INTRATHECAL DEXMEDETOMIDINE OR MEPERIDINE FOR POST-SPINAL SHIVERING
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2173-2177
AbstractBackground: Spinal anesthesia has been widely used to provide anesthesia and analgesia for cesarean section, which allows a patient to remain awake for the birth of her baby while avoiding the risks of general anesthesia. Hence; the present study was conducted for assessing the efficacy of Intrathecal Dexmedetomidine or Meperidine for Post-spinal Shivering.
Materials and methods: 40 Healthy subjects scheduled for caesarean delivery under CSEA were eligible for the present study and were broadly divided into two study groups as follows: Dexmedetomidine group (Group 1, n=20) and meperidine group (Group 2, n=20). Complete demographic and clinical details of all the subjects were obtained. C section was performed at L3-4 or L2-3 interspace. If primiparas shivered before cord clamping, dexmedetomidine 0.5 µg/kg or meperidine 0.5 mg/kg was administered intravenously. If shivering lasted more than 15 min, the treatment was considered invalid. If treatments were not effective, 4 mg ondansetron could be administered intravenously as a rescue medicine
Results: Incidence of shivering was similar among both the study groups. However; incidence of nausea and vomiting was significantly higher among subjects of group 2.
Conclusion: Both Dexmedetomidine and Meperidine had similar effect on Post-spinal Shivering.
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