Résumé
This study was performed to compare the antishivering effects and accompanying side effects among clonidine, tramadol and meperidine in parturients. Sixty parturients who shivered during casarean delivery under epidural anaesthesia and requested to one of three groups for IV treatment group C [n=20] received clonidine 3 mirco g/kg Group T [n=20] received tramadol 0.5 mg /kg. and group M [n=20] received meperidine 0.5 mg /kg. the response rate[shivering ceased after treatment was 85%, 90% and 95% for groups C, T and M respectively. The time that elapsed from treatment to the time shivering ceased was 5.2 +/- 2.6 min, 4.1 +/- 1.6 min and 3.8 +/- 3.2 min for groups C, T and M respectively, no significant differences were shown for pruritus, nausea, vomiting or Apgar scores of new borns. We concluded that both tramadol and meperidine show faster response rate in the treatment of post epidural anaesthetic shivering when compared with clonidine
Sujets)
Anesthésie péridurale , Frissonnement , Clonidine/effets des médicaments et des substances chimiques , Tramadol , Étude comparativeRésumé
This study was designed to evaluate the effect of rheumatic heart diseases on the mother and the fetus. Light was also thrown on the effect of the pregnancy on the clinical classification of cardiac pregnant mother. Eighty women who are suffering from rheumatic valve diseases with pregnancy were selected and classified clinically according to New York Heart Association [NYHA] into class I and II. Patients were divided into four groups: Group 1 [40 patients with mitral stenosis [MS]], group 2 [10 patients with aortic stenosis [AS]], group 3 [20 patients with double mitral valve lesion [DM]], group 4 [10 patients with double aortic valve lesion [DA]]. Regular antenatal care was done by both the obstetrician and the cardiologist up to delivery. Maternal and fetal outcomes were recorded. Fetal outcome was compared to that in control normal 80 women, attending antenatal clinic of the same age and parity