The objective of this study is to compare the efficacy of prophylactic use of intravenous tramadol versus tramadol plus ketamine for prevention of shivering under spinal anaesthesia in lower segment caeserian section.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
190
Tramadol with Ketamine is being provided randomly using prospective, double-blind
Tramadol alone is being provided randomly using prospective, double-blind
Muhammad Arif
Karachi, Sindh, Pakistan
RECRUITINGIncidence of shivering
Muscular activity in one or more than one muscle group or involving the whole body will be labelled as shivering
Time frame: Patients will be monitored from 15-45 mins from the administration of the prophylactic drug
Severity of Shivering
Shivering will be graded as per the following criteria: 0= no shivering. 1. piloerection or peripheral vasoconstriction but no visible shivering. 2. muscular activity (visible muscular twitching) in only one muscle group; 3. muscular (visible muscular twitching) activity in more than one muscle group but not generalized. 4. shivering involving the whole body
Time frame: Patients will be monitored from 15-45 mins from the administration of the prophylactic drug
Time to shivering
The time to shiver will be defined as the duration from the initiation of the intervention until the onset of observable shivering.
Time frame: 15 mins from the administration of the prophylactic drug
Complications
Complications such as hypotension, nausea and vomiting, bradycardia, or hallucinations will be noted
Time frame: Patients will be monitored from 15-45 mins from the administration of the prophylactic drug
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.