in Post Operative Laparoscopic Surgeries
Background: Post-operative nausea and vomiting is very much prevalent and unpleasant complaints with laparoscopic surgeries that leads to numerous emergencies so antiemetic prophylaxis reduced complications associated wi...