Roheena Wadud, Laiba Ajmal, Muhammad Kamran Khan, Atta Muhammad Khan.
To Compare the Efficacy of Tramadol and Pethidine for Control of Intraoperative Shivering under Spinal Anaesthesia in Elective Caesarian Section.
Ophthalmol Update Jan ;14(4):173-6.

To compare the efficacy of Tramadol and Pethidine for control of intra-operative shivering under spinal anaesthesia in elective Caeserian section. Methodology: This double blind randomized study was carried out in Anaesthesia Department, Lady Reading hospital / MTI Peshawar from January 2015 to May 2015. Pregnant women undergoing caesarean section, who developed shivering following spinal anaesthesia with hyperbaric 7.5% bupivacaine were included in the study. All patients were randomly divided in two groups I & II. Group I received 1% tramadol 1mg/kg slow i/v and group II received 1% pethidine 1mg/kg slow i/v. The disappearance of shivering were assessed. Results: stoppage of shivering took 10minutes in tramadol group while 20 minutes in pethidine group. P=0.03. Conclusion: Tramadol is a more effective agent than Pethidine in the treatment of post spinal shivering with lower side effects in obstetric patients.

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