Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Regional anaesthesia (spinal anaesthesia) is widely used as a safe anaesthetic technique for both elective and emergency operations. Shivering leads to potentially serious and life threatening complications. Tramadol is commonly used in our clinical practice for prevention of shivering in patients undergoing surgery under regional anaesthesia. Few studies suggest that, Clonidine is a 2 receptor agonist, effective in reducing the incidence of shivering and decrease oxygen consumption during recovery from anaesthesia. The study was conducted at the Department of Anaesthesiology of tertiary care center from January 2021 to November 2022. A total of 202 patients, ASA grade I and II undergoing lower abdominal surgeries were included and divided into two groups (Group T ‐ 101 patients with intravenous tramadol 1 mg/kg diluted till 10 mL by normal saline slowly. Group C‐101 patients with Intravenous clonidine 1 mcg/kg diluted till 10 mL normal saline slowly). Data was collected by using a structure proforma. Shivering control was completely achieved in 82.2% patients in Group C as against 68.3% in Group T. Proportion of cases with sedation grade 0 in Group T were 100% as against 84.2% in Group C. Proportion of cases with Recurrence of shivering in Group T were 19.8% as against 8.9% in Group C. Cases having nausea as side effect in Group T were 30.7% as against 0% in Group C. Vomiting as side effect in Group T were 30.7% as against 0% in Group C. Mean SBP of the patients from Group T and Group C during shivering was 106.57±10.46 and 114.67±9.62 respectively. Mean DBP of the patients from Group T and Group C during shivering was 69.70±9.44 and 73.66±8.93 respectively. Clonidine (1 μg/kg) and Tramadol (1 mg/kg) can effectively treat patients with post‐spinal anaesthesia shivering. Clonidine offers better thermodynamics than tramadol with fewer side effects.
How to cite this article:
Arya R. Nath, Shailendra D. Chauhan and Kiran Todkari. Compare the Safety of Intravenous Clonidine Injection Versus Intravenous Tramadol Injection for Control of Post Spinal Anaesthesia Shivering.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.11.227.234
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.11.227.234