Postoperative Management of Shivering: A Comparison of Pethidine vs. Ketamine
One of the unpleasant side effects of general anesthesia is shivering in the process of recovery. It is an involuntary oscillatory mechanical movement that can be classified as clonic movements. These movements can affect one or several groups of skeletal muscles beginning from 5 to 30 minutes after...
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| Published in | Anesthesiology and pain medicine Vol. 4; no. 2; p. e15499 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Kowsar
01.05.2014
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| Abstract | One of the unpleasant side effects of general anesthesia is shivering in the process of recovery. It is an involuntary oscillatory mechanical movement that can be classified as clonic movements. These movements can affect one or several groups of skeletal muscles beginning from 5 to 30 minutes after the discontinuation of anesthesia.
We aimed to study ketamine's effect on shivering after operation compared to pethidine as a way for treatment of postoperative shivering.
In this study, 60 patients who underwent ENT surgery with general anesthesia and had shivering during recovery were randomly divided into two groups of 30 patients each receiving ketamine (0.2 mg/kg IV) and pethidine (0.5 mg/kg).
There was no statistically significant difference between the shivering intensity in both groups. Only regarding the shivering in the first minute after entering the recovery room, there was an obvious difference between ketamine and pethidine groups which was again not statistically significant (P = 0.07).
The results of this study showed that ketamine and pethidine are both equally effective in the reduction of postoperative shivering. |
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| AbstractList | One of the unpleasant side effects of general anesthesia is shivering in the process of recovery. It is an involuntary oscillatory mechanical movement that can be classified as clonic movements. These movements can affect one or several groups of skeletal muscles beginning from 5 to 30 minutes after the discontinuation of anesthesia.
We aimed to study ketamine's effect on shivering after operation compared to pethidine as a way for treatment of postoperative shivering.
In this study, 60 patients who underwent ENT surgery with general anesthesia and had shivering during recovery were randomly divided into two groups of 30 patients each receiving ketamine (0.2 mg/kg IV) and pethidine (0.5 mg/kg).
There was no statistically significant difference between the shivering intensity in both groups. Only regarding the shivering in the first minute after entering the recovery room, there was an obvious difference between ketamine and pethidine groups which was again not statistically significant (P = 0.07).
The results of this study showed that ketamine and pethidine are both equally effective in the reduction of postoperative shivering. BACKGROUNDOne of the unpleasant side effects of general anesthesia is shivering in the process of recovery. It is an involuntary oscillatory mechanical movement that can be classified as clonic movements. These movements can affect one or several groups of skeletal muscles beginning from 5 to 30 minutes after the discontinuation of anesthesia. OBJECTIVESWe aimed to study ketamine's effect on shivering after operation compared to pethidine as a way for treatment of postoperative shivering. PATIENTS AND METHODSIn this study, 60 patients who underwent ENT surgery with general anesthesia and had shivering during recovery were randomly divided into two groups of 30 patients each receiving ketamine (0.2 mg/kg IV) and pethidine (0.5 mg/kg). RESULTSThere was no statistically significant difference between the shivering intensity in both groups. Only regarding the shivering in the first minute after entering the recovery room, there was an obvious difference between ketamine and pethidine groups which was again not statistically significant (P = 0.07). CONCLUSIONSThe results of this study showed that ketamine and pethidine are both equally effective in the reduction of postoperative shivering. |
| Author | Aghamohammadi, Davood Safari, Saeid Kolahdouzan, Khosro Golzari, Samad Ej Ostadi, Zohreh Eydi, Mahmood |
| AuthorAffiliation | 3 Faculty of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran 2 Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 1 Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran 4 Department of Anesthesiology, Rasoul Akram Medical Center, Iran University of Medical Sciences (IUMS), Tehran, Iran |
| AuthorAffiliation_xml | – name: 4 Department of Anesthesiology, Rasoul Akram Medical Center, Iran University of Medical Sciences (IUMS), Tehran, Iran – name: 3 Faculty of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran – name: 2 Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran – name: 1 Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran |
| Author_xml | – sequence: 1 givenname: Mahmood surname: Eydi fullname: Eydi, Mahmood organization: Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran – sequence: 2 givenname: Samad Ej surname: Golzari fullname: Golzari, Samad Ej organization: Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran – sequence: 3 givenname: Davood surname: Aghamohammadi fullname: Aghamohammadi, Davood organization: Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran – sequence: 4 givenname: Khosro surname: Kolahdouzan fullname: Kolahdouzan, Khosro organization: Faculty of Paramedical, Tabriz University of Medical Sciences, Tabriz, Iran – sequence: 5 givenname: Saeid surname: Safari fullname: Safari, Saeid organization: Department of Anesthesiology, Rasoul Akram Medical Center, Iran University of Medical Sciences (IUMS), Tehran, Iran – sequence: 6 givenname: Zohreh surname: Ostadi fullname: Ostadi, Zohreh organization: Department of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, Iran |
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| Cites_doi | 10.2147/NDT.S28231 10.1007/BF03005813 10.1097/00000542-199508000-00002 10.5681/jcvtr.2013.006 10.1213/01.ane.0000296458.16313.7c 10.1016/j.ijcard.2012.04.043 10.1093/bja/79.4.541 10.1213/ANE.0b013e3182884313 10.1097/00000542-195509000-00001 10.1111/j.1365-2044.1990.tb14709.x 10.1007/BF03006783 10.1097/00000542-199408000-00014 10.1016/j.jclinane.2012.11.014 10.1111/j.1365-2044.1995.tb06051.x 10.1097/CCM.0b013e31825b931e |
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| Keywords | Anesthesia Shivering Ketamine Pethidine Meperidine |
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| References | 7197479 - Anesth Analg. 1981 Oct;60(10):746-51 6035401 - Proc R Soc Med. 1967 Aug;60(8):752-3 22595812 - Int J Cardiol. 2013 Jun 20;166(2):289-93 4647160 - Can Anaesth Soc J. 1972 Sep;19(5):529-35 2334043 - Anaesthesia. 1990 Mar;45(3):252-3 13249099 - Anesthesiology. 1955 Sep;16(5):655-64 9389278 - Br J Anaesth. 1997 Oct;79(4):541-2 22890247 - Crit Care Med. 2012 Nov;40(11):3070-82 24251006 - J Cardiovasc Thorac Res. 2013;5(1):29-33 7618674 - Anaesthesia. 1995 Jun;50(6):550-2 624105 - Can Anaesth Soc J. 1978 Jan;25(1):43-9 22701323 - Neuropsychiatr Dis Treat. 2012;8:229-34 7631944 - Anesthesiology. 1995 Aug;83(2):241-9 23492962 - Anesth Analg. 2013 May;116(5):1123-32 23664773 - J Clin Anesth. 2013 Jun;25(4):275-80 25191370 - Tanaffos. 2011;10(3):12-9 18165565 - Anesth Analg. 2008 Jan;106(1):120-2, table of contents 8053586 - Anesthesiology. 1994 Aug;81(2):361-7 key-A15499R11-11 Soliman MG (key-A15499R14-14) 1972; 19 Vaughan MS (key-A15499R16-16) 1981; 60 Frank SM (key-A15499R18-18) 1995; 83 key-A15499R13-13 Cohen M (key-A15499R19-19) 1967; 60 Brunton L (key-A15499R9-9) 2010 Agamohamdi D (key-A15499R6-6) 2011; 27 key-A15499R7-7 Smith RM (key-A15499R15-15) 1955; 16 Sokouti M (key-A15499R4-4) 2011; 10 Bryant B (key-A15499R8-8) 2010 Pflug AE (key-A15499R21-21) 1978; 25 key-A15499R5-5 Wrench IJ (key-A15499R10-10) 1997; 79 Cheong KF (key-A15499R17-17) 1995; 50 key-A15499R3-3 key-A15499R2-2 Sharma DR (key-A15499R12-12) 1990; 45 key-A15499R1-1 Baker KZ (key-A15499R20-20) 1994; 81 |
| References_xml | – ident: key-A15499R3-3 doi: 10.2147/NDT.S28231 – start-page: 549 year: 2010 ident: key-A15499R9-9 publication-title: Goodman and Gilman's pharmacological basis of therapeutics. contributor: fullname: Brunton L – volume: 19 start-page: 529 issue: 5 year: 1972 ident: key-A15499R14-14 publication-title: Can Anaesth Soc J. doi: 10.1007/BF03005813 contributor: fullname: Soliman MG – year: 2010 ident: key-A15499R8-8 publication-title: Pharmacology for Health Professionals. contributor: fullname: Bryant B – volume: 83 start-page: 241 issue: 2 year: 1995 ident: key-A15499R18-18 publication-title: Anesthesiology. doi: 10.1097/00000542-199508000-00002 contributor: fullname: Frank SM – ident: key-A15499R5-5 doi: 10.5681/jcvtr.2013.006 – ident: key-A15499R7-7 doi: 10.1213/01.ane.0000296458.16313.7c – ident: key-A15499R1-1 doi: 10.1016/j.ijcard.2012.04.043 – volume: 27 issue: 4 year: 2011 ident: key-A15499R6-6 publication-title: Pakistan Journal of Medical Sciences. contributor: fullname: Agamohamdi D – volume: 79 start-page: 541 issue: 4 year: 1997 ident: key-A15499R10-10 publication-title: Br J Anaesth. doi: 10.1093/bja/79.4.541 contributor: fullname: Wrench IJ – ident: key-A15499R2-2 doi: 10.1213/ANE.0b013e3182884313 – volume: 60 start-page: 752 issue: 8 year: 1967 ident: key-A15499R19-19 publication-title: Proc R Soc Med. contributor: fullname: Cohen M – volume: 16 start-page: 655 issue: 5 year: 1955 ident: key-A15499R15-15 publication-title: Anesthesiology. doi: 10.1097/00000542-195509000-00001 contributor: fullname: Smith RM – volume: 45 start-page: 252 issue: 3 year: 1990 ident: key-A15499R12-12 publication-title: Anaesthesia. doi: 10.1111/j.1365-2044.1990.tb14709.x contributor: fullname: Sharma DR – volume: 25 start-page: 43 issue: 1 year: 1978 ident: key-A15499R21-21 publication-title: Can Anaesth Soc J. doi: 10.1007/BF03006783 contributor: fullname: Pflug AE – volume: 81 start-page: 361 issue: 2 year: 1994 ident: key-A15499R20-20 publication-title: Anesthesiology. doi: 10.1097/00000542-199408000-00014 contributor: fullname: Baker KZ – volume: 60 start-page: 746 issue: 10 year: 1981 ident: key-A15499R16-16 publication-title: Anesth Analg. contributor: fullname: Vaughan MS – ident: key-A15499R13-13 doi: 10.1016/j.jclinane.2012.11.014 – volume: 10 start-page: 12 issue: 3 year: 2011 ident: key-A15499R4-4 publication-title: Tanaffos. contributor: fullname: Sokouti M – volume: 50 start-page: 550 issue: 6 year: 1995 ident: key-A15499R17-17 publication-title: Anaesthesia. doi: 10.1111/j.1365-2044.1995.tb06051.x contributor: fullname: Cheong KF – ident: key-A15499R11-11 doi: 10.1097/CCM.0b013e31825b931e |
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| Snippet | One of the unpleasant side effects of general anesthesia is shivering in the process of recovery. It is an involuntary oscillatory mechanical movement that can... BACKGROUNDOne of the unpleasant side effects of general anesthesia is shivering in the process of recovery. It is an involuntary oscillatory mechanical... |
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| Title | Postoperative Management of Shivering: A Comparison of Pethidine vs. Ketamine |
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