Post Operative Management of Shivering: A Comparison Between the Efficacy of Tramadol and Pethidine

Osamah Ahmed; Sabrina  Ali; Mohsin Saleem; Akhtar Hussain; Khan Muhammad  Yaqub; Raja Muhammad  Nousherwan

doi:10.51253/pafmj.v76iSUPPL-8.14611

Authors

Osamah Ahmed Department of Anesthesia, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
Sabrina Ali Department of Anesthesia, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
Mohsin Saleem Department of Anesthesia, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
Akhtar Hussain Department of Anesthesia, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
Khan Muhammad Yaqub Department of Anesthesia, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan
Raja Muhammad Nousherwan Department of Anesthesia, Combined Military Hospital Sialkot/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-8.14611

Keywords:

Aged, Meperidine, Postoperative Shivering, Spinal Anesthesia, Tramadol, Transurethral Resection of Prostate

Abstract

Objective: To compare improvement in shivering, and frequency of adverse effects in geriatric patients undergoing trans-urethral resection of prostate (TURP)

Study Design: Quasi-experimental study

Place and Duration of Study: Anesthesia Department of Combined Military Hospital, Sialkot from January 2025 - December 2025

Methodology: A total of 860 patients were divided into Group-A (n=430) to receive IV Tramadol and Group-B (n=430) to receive IV Pethidine. The primary outcome measure was the improvement or prevention of postoperative shivering following administration of the study drug. The secondary outcome measure included the frequency of adverse effects associated with each medication.

Results: The overall frequency of postoperative shivering was significantly lower in the tramadol group where 41 patients (9.5%) developed shivering compared with 98 patients (22.8%) in the pethidine group (p < 0.001) with the grade of shivering considerably more severe in the pethidine than the tramadol group (p<0.001).

Conclusion: Overall, the findings of the present study are consistent with contemporary anesthesia literature demonstrating that tramadol is an effective and safe pharmacologic agent for preventing postoperative shivering. In addition to its superior efficacy, tramadol exhibited a more favorable safety profile compared with pethidine, particularly with respect to respiratory depression, sedation, and hypotension.