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Efficacy of intravenous tramadol in the control of shivering following spinal anaesthesia for caesarean section.
Niger Postgrad Med J. 2016 Jul-Sep; 23(3):116-20.NP

Abstract

AIMS AND OBJECTIVES

The aim of this study was to evaluate the efficacy of intravenous tramadol in control of shivering in obstetric patients under spinal anaesthesia and to determine the minimal dose of tramadol that is effective.

PATIENTS AND METHODS

This was a prospective, randomised, double-blind, cross-sectional study of 144 pregnant women at term who had an indication for caesarean section. The patients were randomly allocated into three groups at the occurrence of shivering. Group T0.5 received 0.5 mg/kg of tramadol (n = 47), Group T0.25 received 0.25 mg/kg tramadol (n = 47) and Group TNS received 0.05 ml/kg of normal saline (n = 46). Statistical analysis was performed using Statistical Package for Social Sciences version 17.

RESULTS

There were no significant differences between the groups with regard to age, weight and duration of surgery. There was a statistically significant difference in the time of cessation of shivering after the treatment for various groups (P = 0.000). A total of 80.1% responded to the treatment in Group T0.5, while for Group T0.25 and TNS, a total of 44.7% and 4.3%, respectively, responded. There were statistically significant differences in the recurrence rates of shivering among the groups (P = 0.000).

CONCLUSION

Tramadol is effective in control of shivering during spinal anaesthesia in obstetric patients. Tramadol 0.5 mg/kg controlled shivering better than 0.25 mg/kg. Therefore, 0.5 mg/kg of tramadol can be used to manage shivering following caesarean section under spinal anaesthesia.

Authors+Show Affiliations

Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria.Department of Anaesthesia, Federal Medical Centre, Lokoja, Kogi State, Nigeria.Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27623721

Citation

Onyekwulu, Fidelis Anayo, et al. "Efficacy of Intravenous Tramadol in the Control of Shivering Following Spinal Anaesthesia for Caesarean Section." The Nigerian Postgraduate Medical Journal, vol. 23, no. 3, 2016, pp. 116-20.
Onyekwulu FA, Agu EE, Amucheazi AO. Efficacy of intravenous tramadol in the control of shivering following spinal anaesthesia for caesarean section. Niger Postgrad Med J. 2016;23(3):116-20.
Onyekwulu, F. A., Agu, E. E., & Amucheazi, A. O. (2016). Efficacy of intravenous tramadol in the control of shivering following spinal anaesthesia for caesarean section. The Nigerian Postgraduate Medical Journal, 23(3), 116-20. https://doi.org/10.4103/1117-1936.190343
Onyekwulu FA, Agu EE, Amucheazi AO. Efficacy of Intravenous Tramadol in the Control of Shivering Following Spinal Anaesthesia for Caesarean Section. Niger Postgrad Med J. 2016 Jul-Sep;23(3):116-20. PubMed PMID: 27623721.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of intravenous tramadol in the control of shivering following spinal anaesthesia for caesarean section. AU - Onyekwulu,Fidelis Anayo, AU - Agu,Edith Ebere, AU - Amucheazi,Adaobi Obianuju, PY - 2016/9/15/entrez PY - 2016/9/15/pubmed PY - 2018/8/24/medline SP - 116 EP - 20 JF - The Nigerian postgraduate medical journal JO - Niger Postgrad Med J VL - 23 IS - 3 N2 - AIMS AND OBJECTIVES: The aim of this study was to evaluate the efficacy of intravenous tramadol in control of shivering in obstetric patients under spinal anaesthesia and to determine the minimal dose of tramadol that is effective. PATIENTS AND METHODS: This was a prospective, randomised, double-blind, cross-sectional study of 144 pregnant women at term who had an indication for caesarean section. The patients were randomly allocated into three groups at the occurrence of shivering. Group T0.5 received 0.5 mg/kg of tramadol (n = 47), Group T0.25 received 0.25 mg/kg tramadol (n = 47) and Group TNS received 0.05 ml/kg of normal saline (n = 46). Statistical analysis was performed using Statistical Package for Social Sciences version 17. RESULTS: There were no significant differences between the groups with regard to age, weight and duration of surgery. There was a statistically significant difference in the time of cessation of shivering after the treatment for various groups (P = 0.000). A total of 80.1% responded to the treatment in Group T0.5, while for Group T0.25 and TNS, a total of 44.7% and 4.3%, respectively, responded. There were statistically significant differences in the recurrence rates of shivering among the groups (P = 0.000). CONCLUSION: Tramadol is effective in control of shivering during spinal anaesthesia in obstetric patients. Tramadol 0.5 mg/kg controlled shivering better than 0.25 mg/kg. Therefore, 0.5 mg/kg of tramadol can be used to manage shivering following caesarean section under spinal anaesthesia. SN - 1117-1936 UR - https://www.unboundmedicine.com/medline/citation/27623721/Efficacy_of_intravenous_tramadol_in_the_control_of_shivering_following_spinal_anaesthesia_for_caesarean_section_ L2 - http://www.npmj.org/article.asp?issn=1117-1936;year=2016;volume=23;issue=3;spage=116;epage=120;aulast=Onyekwulu DB - PRIME DP - Unbound Medicine ER -