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Archives of Anesthesiology and Critical Care، جلد ۱، شماره ۲، صفحات ۵۰-۵۴
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عنوان انگلیسی A Comparison of the Therapeutic Effect of Tramadol and Meperidine for Treatment of Shivering after Spinal Anesthesia in Elective Caesarean Section
چکیده انگلیسی مقاله Background: In most operating and recovery rooms, shivering is controlled by the use of humidifiers, warming blankets, and inhalation of humidified heated oxygen. However, pharmacological control is an effective alternative treatment modality. This study was designed to compare the efficacy of tramadol versus meperidine in the treatment of shivering after spinal anesthesia. Methods: In a double-blind randomized clinical trial, we studied 70 obstetric patients with ASA class I or II who had shivering following spinal anesthesia (SA) with 0.5% bupivacaine. All patients were randomly allocated to one of the two groups receiving tramadol 0.5 mg/kg (group T, n = 35), or meperidine 0.5 mg/kg (group M, n = 35). The onset of cessation of shivering, the efficacy of agents for treatment of shivering, hemodynamic variables, sedation score, pruritus, nausea and vomiting were assessed. Results: Shivering ceased after 2.57±2.26 and 6.24±4.76 minutes in group T and group M respectively (p=0. 03). The differences before and after injection of meperidine for the heart rate, respiratory rate and arterial oxygen saturation were significant (p< 0.001). Nausea and vomiting occurred significantly more frequently in the meperidine group compared to the tramadol group (p< 0.001). Conclusion: Tramadol is a more effective agent than meperidine in the treatment of post spinal shivering, with lower early side effects in obstetric patients. 
کلیدواژه‌های انگلیسی مقاله spinal anesthesia,tramadol,meperidine,shivering
نویسندگان مقاله ناهید منوچهریان | nahid manouchehrian
department of anesthesiology and critical care, fatemieh hospital, hamadan university of medical sciences, hamadan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (Hamadan university of medical sciences)

علی محمدیان | ali mohammadian
department of anesthesiology and critical care, ardebil university of medical sciences, ardebil, iran.


محمد صادق صنیع جهرمی | mohammad sadegh sanie jahromi
department of anesthesiology and critical care, jahrom university of medical sciences, jahrom, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی جهرم (Jahrom university of medical sciences)

نسرین فریدی تازه کند | nasrin faridi tazeh kand
department of anesthesiology and critical care, arash women’s hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

مهدی صنعت کار | mehdi sanatkar
department of anesthesiology and critical care, razi hospital, tehran university of medical sciences, tehran, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)

نشانی اینترنتی http://aacc.tums.ac.ir/index.php/aacc/article/view/15
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زبان مقاله منتشر شده en
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