Comparison of tramadol and pethidine for control of shivering in regional anesthesia

Authors

  • Cherish Paul Department of Anesthesiology and Critical Care, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India
  • John Paul Department of Anesthesiology and Critical Care, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20172621

Keywords:

Pethidine, Regional anesthesia, Shivering, Tramadol

Abstract

Background: Shivering is a common problem faced by anaesthesiologists in the intraoperative as well as post-operative period. It occurs during both general anesthesia and regional anesthesia, but is more frequent and troublesome during regional anesthesia. There are many pharmacological and other methods to tackle this issue. Not many studies have compared between pharmacological agents that control shivering.

Methods: This randomized, prospective study conducted in 80 adult patients, was designed to explore the efficacy and potency of Tramadol in comparison to Pethidine for control of shivering under regional anesthesia. Patients received Tramadol or Pethidine in a dose of 0.5 mg/kg intravenously after the appearance of shivering. Disappearance and recurrence of shivering, sedation as well as haemodynamics were observed at scheduled intervals

Results: The complete disappearance of shivering took a mean 4.5 minutes in Tramadol group while 8 minutes in pethidine group (p value<=0.05). Tramadol was more potent than Pethidine with respect to control of shivering and its recurrence.

Conclusions: Intravenous Tramadol is qualitatively superior to Pethidine for control of shivering after regional anesthesia.

Author Biographies

Cherish Paul, Department of Anesthesiology and Critical Care, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India

Assistant Professor in Anaesthesiology and Critical Care

John Paul, Department of Anesthesiology and Critical Care, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India

Associate Professor in anaesthesiology and critical care

References

Aditi AD, Mamta GP, Swadia VN. Tramadol for control of shivering, a comparison with Pethidine. Indian J Anesthesia. 2007;51:28-31.

Bhattacharya PK, Bhattacharya L, Jain RK, Agarwal RC. Post anesthesia shivering a review. Indian J Anesthesia. 2003;47:88-93.

Chan AM, Ng KF, Tong EW, Jan GS. Control of shivering under regional anesthesia in obstetric patients with Tramadol. Can J Anesthesia. 1999;46:253-8.

Alfonsi P. Post anaesthetic shivering. Drugs. 2001;61:2193-2205.

Atashkhoyi S, Negar S. Effect of Tramadol for prevention of shivering after spinal anesthesia for caesarean section. Res J Biol Sci. 2008;3:1365-9.

Talakoub R, Noorimeshkati S. Tramadol versus Pethidine in the treatment of shivering in cesarean section. JRMS. 2006;11:151-5.

Bhatnagar S, Saxena A, Kannan TR, Punj J, Panigrohi M, Mishra S. Tramadol for postoperative shivering A double blind comparison with Pethidine. Anesthesia Intensive Care. 2001;29:149-54.

Sajedi P, Khalili G, Kyhanifard L. Minimum effective dose of Tramadol in the treatment of post anesthetic shivering. JRMS. 2008;13:75-9.

Mohta M, Kumari N, Tyagi A, Sethi A, Agarwal, D, Singh M. Tramadol for prevention of post anaesthetic shivering: a randomized double-blind comparison with Pethidine. Anesthesia. 2009;64:141-6.

Trekova NA, Buniatian AA, Zolicheva NIu. Tramadol hydrochloride in the treatment of postoperative shivering Anesteziol Reanimatol. 2004;5:86-9.

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Published

2017-06-24

How to Cite

Paul, C., & Paul, J. (2017). Comparison of tramadol and pethidine for control of shivering in regional anesthesia. International Journal of Research in Medical Sciences, 5(7), 2890–2894. https://doi.org/10.18203/2320-6012.ijrms20172621

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Section

Original Research Articles