E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering

Nischala Dixit, Usha Sastry, Arpana Kedlaya, Ch M Puneeth, Aashish Dilip Rayapati.

Abstract
Shivering is one of the undesirable and distressing complications following regional anaesthesia, which increases physiological stress. This study aimed to compare the efficacy of intravenous (IV) Dexmedetomidine to Pethidine in treating shivering following subarachnoid block.
Materials and methods: 60 patients with the American Society of Anaesthesiologists' physical status 1 and 2 posted for lower limbs surgeries under spinal anaesthesia were divided into groups P and D. Patients in Group P and Group D received IV Pethidine 0.5 mg/kg and 0.25µg/kg of IV Dexmedetomidine. Temperature, heart rate and blood pressure were monitored intraoperatively. Also, the time for onset, severity and cessation of shivering was monitored during the intraoperative period.
Results: The time taken for cessation of shivering in Pethidine and Dexmedetomidine groups were 3.53 and 3.00 min, respectively, with a p-value of 0.441, which was not statistically significant. There was no significant change in haemodynamics in the dexmedetomidine group compared to the pethidine group.
Conclusion: Intravenous Dexmedetomidine, when used at a dose of 0.25µg/kg, was non-inferior to pethidine in reducing shivering associated with a neuraxial block during lower limb surgeries with minimal haemodynamic changes and without any major adverse effect during the perioperative period.

Key words: Spinal anaesthesia, Shivering, Pethidine, Dexmedetomidine


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Nischala Dixit
Articles by Usha Sastry
Articles by Arpana Kedlaya
Articles by Ch M Puneeth
Articles by Aashish Dilip Rayapati
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Dixit N, Sastry U, Kedlaya A, Puneeth CM, Rayapati AD. Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. Int J Surg Med. 2022; 8(2): 14-18. doi:10.5455/ijsm.136-1619062239


Web Style

Dixit N, Sastry U, Kedlaya A, Puneeth CM, Rayapati AD. Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. https://www.ejos.org/?mno=75388 [Access: August 21, 2022]. doi:10.5455/ijsm.136-1619062239


AMA (American Medical Association) Style

Dixit N, Sastry U, Kedlaya A, Puneeth CM, Rayapati AD. Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. Int J Surg Med. 2022; 8(2): 14-18. doi:10.5455/ijsm.136-1619062239



Vancouver/ICMJE Style

Dixit N, Sastry U, Kedlaya A, Puneeth CM, Rayapati AD. Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. Int J Surg Med. (2022), [cited August 21, 2022]; 8(2): 14-18. doi:10.5455/ijsm.136-1619062239



Harvard Style

Dixit, N., Sastry, . U., Kedlaya, . A., Puneeth, . C. M. & Rayapati, . A. D. (2022) Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. Int J Surg Med, 8 (2), 14-18. doi:10.5455/ijsm.136-1619062239



Turabian Style

Dixit, Nischala, Usha Sastry, Arpana Kedlaya, Ch M Puneeth, and Aashish Dilip Rayapati. 2022. Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. International Journal of Surgery and Medicine, 8 (2), 14-18. doi:10.5455/ijsm.136-1619062239



Chicago Style

Dixit, Nischala, Usha Sastry, Arpana Kedlaya, Ch M Puneeth, and Aashish Dilip Rayapati. "Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering." International Journal of Surgery and Medicine 8 (2022), 14-18. doi:10.5455/ijsm.136-1619062239



MLA (The Modern Language Association) Style

Dixit, Nischala, Usha Sastry, Arpana Kedlaya, Ch M Puneeth, and Aashish Dilip Rayapati. "Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering." International Journal of Surgery and Medicine 8.2 (2022), 14-18. Print. doi:10.5455/ijsm.136-1619062239



APA (American Psychological Association) Style

Dixit, N., Sastry, . U., Kedlaya, . A., Puneeth, . C. M. & Rayapati, . A. D. (2022) Efficacy of Dexmedetomidine in comparison to Pethidine for post spinal shivering. International Journal of Surgery and Medicine, 8 (2), 14-18. doi:10.5455/ijsm.136-1619062239