COMPARISON OF TRAMADOL HYDROCHLORIDE AND DEXMEDETOMIDINE FOR THE MANAGEMENT OF INTRA-OPERATIVE SHIVERING IN SUBJECTS UNDERGOING SPINAL ANAESTHESIA

Dr. Shraddha Naik, Dr. Ashutosh Bahulekar*

Krishna Institute of Medical Sciences Deemed to be University, Satara, Maharashtra, India

ABSTRACT

In the management of post-spinal shivering, pharmacological approaches involving a range of medications. in our research, we compared two readily available and effective medications, dexmedetomidine and tramadol hydrochloride, intravenously administered for treating shivering in subjects who received spinal anaethesia for different surgical interventions in the search for a more secure and efficacious medication. under spinal anaethesia, a comparison of tramadol hydrochloride and dexmedetomidine for the prevention of intra-operative shivering. a prospective, randomized study of 40 american society of anesthesiologists stage i and ii subjects of either sex, aged 21 to 65 years, who were scheduled for various surgical interventions under spinal anaethesia was performed. dexmedetomidine 1g/kg or tramadol hydrochloride 1mg/kg were given as a slow IV infusion over 5 minutes to the subjects, who were divided into two categories of 40 subjects each. shivering severity, onset, time to manage shivering, recurrence, and adverse results were all monitored at regular intervals. dexmedetomidine took 205.10 + 18.6 seconds to stop shivering, while tramadol hydrochloride took 413.24 + 16.45 seconds. only the tramadol hydrochloride category experienced nausea and vomiting. the sedation profiles of the two medications were similar. shivering caused by post-spinal anaethesia can be effectively managed with dexmedetomidine (1 g/kg) and tramadol hydrochloride (1 mg/kg). as compared to tramadol hydrochloride, dexmedetomidine takes less time to control shivering. it has an advantage over tramadol hydrochloride in that it has less side results such as nausea and vomiting.

Keywords:

Dexmedetomidine, Intra-operative shivering, Tramadol Hydrochloride