Pethidine Versus Tramadol for Post-Anaesthetic Shivering Control in Patients Going Through Elective Surgery under Spinal Anaesthesia

Mazhar Ul Haq; Saeed Bin Ayaz; Sajjad Qureshi; Habib ur Rehman; Abdullah .; Hina Iftikhar

doi:10.51253/pafmj.v73i2.8817

Authors

Mazhar Ul Haq Quetta Institute of Medical Sciences, Quetta/National University of Medical Sciences (NUMS) Pakistan
Saeed Bin Ayaz Combined Military Hospital, Muzaffarabad/National University of Medical Sciences (NUMS) Pakistan
Sajjad Qureshi Quetta Institute of Medical Sciences, Quetta/National University of Medical Sciences (NUMS) Pakistan
Habib ur Rehman CMH Multan Institute of Medical Sciences, Multan/National University of Medical Sciences (NUMS) Pakistan
Abdullah . CMH Multan Institute of Medical Sciences, Multan/National University of Medical Sciences (NUMS) Pakistan
Hina Iftikhar CMH Multan Institute of Medical Sciences, Multan/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i2.8817

Keywords:

Adverse effects, Pethidine, Shivering, Spinal anaesthesia, Tramadol

Abstract

Objective: To assess the efficacy of Pethidine versus Tramadol in controlling shivering after spinal anaesthesia in patients selected for lower limb surgery.

Study Design: Quasi-experimental study

Place and Duration of the Study: Department of Anaesthesiology, Combined Military Hospital, Multan Pakistan, from Jun 2019 to Dec 2020.

Methodology: Seventy-four individuals (aged: 18 to 65 years) selected through non-probability consecutive sampling for elective lower limb orthopaedic procedures under spinal anaesthesia were included in the study. The patients were distributed among two groups through computer-generated random numbers to receive Tramadol at a dose of 0.5 mg/kg (Group-T) or Pethidine at 0.5 mg/kg (Group-P). The frequency of post-anaesthetic shivering was recorded in all patients.

Results: The average age of patients in Groups T and P were 30.2 ± 9 years and 34.5 ± 10 years, respectively. Fifty (67.6%) patients were males, while 24(32.4%) were females. Post-anaesthetic shivering was reported in 37(78.7%) patients in the Tramadol- Group compared to 26(96.3 percent) patients in the Pethidine- Group (p = 0.041).

Conclusion: Tramadol caused less post-anaesthetic shivering than Pethidine after spinal anaesthesia in our sample of patients undergoing lower limb surgery.