Comparison Of Intravenous Tramadol And Intravenous Clonidine On Post Spinal Anaesthesia Shivering

ABSTRACT

NTRODUCTION-Postanesthesiashiveringisvery unpleasant, uncomfortable to the patient as well as to the operating room personnel. It isspontaneous, involuntary, rhythmic, tremor- kemusclehyperactivitythatincreasesmetabolicheatproductionupto600%aftergeneralorregionalanesthesia.Therearevariousmethodsavailabletocontrolshiveringduringanaesthesia, whichincludenon-pharmacologicalmethodsandpharmacologicalmethodsusingdrugswhichhaveanti-shiveringproperties.WeconductedthisrandomisedstudytocomparetherelativeefficacyofTramadolandClonidineforcontrolofintraoperativeshiveringunderspinalanaesthesia.AIMS AND OBJECTIVES:-Thepresentstudyisundertakentoclinicallycomparetheefficacy, haemodynamiceffects, complicationsandsideeffectsofClonidine&Tramadoloncontrolofpostspinalshivering.MATERIAL AND METHOD:-After obtaining written and informed consent, Weconductedarandomisedstudyin60patients (30 in each group)and comparedtheefficacyofTramadolandClonidineforcontrollingpostspinalshivering.Patients were given injection Tramadol(GroupT–I.V Tramadol1mg/kg)or injection Clonidine(GroupCI.V Clonidine1mcg/kg)when shivering of grade 2 to 4 was noted which lasted for minimum period of 2 minutes after institution of subarachnoid block.CONCLUSION:-BothTramadolandClonidineeffectivelytreatedpatientswithpostspinalshivering, buttimetakenforcompletecessationofshiveringwasearlierinTramadol. From our study we conclude that, I.VTramadol is a better alternative than I.VClonidine in treatment of postspinal anesthesia shivering with prophylactic administration of Ondansetron 4mg I.V to prevent nausea and vomiting.