Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2001-4-20
pubmed:abstractText
In most operating and recovery rooms, shivering is controlled by the use of humidifiers, warming blankets, and inhalation of humidified heated oxygen. However, pharmacological control is an effective alternate treatment modality. This randomized, double-blind trial, conducted in 30 ASA Grade 1 or 2 patients, was designed to explore the efficacy of tramadol and pethidine in the treatment of post-anaesthetic shivering. Tramadol is an inhibitor of the re-uptake of serotonin (5-hydroxytryptamine) and norepinephrine in the spinal cord. This facilitates 5-hydroxytryptamine release, which influences thermoregulatory control. We compared the efficacy of tramadol with that of pethidine, presently a widely used drug for the control of shivering. Patients received either tramadol 1 mg/kg or pethidine 0.5 mg/kg intravenously and the grade of shivering, pulse rate, blood pressure and respiratory rate were observed every 10 minutes after injection for one hour Shivering was significantly more likely to have ceased in the tramadol group (12 of 15 versus 4 of 15 cases, P<0.05) at 10 minutes after drug administration and this control was better sustained. No patients receiving tramadol had a recurrence of shivering. It is concluded that intravenous tramadol 1 mg/kg is more effective for the treatment of postoperative shivering than pethidine 0.5 mg/kg.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0310-057X
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
149-54
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:11314834-Adult, pubmed-meshheading:11314834-Analgesics, Opioid, pubmed-meshheading:11314834-Anesthesia, pubmed-meshheading:11314834-Anesthesia Recovery Period, pubmed-meshheading:11314834-Blood Pressure, pubmed-meshheading:11314834-Body Temperature, pubmed-meshheading:11314834-Double-Blind Method, pubmed-meshheading:11314834-Female, pubmed-meshheading:11314834-Humans, pubmed-meshheading:11314834-Injections, Intravenous, pubmed-meshheading:11314834-Male, pubmed-meshheading:11314834-Meperidine, pubmed-meshheading:11314834-Middle Aged, pubmed-meshheading:11314834-Norepinephrine, pubmed-meshheading:11314834-Postoperative Complications, pubmed-meshheading:11314834-Prospective Studies, pubmed-meshheading:11314834-Pulse, pubmed-meshheading:11314834-Serotonin Uptake Inhibitors, pubmed-meshheading:11314834-Shivering, pubmed-meshheading:11314834-Tramadol
pubmed:year
2001
pubmed:articleTitle
Tramadol for postoperative shivering: a double-blind comparison with pethidine.
pubmed:affiliation
Unit of Anesthesiology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansani Nagar, New Delhi.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial