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Research Article | Volume 13 Issue:4 (, 2023) | Pages 176 - 182
Comparing the Effects of Low Dose of Ketamine, Tramadol and Ondansetron in Prevention of Post Spinal Anesthesia Shivering in Cesarean Section in Rural northern Indian population
Under a Creative Commons license
Open Access
Received
June 11, 2023
Revised
June 28, 2023
Accepted
July 12, 2023
Published
July 31, 2023
Abstract

Background: Shivering is a frequent side effect in cesarean section (CS) after spinal anesthesia (SA). Pethidine has been considered as the gold standard for post – SA shivering control, but it is contraindicated in breastfeeding women. Methods: This randomized double-blind study was conducted at SDH Hospital Nowshera Rajouri (J&K), from June 2022 to Dec 2022. A total of 160 eligible term parturient women were enrolled and randomly divided into four groups of low dose ketamine (K) tramadol (T), ondansetron (O) and placebo (P). The incidence and severity of shivering and patients’ complication were recorded and compared among the groups. Results: The demographic data of the patients in all the groups was comparable. Shivering was seen in 21 (52.50%) ,8 (20.0%), 24 (60.0), 26 (65.0) in K, T, O and P groups respectively (P<0.0001) Regarding shivering severity that was significant difference among the four groups (P<0.0001) Conclusion – As there was high incidence of shivering in the placebo group prophylactic intervention is CS under SA seems to be necessary. Among the studied groups tramadol was the most effective one followed by a low dose of ketamine and ondansetron.

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