Comparison of Dexmedetomidine with Tramadol for Treatment of Shivering Post Spinal Anaesthesia

Chaudhry Raheel Ranjha; Muhammad Saeed; Basit Mehmood; Umer Hayat; Sana Abbas; Arona Terrence

doi:10.51253/pafmj.v73i6.6345

Authors

Chaudhry Raheel Ranjha Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Muhammad Saeed Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Basit Mehmood Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Umer Hayat Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Sana Abbas Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Arona Terrence Department of Anesthesia, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i6.6345

Keywords:

Dexmedetomidine, Efficacy, Shivering, Spinal, Tramadol

Abstract

Objective: To compare the efficacy of Dexmedetomidine with Tramadol for shivering post-spinal anaesthesia.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Anaesthesia, Combined Military Hospital, Rawalpindi Pakistan, from Jul to Dec 2020.

Methodology: A total of 158 patients who underwent gynaecological, orthopaedic and general surgical procedures under
spinal anaesthesia using 0.5% hyperbaric Bupivacaine 12-15 mg were included in the study. Out of these 158 patients, 64%
(102 patients) developed shivering after spinal anaesthesia. These 102 patients were divided into two equal groups, i.e.,
Group-D (n=51), who received 0.5 μg/kg Dexmedetomidine and Group-T (n=51), who received 0.5 mg/kg tramadol. The
response in the next 15 mins was evaluated objectively as “effective” or “non-effective” by the treating Anesthesiologist.

Results: Dexmedetomidine and Tramadol were effective in treating shivering following spinal anaesthesia. Our study showed that Dexmedetomidine was more effective than Tramadol in treating shivering, with an effectiveness of 88.2 % shivering relief in Group-D and an effectiveness of 51 % shivering relief in Group-T. The effectiveness was significant in both groups, with statistical significance in Group-D compared to Group-T (p<0.05).

Conclusion: Shivering relief was more responsive in patients who received Dexmedetomidine than Tramadol after spinal
anaesthesia.

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