Abstract: (1604 Views)
Introduction: Postoperative shivering is a common and unpleasant problem with relatively 40% incidence that has a lot of cardiovascular and pulmonary effects. Its main cause is hypothermia during operation. But there are also other causes. There are some recommendations to resolve this problem. In this survey we compared tramadol and pethidin effects in treatment of postoperative shivering.
Materials and Methods: This is a clinical trial study, performed on 324 patient with ASA I and II classes. When shivering occurred, 1mg/kg tramadol was administrated to 162 patients and the others received 0.5 mg/kg pethidin. After injection, the shiver-end time was recorded. Patients vital sign such as blood pressure, pulse rate and respiratory rate were measured and recorded before and after injection (vital sign was checked and recorded every 10 minutes for 1 hours after injection). Data was analyzed with two independent t-test by SPSS software.
Results: 61.7% of samples were male. The average of shiver-end time in group receiving tramadol and group receiving pethidin was 134.96±18 and 161.3±22 seconds respectively, that was significantly lower in tramadol group (p=0.007). The minimum of shiver-end time was 55 seconds in patients receiving tramadol and the maximum time was 320. The minimum of this time in patients receiving pethidin was 70 seconds and the maximum time wad 395.
Discussion: Results of this study showed that using tramadol in treating postoperative shivering is more useful than pethidin. Also it has better therapeutic effects and lesser side effects.
Subject:
General Received: 2021/01/29 | Accepted: 2004/12/30