Tramadol in the treatment of postanesthetic shivering

Abstract

Tramadol's distinct features in the treatment of shivering reside in its high safety profile and weak sedative properties, particularly in patients with poor cardiorespiratory reserve, in outpatients and on recurrence of shivering.

Comparison of Ondansetron and Meperidine for Prevention of Shivering in Patients Undergoing Spinal Anesthesia

“…The incidence of shivering after volatile anesthetics is reported as 40% to 60%. 21,22 In the present study, the relatively low incidence of shivering (36%) in the control group may be the result of the effect of spinal anesthesia on the shivering threshold. The low incidence of shivering in the control group may also be attributable to diazepam premedication, which has an antishivering property.…”

Incidence of postoperative shivering comparing remifentanil with other opioids: a meta-analysis

“…In general, remifentanil is considered to increase the incidence of postoperative shivering compared with other opioids [1][2][3]. The incidence of postoperative shivering has been reported to range from 20% to 70% in previous studies of general anesthesia using remifentanil [4,5].…”

Nefopam and tramadol for the prevention of shivering during neuraxial anesthesia☆

“…It also inhibits serotonin and norepinephrine uptake in the spinal cord and is effective in the treatment of postoperative shivering after general and regional anesthesia. [11][12][13][14] No studies to date have investigated whether nefopam or tramadol help to prevent, rather than treat, intraoperative shivering after neuraxial anesthesia. The aim of this randomized, double-blind study was to evaluate the usefulness of intravenous (IV) nefopam and tramadol in reducing the frequency and severity of intraoperative shivering in patients undergoing neuraxial anesthesia for orthopedic surgery.…”