Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2005-4-11
pubmed:abstractText
Physostigmine was studied for its efficacy in the prevention of postanaesthetic shivering compared to nefopam and placebo. We studied 89 patients undergoing abdominal and urological surgery. The study was randomised and double-blind, the patients received physostigmine 2 mg (n = 31), nefopam 10 mg (n = 30) or saline (n = 28). Haemodynamic parameters and temperature were measured at induction of anaesthesia (T0), and 5 min (T1), 15 min (T2), 30 min (T3) and 60 min (T4) after reaching the postanaesthetic care unit (PACU). Significantly less shivering occurred following administration of physostigmine and nefopam (9.7 and 3.3%) compared to placebo (53.6%). The degree of shivering was also significantly reduced following physostigmine and nefopam (p < 0.01). Extubation time, haemodynamic parameters and tympanic temperature were found to be similar in all groups. Aldrete score, duration of PACU stay and postoperative analgesic requirements did not differ between the groups. Only nefopam significantly (p < 0.01) reduced postoperative nausea and vomiting. Physostigmine is a safe alternative to nefopam, significantly reducing the incidence and severity of postanaesthetic shivering without affecting postanaesthetic recovery.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0003-2409
pubmed:author
pubmed:issnType
Print
pubmed:volume
60
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
433-8
pubmed:dateRevised
2011-8-11
pubmed:meshHeading
pubmed-meshheading:15819761-Adult, pubmed-meshheading:15819761-Aged, pubmed-meshheading:15819761-Analgesics, pubmed-meshheading:15819761-Anesthesia, General, pubmed-meshheading:15819761-Blood Pressure, pubmed-meshheading:15819761-Cholinesterase Inhibitors, pubmed-meshheading:15819761-Double-Blind Method, pubmed-meshheading:15819761-Drug Administration Schedule, pubmed-meshheading:15819761-Female, pubmed-meshheading:15819761-Heart Rate, pubmed-meshheading:15819761-Humans, pubmed-meshheading:15819761-Length of Stay, pubmed-meshheading:15819761-Male, pubmed-meshheading:15819761-Middle Aged, pubmed-meshheading:15819761-Nefopam, pubmed-meshheading:15819761-Physostigmine, pubmed-meshheading:15819761-Postoperative Complications, pubmed-meshheading:15819761-Severity of Illness Index, pubmed-meshheading:15819761-Shivering
pubmed:year
2005
pubmed:articleTitle
Physostigmine for the prevention of postanaesthetic shivering following general anaesthesia - a placebo-controlled comparison with nefopam.
pubmed:affiliation
Department of Anaesthesiology and Intensive Care Medicine, Klinkum Ludwigshafen, Germany. k.d.roehm@web.de <k.d.roehm@web.de>
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial, Retracted Publication