comparison of clonidine, tramadol and meperidine in post epidural anaesthetic shivering in parturients

ABSTRACT

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