Comparison of the effectiveness of dexmedetomidine, meperidine and ketamine in the prevention of
postoperative shivering.
ACTA ACUST UNITED AC 2016;
63:505-512. [PMID:
27062174 DOI:
10.1016/j.redar.2016.02.006]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Revised: 01/18/2016] [Accepted: 02/12/2016] [Indexed: 11/23/2022]
Abstract
OBJECTIVE
To compare the prophylactic effectiveness of dexmedetomidine, meperidine, and ketamine for postoperative shivering.
MATERIALS AND METHODS
A randomized, controlled, double-blind, clinical trial, including 160 patients (ASA I - II) undergoing surgical procedures under general anaesthesia for longer than one hour. They were randomly assigned to four groups to receive a single intravenous dose: Dexmedetomidine 1ug/kg (group A, n=33), meperidine 0.4mg/kg (group B, n=38), ketamine 0.5mg/kg (groupC, n=40), or 0.9% saline solution (group D, n=45), administered 20min before the skin suture. To avoid bias, the anaesthetic induction and maintenance technique, as well as postoperative follow-up was standardised.
RESULTS
For any level of shivering, the greatest incidence was observed in the placebo group (47%) (P<.01). The greatest effect on shivering level 3 and 4 occurred in the placebo group (22% and 18%, respectively). For levels 3 and 4 during follow-up, there was not a single case of shivering at any time in the meperidine group (P<.01). The placebo group (38%) had the highest proportion of patients requiring treatment for post-operative shivering (P<.01).
CONCLUSION
Meperidine given intravenously in a single dose of 0.4mg/kg is a useful means for preventing postoperative shivering.
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