Intrathecal meperidine versus intrathecal sufentanil for prevention of shivering in lower limb orthopedic surgeries under spinal anesthesia

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ABBASIVASH RAHMAN; SANE SHAHRYAR; Valizad Hasanlouee Mohamma Amin; NASIRI ALI AKBAR; Safir Hojjatollah

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Title

Intrathecal meperidine versus intrathecal sufentanil for prevention of shivering in lower limb orthopedic surgeries under spinal anesthesia

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Keywords

HypothermiaQ3

MeperidineQ2

sufentanilQ2

orthopedic surgeryQ2

shiveringQ2

spinal anesthesiaQ2

Abstract

the same as general anesthesia, affects the process of temperature regulation. The aim of this study was to compare the prophylactic effect intrathecal sufentanil with Meperidine on prevention of shivering during spinal anesthesia in patients underwent orthopedic surgery of the lower limb. Materials and methods: Ninety patients were randomly recruited to receive either 3 ml of 0. 5% hyperbaric bupivacaine plus 2μ g of sufentanil (Group S), or 3 ml of 0. 5% hyperbaric bupivacaine plus 0. 2 mg/kg of Meperidine (Group M), or 3 ml of 0. 5% hyperbaric bupivacaine plus normal saline (Group C). The incidence and intensity of shivering, blood pressure, heart rate and total intravenous Meperidine were compared in three groups. Findings: Total incidence of shivering was lower in study groups during surgery and recovery was significantly different between three groups (P=0. 03, P=0. 001). Also the intensity of shivering during surgery and recovery was significantly different between three groups (P = 0. 001, P=0. 01). Total dose of intravenous Meperidine was significantly lower in study groups versus control group (P=0. 03). There is not significant different in hemodynamic parameters between three groups. Concclusion: We concluded that intrathecal sufentanil and Meperidine can decrease intensity and incidence of shivering compared to control group as well as decreasing the requirement to additional doses of Meperidine for shivering the control without any hemodynamic side effect.

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APA: Copy

ABBASIVASH, RAHMAN, SANE, SHAHRYAR, Valizad Hasanlouee, Mohamma Amin, NASIRI, ALI AKBAR, & Safir, Hojjatollah. (2018). Intrathecal meperidine versus intrathecal sufentanil for prevention of shivering in lower limb orthopedic surgeries under spinal anesthesia. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 40(1 (101) ), 2-11. SID. https://sid.ir/paper/63420/en

Vancouver: Copy

ABBASIVASH RAHMAN, SANE SHAHRYAR, Valizad Hasanlouee Mohamma Amin, NASIRI ALI AKBAR, Safir Hojjatollah. Intrathecal meperidine versus intrathecal sufentanil for prevention of shivering in lower limb orthopedic surgeries under spinal anesthesia. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2018;40(1 (101) ):2-11. Available from: https://sid.ir/paper/63420/en

IEEE: Copy

RAHMAN ABBASIVASH, SHAHRYAR SANE, Mohamma Amin Valizad Hasanlouee, ALI AKBAR NASIRI, and Hojjatollah Safir, “Intrathecal meperidine versus intrathecal sufentanil for prevention of shivering in lower limb orthopedic surgeries under spinal anesthesia,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 40, no. 1 (101) , pp. 2–11, 2018, [Online]. Available: https://sid.ir/paper/63420/en

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