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Role of butorphanol and ondansetron premedication in reducing postoperative shivering after general and spinal anesthesia: A randomized comparative study from North India.
Anesth Essays Res 2016 May-Aug; 10(2):319-23AE

Abstract

BACKGROUND

Postoperative shivering (PAS) is a common problem following general and spinal anesthesia and may lead to multiple complications. This placebo-controlled, randomized study was performed to evaluate the efficacy of Ondansetron and butorphanol premedication reduces shivering after general and spinal anaesthesia.

AIMS

The aim of this study to highlight the efficacy of Butorphenol and ondosteron in controlling postoperative shivering.

MATERIALS AND METHODS

This clinical trial included 180 patients scheduled for elective general surgery, E.N.T., Ophthamological operations, randomly divided to six groups. Three groups in which General Anaesthesia was used i.e. Group 1-ondansetron 8 mg intravenously(IV).Group 2 butorphanol 2 mg IV and Group 3 - saline 4 ml IV. And three groups where spinal Anaesthesia was used i.e. Group 4-Ondosteron 8 mg IV, Group 5 butorphanol 2 mg IV and Group 6 - saline 4 ml IV 3-5 minutes before anaesthesia. Patients were observed in terms of vital signs, side effects and shivering.

SETTINGS AND DESIGN

The type of the study was double blind randomized trial.

STATISTICAL ANALYSIS USED

Statistical Package for Social Sciences version 13.0 statistical analysis software.

RESULTS

Postoperative shivering was observed in 15.5%, 22.2% and 60% in general anaesthesia groups I II and III respectively. The reduction of core and dermal temperature during the anaesthesia and recovery, changes in systolic and diastolic blood pressure and heart rate were similar in all three groups (i.e. Group I,II,III). In spinal anaesthesia groups, PAS occurred 10%, 13.3% and 43.3% in group IV, V, VI respectively. The reduction of core temperature is similar in all three groups of spinal anaesthesia. But heart rate and mean arterial pressure increase were significant in control saline group in post operative recovery time. No complication seen in any of the six groups.

CONCLUSION

This study suggested that use of Butorphanol and Ondansteron both are effective in reducing the incidence of PAS after general and spinal anaesthesia.

Authors+Show Affiliations

Department of Anaesthesia, MRA Medical College, Ambedkar Nagar, Uttar Pradesh, India.Department of General Surgery, MRA Medical College, Ambedkar Nagar, Uttar Pradesh, India.Department of Anaesthesia, MRA Medical College, Ambedkar Nagar, Uttar Pradesh, India.Department of ENT, MRA Medical College, Ambedkar Nagar, Uttar Pradesh, India.Department of Ophthamology, MRA Medical College, Ambedkar Nagar, Uttar Pradesh, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27212768

Citation

Rai, Sujeet, et al. "Role of Butorphanol and Ondansetron Premedication in Reducing Postoperative Shivering After General and Spinal Anesthesia: a Randomized Comparative Study From North India." Anesthesia, Essays and Researches, vol. 10, no. 2, 2016, pp. 319-23.
Rai S, Verma S, Pandey HP, et al. Role of butorphanol and ondansetron premedication in reducing postoperative shivering after general and spinal anesthesia: A randomized comparative study from North India. Anesth Essays Res. 2016;10(2):319-23.
Rai, S., Verma, S., Pandey, H. P., Yadav, P., & Patel, A. (2016). Role of butorphanol and ondansetron premedication in reducing postoperative shivering after general and spinal anesthesia: A randomized comparative study from North India. Anesthesia, Essays and Researches, 10(2), pp. 319-23. doi:10.4103/0259-1162.172724.
Rai S, et al. Role of Butorphanol and Ondansetron Premedication in Reducing Postoperative Shivering After General and Spinal Anesthesia: a Randomized Comparative Study From North India. Anesth Essays Res. 2016;10(2):319-23. PubMed PMID: 27212768.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of butorphanol and ondansetron premedication in reducing postoperative shivering after general and spinal anesthesia: A randomized comparative study from North India. AU - Rai,Sujeet, AU - Verma,Satyajeet, AU - Pandey,H P, AU - Yadav,Pramod, AU - Patel,Amit, PY - 2016/5/24/entrez PY - 2016/5/24/pubmed PY - 2016/5/24/medline KW - General anesthesia KW - ondansetron KW - postoperative shivering KW - spinal anesthesia SP - 319 EP - 23 JF - Anesthesia, essays and researches JO - Anesth Essays Res VL - 10 IS - 2 N2 - BACKGROUND: Postoperative shivering (PAS) is a common problem following general and spinal anesthesia and may lead to multiple complications. This placebo-controlled, randomized study was performed to evaluate the efficacy of Ondansetron and butorphanol premedication reduces shivering after general and spinal anaesthesia. AIMS: The aim of this study to highlight the efficacy of Butorphenol and ondosteron in controlling postoperative shivering. MATERIALS AND METHODS: This clinical trial included 180 patients scheduled for elective general surgery, E.N.T., Ophthamological operations, randomly divided to six groups. Three groups in which General Anaesthesia was used i.e. Group 1-ondansetron 8 mg intravenously(IV).Group 2 butorphanol 2 mg IV and Group 3 - saline 4 ml IV. And three groups where spinal Anaesthesia was used i.e. Group 4-Ondosteron 8 mg IV, Group 5 butorphanol 2 mg IV and Group 6 - saline 4 ml IV 3-5 minutes before anaesthesia. Patients were observed in terms of vital signs, side effects and shivering. SETTINGS AND DESIGN: The type of the study was double blind randomized trial. STATISTICAL ANALYSIS USED: Statistical Package for Social Sciences version 13.0 statistical analysis software. RESULTS: Postoperative shivering was observed in 15.5%, 22.2% and 60% in general anaesthesia groups I II and III respectively. The reduction of core and dermal temperature during the anaesthesia and recovery, changes in systolic and diastolic blood pressure and heart rate were similar in all three groups (i.e. Group I,II,III). In spinal anaesthesia groups, PAS occurred 10%, 13.3% and 43.3% in group IV, V, VI respectively. The reduction of core temperature is similar in all three groups of spinal anaesthesia. But heart rate and mean arterial pressure increase were significant in control saline group in post operative recovery time. No complication seen in any of the six groups. CONCLUSION: This study suggested that use of Butorphanol and Ondansteron both are effective in reducing the incidence of PAS after general and spinal anaesthesia. SN - 0259-1162 UR - https://www.unboundmedicine.com/medline/citation/27212768/Role_of_butorphanol_and_ondansetron_premedication_in_reducing_postoperative_shivering_after_general_and_spinal_anesthesia:_A_randomized_comparative_study_from_North_India_ L2 - http://www.aeronline.org/article.asp?issn=0259-1162;year=2016;volume=10;issue=2;spage=319;epage=323;aulast=Rai DB - PRIME DP - Unbound Medicine ER -