EFFICACY OF INTRATHECAL FENTANYL FOR PREVENTION OF SHIVERING IN LOWER SEGMENT CAESAREAN SECTION UNDER SPINAL ANAESTHESIA

Authors

  • Khalid Mahmood Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Azmat Riaz Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syed Asadullah Jafri Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syed Ali Raza Ali Shah Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Sarfraz Khan Janjua Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syeda Sara Naqvi Armed Forces Institute of Rehabilitation Medicine/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Syed Ali Mazhar Rizvi Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Keywords:

Fentanyl, Intrathecal, Shivering, Spinal anaesthesia

Abstract

Objective: To determine the efficacy of intrathecal fentanyl in prevention of shivering in lower segment caesarean section under spinal anaesthesia.

Study Design: Quasi experimental study.

Place and Duration of Study: It was conducted in Anesthesiology department, Pak Emirates Military Hospital, Rawalpindi, from Feb 2018 to Mar 2018.

Methodology: A total of 60 patients were included in the study, and divided in two groups of 30 each. They were preloaded with Ringer’s lactate solution (10ml/kg). Fentanyl group (group F) was given 2.5 ml of 0.5% Bupivacine and 25μg (0.5 ml) of fentanyl, whereas group S received 0.5 ml of normal saline along with 2.5 ml of 0.5% bupivacaine. Shivering was observed in both groups for 2 hours.

Results: There was no statistically significant difference between the two groups in regards to average age, weight, height, body mass index, oral temperature. Shivering was observed in 5 patients in group A, and 16 patients in group B. Difference between groups was statistically significant (p=0.003).

Conclusion: Intrathecal fentanyl is effective in prevention of shivering in decreasing frequency of shivering in patients undergoing lower segment caesarean section under spinal anaesthesia.

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Published

27-01-2020

Issue

Section

Original Articles

How to Cite

1.
Mahmood K, Riaz A, Jafri SA, Shah SARA, Janjua SK, Naqvi SS, et al. EFFICACY OF INTRATHECAL FENTANYL FOR PREVENTION OF SHIVERING IN LOWER SEGMENT CAESAREAN SECTION UNDER SPINAL ANAESTHESIA. Pak Armed Forces Med J [Internet]. 2020 Jan. 27 [cited 2024 Nov. 5];70(Suppl-1):S83-86. Available from: https://pafmj.org/PAFMJ/article/view/3799