\*Ketamine:\* Ketamine is a medication that can help reduce shivering by blocking certain nerve signals in the brain. It's like a "nerve blocker" that helps calm down the body's shivering response. \- \*Tramadol:\* Tramadol is a pain medication that can also help reduce shivering. It works by affecting the brain's temperature regulation centers, which helps to reduce the shivering response.
Post-spinal shivering is when a patient starts shaking or shivering after receiving spinal anesthesia. This can be uncomfortable and even scary for the patient. Using ketamine and tramadol to reduce post-spinal shivering can have several benefits, including: * Reduced discomfort and anxiety for the patient * Improved patient satisfaction * Reduced need for additional medications or interventions * Faster recovery times
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
250
Inj: Ketamine given to group K following spinal anesthesia
Inj Tramadol given to group T following spinal anesthesia
Liaquat National Hospital and Medical College
Karachi, Sindh, Pakistan
RECRUITINGLiaquat National Hospital and Medical College
Karachi, Sindh, Pakistan
RECRUITINGLiaquat National Hospital and Medical College
Karachi, Sindh, Pakistan
RECRUITINGShivering
Scale validated by crossley and mahajan Grade 0: No shivering Grade 1: Piloerection, peripheral vasoconstriction, peripheral cyanosis, or mild fasciculation of the face or neck, but no visible muscle activity Grade 2: Visible muscle activity in one muscle group Grade 3: Visible muscle activity in more than one muscle group Grade 4: Gross muscle activity involving the entire body
Time frame: 20 minutes to 12 hours
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