1Clinical Associate, Saifee Hospital, Mumbai, Maharashtra, India
2Associate Professor, Department of Anaesthesia, SGT University, Gurugram, Haryana, India
3Assistant Professor, Department of Anaesthesia, SGT University, Gurugram, Haryana, India
4Assistant Professor, Department of Anaesthesia, SGT University, Gurugram, Haryana, India
5Postgraduate Student, Department of Anaesthesia, SGT University, Gurugram, Haryana, India
*Corresponding author email id: vp.ratheeclinic@gmail.com
Online Published on 04 August, 2023.
Shivering is spontaneous, involuntary, rhythmic, oscillating, tremor-like muscle hyperactivity that increases metabolic heat production and is common after spinal anesthesia. It may also lead to a high demand load on oxygen requirement of the body.
Patients were allocated randomly to three groups of 50 patients each. Just after the subarachnoid block, the patients in Group M received midazolam 75 mcg/kg body weight, Group T received tramadol 1 mg/kg body weight and Group NS received 5ml normal saline intravenously.
Heart rate was high in tramadol group at 10-15 minutes, followed by midazolam group at 15-20 minutes. Midazolam group showed 24% patients with sedation score of 5 and in NS group no patient had sedation score of 5. However, in tramadol Group 12% had sedation score of 5. The mean score of shivering during surgery was lower in patients in the Tramadol group as only 3 patients (6%) had shivering score of Grade 4 compared to the other two groups (P<0.01).
Tramadol group showed better shivering control as compared to midazolam group.
Shivering, Heart rate, Sedation, Tramadol, Midazolam
