COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA

BACKGROUND AND OBJECTIVE: Shivering after spinal anesthesia is a common and uncomfortable complication that may interfere with monitoring during operation, excess oxygen consumption and lactic acidosis. Meperidine is first line treatment in patients with postoperative shivering. Since meperidine can...

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Autores principales:	N Banihashem, E Alijanpour, HA Sharif, H Alreza, M Taheri, A Bijani
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2009
Materias:	meperidine tramadol spinal anesthesia shivering Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b432f500d3a842aa9f832e5f6be319dd
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spelling	oai:doaj.org-article:b432f500d3a842aa9f832e5f6be319dd2021-11-10T09:02:27ZCOMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA1561-41072251-7170https://doaj.org/article/b432f500d3a842aa9f832e5f6be319dd2009-01-01T00:00:00Zhttp://jbums.org/article-1-3113-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Shivering after spinal anesthesia is a common and uncomfortable complication that may interfere with monitoring during operation, excess oxygen consumption and lactic acidosis. Meperidine is first line treatment in patients with postoperative shivering. Since meperidine can not be used in all patients, so this study was performed to compare the effect of tramadol with meperidine for treatment of shivering in patients with spinal anesthesia.METHODS: This clinical trial study was performed on 40 patients aged between 22 and 51 years (ASA Class I) with shivering after spinal anesthesia. They were randomly divided into two equal groups. Group one received 0.5mg/kg meperidine IV (N=20) and group two received 0.5mg/kg tramadol IV (N=20). The time to cessation of shivering, respiratory depression, vomiting and nausea during operation and recovery was monitored and recorded and then obtained results were compared.FINDINGS: Response to drugs was similar in two groups and shivering stopped in all the patients. Average recovery time was 80.3 seconds and 114 seconds in meperidine and tramadol groups, respectively (p<0.001). Other findings such as respiratory depression, consciousness, nausea and vomiting did not show any statistically significant difference. CONCLUSION: The results of this study showed that tramadol can be an acceptable alternative to meperidine for treatment of shivering after spinal anesthesia.N Banihashem,E AlijanpourHA Sharif,H AlrezaM TaheriA BijaniBabol University of Medical Sciencesarticlemeperidinetramadolspinal anesthesiashiveringMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 6, Pp 49-53 (2009)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	meperidine tramadol spinal anesthesia shivering Medicine R Medicine (General) R5-920
spellingShingle	meperidine tramadol spinal anesthesia shivering Medicine R Medicine (General) R5-920 N Banihashem, E Alijanpour HA Sharif, H Alreza M Taheri A Bijani COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA
description	BACKGROUND AND OBJECTIVE: Shivering after spinal anesthesia is a common and uncomfortable complication that may interfere with monitoring during operation, excess oxygen consumption and lactic acidosis. Meperidine is first line treatment in patients with postoperative shivering. Since meperidine can not be used in all patients, so this study was performed to compare the effect of tramadol with meperidine for treatment of shivering in patients with spinal anesthesia.METHODS: This clinical trial study was performed on 40 patients aged between 22 and 51 years (ASA Class I) with shivering after spinal anesthesia. They were randomly divided into two equal groups. Group one received 0.5mg/kg meperidine IV (N=20) and group two received 0.5mg/kg tramadol IV (N=20). The time to cessation of shivering, respiratory depression, vomiting and nausea during operation and recovery was monitored and recorded and then obtained results were compared.FINDINGS: Response to drugs was similar in two groups and shivering stopped in all the patients. Average recovery time was 80.3 seconds and 114 seconds in meperidine and tramadol groups, respectively (p<0.001). Other findings such as respiratory depression, consciousness, nausea and vomiting did not show any statistically significant difference. CONCLUSION: The results of this study showed that tramadol can be an acceptable alternative to meperidine for treatment of shivering after spinal anesthesia.
format	article
author	N Banihashem, E Alijanpour HA Sharif, H Alreza M Taheri A Bijani
author_facet	N Banihashem, E Alijanpour HA Sharif, H Alreza M Taheri A Bijani
author_sort	N Banihashem,
title	COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA
title_short	COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA
title_full	COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA
title_fullStr	COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA
title_full_unstemmed	COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA
title_sort	comparison of meperidine and tramadol in treatment of shivering after spinal anesthesia
publisher	Babol University of Medical Sciences
publishDate	2009
url	https://doaj.org/article/b432f500d3a842aa9f832e5f6be319dd
work_keys_str_mv	AT nbanihashem comparisonofmeperidineandtramadolintreatmentofshiveringafterspinalanesthesia AT ealijanpour comparisonofmeperidineandtramadolintreatmentofshiveringafterspinalanesthesia AT hasharif comparisonofmeperidineandtramadolintreatmentofshiveringafterspinalanesthesia AT halreza comparisonofmeperidineandtramadolintreatmentofshiveringafterspinalanesthesia AT mtaheri comparisonofmeperidineandtramadolintreatmentofshiveringafterspinalanesthesia AT abijani comparisonofmeperidineandtramadolintreatmentofshiveringafterspinalanesthesia
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COMPARISON OF MEPERIDINE AND TRAMADOL IN TREATMENT OF SHIVERING AFTER SPINAL ANESTHESIA

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