Control of shivering during regional anaesthesia: prophylactic ketamine and granisetron

Sağır, Özlem; Gülhaş, Nurçin; Toprak, Hüseyin; Yücel, Aytaç; Begeç, Zekine; Ersoy, Özcan

doi:10.1111/j.1399-6576.2006.01196.x

Cited by 94 publications

(127 citation statements)

References 25 publications

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“…However, in this study, the incidence of shivering was 50% (in control group and at 30 min). In a study by Wason et al [12], the prevalence of shivering was 54% and was similar to that in the study of Sagir et al [17]. Although, Sia et al [18] reported the incidence of shivering as less in their study (40%), it was found in our study that the sensory block occurred with injections.…”

Section: Discussioncontrasting

confidence: 54%

Prophylactic Effect of Oral Clonidine and Tramadol in Postoperative Shivering in Lower Abdominal Surgery

Alijanpour¹,

Banihashem²,

Maleh³

et al. 2016

OJAnes

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Background and Objectives: Several drugs and methods are used to reduce postoperative shivering, the most common complications occurring after surgery. This study aimed to evaluate the effects of the oral Clonidine and Tramadol premedication in reducing postoperative shivering after spinal anesthesia. Materials and Methods: In this study, patients aged 20 -60 years, based on the American Society of Anesthesia functional class I (Anesthesiologists grade-1), were included in controlled double-blind clinical trials. Each was a candidate of a hydrocele, varicocele, and inguinal hernia under spinal anesthesia. The patients were assigned to three groups and 1 h prior to surgery, group A received 0.2 mg of Clonidine, group B received 50 mg of a Tramadol tablet, and group C received a placebo. We collected information on the severity of shivering, pain intensity levels (VAS score), duration of analgesia, and the patients' hemodynamic condition at base time of 5, 15, and 30 min and 1, 2, 4, and 6 h postoperatively. Results: The incidence of shivering was significantly lower in the Clonidine group than that in the other groups. Analgesia duration was significantly longer in the Clonidine group than that in the control group. In this study, side effects in different groups were not significantly different from each other. Conclusion: Results of this study showed that the oral administration of Clonidine can be effective in preventing the side effects and shivering after spinal anesthesia.

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Section: Discussioncontrasting

confidence: 54%

Prophylactic Effect of Oral Clonidine and Tramadol in Postoperative Shivering in Lower Abdominal Surgery

Alijanpour¹,

Banihashem²,

Maleh³

et al. 2016

OJAnes

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show abstract

“…However, none of our patient had tachycardia (H.R. >100 /min) or hypertension (BP >140 /90), findings of the present study corroborate well with the findings of Sagir O et al 12 In the present study the incidence of hypotension was 16% in midazolam, 7% in ketamine, 13 % in ketamine plus midazolam group. These findings are similar to the study done by Abdelrahman RS on prevention of shivering during regional anaesthesia.…”

Section: Discussionsupporting

confidence: 82%

“…bupivacaine. 12 But this incidence of shivering was reduced to zero in ketamine group in his study. While the present study shows 33% incidence in Ketamine group.…”

Section: Discussionmentioning

confidence: 99%

Prophylactic use of Midazolam, Ketamine, and Ketamine plus Midazolam for prevention of perioperative shivering during spinal anaesthesia in patients undergoing infraumbilical surgeries: a comparative study

Kumar

Singh

et al. 2017

Int J Res Med Sci

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Background: Shivering is a common problem faced by an anaesthesiologist during perioperative period. Shivering occurs during both general anaesthesia and regional anaesthesia but it is more troublesome during neuraxial anaesthesia. To evaluate the effectiveness of intravenous Midazolam, Ketamine and combination of Midazolam with Ketamine in control of shivering.Methods: The study was conducted in 90 ASA I and II patients receiving neuraxial anaesthesia with comparable dose of hyperbaric bupivacaine. The patients were allocated in three groups of 30 each to receive Midazolam 75 mcg/kg, ketamine 0.5 mg/kg and Midazolam 37.5 mcg/kg plus Ketamine 0.25 mg/kg IV after the appearance of shivering. Disappearance and recurrence of shivering as well as temperature and haemodynamics were recorded with scheduled intervals.Results: IV Midazolam plus Ketamine at the dose of 37.5 mcg/kg and 0.25 mg/kg is more effective in prophylaxis of shivering than IV Midazolam 75 mcg/kg or IV Ketamine 0.5 mg/kg. Small number of patients showed, clinically as well as statistically insignificant, incidence of hypotension, bradycardia and respiratory depression of various degrees at various time intervals.Conclusions: Thus, IV Midazolam plus Ketamine at the dose of 37.5 mcg/kg and 0.25 mg/kg IV is more effective in prophylaxis of shivering than IV Midazolam 75 mcg/kg or IV Ketamine 0.5 mg/kg following subarachnoid blockade for infra umbilical surgery. The side effects like Hypotension, nausea, vomiting and pruritus are also very less with combination and prove that it is a better agent for prophylaxis of shivering following regional anesthesia.

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“…Dal et al and Sagir et al reported that ketamine 0.5mg/kg prevented effectively postanesthetic shivering in patients receiving general anesthesia and spinal anesthesia respectively. 23,24 Whereas we used 0.25mg/kg of ketamine in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Its dosage to control shivering is usually 0.25-0.75mg/kg intravenously, with side effects like drowsiness, delirium, hallucination. 8 Dexmedetomidine acts as antishivering agent by means it being a α-2-adrenergic receptor agonist with potent effects on the central nervous system. 9 We carried out this study to compare between an intravenous low dose of ketamine and an intravenous infusion of dexmedetomidine for prevention of intraoperative shivering during spinal anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Dexmedetomidine Infusion Versus Intravenous Low-Dose Ketamine Injection In Preventing Intraoperative Shivering During Spinal Anesthesia: A Comparative Study

Reddy¹

2017

JMSCR

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Control of shivering during regional anaesthesia: prophylactic ketamine and granisetron

Abstract: The prophylactic use of 0.5 mg/kg i.v. ketamine was effective in preventing shivering developed during regional anaesthesia.

Cited by 94 publications

References 25 publications

Prophylactic Effect of Oral Clonidine and Tramadol in Postoperative Shivering in Lower Abdominal Surgery

Prophylactic Effect of Oral Clonidine and Tramadol in Postoperative Shivering in Lower Abdominal Surgery

Prophylactic use of Midazolam, Ketamine, and Ketamine plus Midazolam for prevention of perioperative shivering during spinal anaesthesia in patients undergoing infraumbilical surgeries: a comparative study

Dexmedetomidine Infusion Versus Intravenous Low-Dose Ketamine Injection In Preventing Intraoperative Shivering During Spinal Anesthesia: A Comparative Study

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