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

  • 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
2020-01-27
How to Cite
Mahmood, K., Riaz, A., Jafri, S., Shah, S. A. R., Janjua, S., Naqvi, S., & Rizvi, S. A. (2020). EFFICACY OF INTRATHECAL FENTANYL FOR PREVENTION OF SHIVERING IN LOWER SEGMENT CAESAREAN SECTION UNDER SPINAL ANAESTHESIA. Pakistan Armed Forces Medical Journal, 70(Suppl-1), S83-86. Retrieved from https://pafmj.org/index.php/PAFMJ/article/view/3799
Section
Original Articles