files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
About US
Editors
Issues
Pages
Indexed in
124
Views
14
Downloads

Dexmedetomidine and Tramadol for Prevention of Perioperative Shivering in Patients Undergoing Lower Abdominal Surgeries: Hemodynamic Changes

U.L. Sagarika, B. Geethashree, Meghana B. Narayan and R. Thanuja
Page: 471-474 | Received 15 Jun 2024, Published online: 30 Jul 2024

Download Citation
https://doi.org/10.36478/10.36478/makrjms.2024.8.471.474

Full Text Reference XML File PDF File

Abstract

Many drugs have been used for prevention or treatment of post anaesthesia shivering. However, dexmedetomidine may be a good choice among them due to its dual effects of anti‐shivering and conscious sedation. Clonidine has also been used safely and effectively. Dexmedetomidine, on the other hand, is a short acting a2 agonist with less hypotensive effect and an added sedative effect. A total of 120 patients planned for elective lower abdominal surgeries under spinal anaesthesia, were enrolled in this prospective, randomized study. All the patients were randomly divided into two groups of 60 patients each, using computer generated random number table into Group D and Group T to receive either intravenous dexmedetomidine 0.5μg/kg in 100 ml saline or intravenous tramadol 0.5mg/kg in 100 ml saline respectively ten minutes after administration of spinal anaesthesia. Anaesthesiology resident (observer 1) who prepared the study drugs for administration was involved later in the study. Four patients (6.7%) in our study in dexmedetomidine group had bradycardia and the lowest heart rate was 46 bpm for which rescue drug atropine 0.6mg was given intravenously. Six patients (10%) had hypotension, the lowest blood pressure recorded was 90/50 mm Hg for which rescue drug, ephedrine 6mg was given intravenously.

How to cite this article:

U.L. Sagarika, B. Geethashree, Meghana B. Narayan and R. Thanuja. Dexmedetomidine and Tramadol for Prevention of Perioperative Shivering in Patients Undergoing Lower Abdominal Surgeries: Hemodynamic Changes.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.471.474
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.471.474