Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1391
2
1
gregorian
2012
5
1
26
2
online
1
fulltext
en
Intrathecal fentanyl for prevention of shivering in spinal anesthesia in cesarean section
Anesthesia
Anesthesia
Original Research
Original Research
<font size="3" face="Times New Roman"> </font><font face="Calibri"><font size="3"><b>Background:</b> Shivering is one of the common problems in spinal anesthesia. The objective of the present study was to evaluate the effect of intrathecal fentanyl (25 μg) on incidence and severity of intraoperative and postoperative shivering.<p></p></font></font><font size="3" face="Times New Roman"> </font><p style="TEXT-ALIGN: justify MARGIN: 0in 0in 10pt" class="MsoNormal"><font face="Calibri"><font size="3"><b>Methods:</b> A double-blind randomized controlled study was conducted in eighty healthy women (ASA Physical status I) scheduled for elective cesarean section under spinal anesthesia. Subjects were randomly divided into two equal groups. The patients received 12.5 mg (2.5ml) of 0.5% hyperbaric bupivacaine combined with 25 μg (0.5 ml) fentanyl in Group F as a study group and 12.5 mg (2.5ml) of 0.5 % hyperbaric bupivacaine combined with 0.5 ml normal saline in Group S as a control group. Incidence of shivering during 30 and 60 minutes of surgery and recovery and complications were evaluated.<p></p></font></font></p><font size="3" face="Times New Roman"> </font><font face="Calibri"><font size="3"><b>Results:</b> The total incidence of shivering in Group F was significantly lower than Group S (10% in group F 75% in group S, p< 0.0001). Almost all patients started shivering in the first hour after spinal anesthesia and the rate of shivering especially in second 30 minutes was higher than first 30 minutes in both groups. None in Group F but 22 patients (55%) in Group S had shivering during recovery and all of them reported shivering at the first 30 minute at recovery. The severity of shivering in Group F was significantly lower than Group S (p <0.0001).<p></p></font></font><font size="3" face="Times New Roman"> </font><p style="TEXT-ALIGN: justify MARGIN: 0in 0in 10pt" class="MsoNormal"><font size="3"><font face="Calibri"><b>Conclusion:</b> Intrathecal bupivacaine combined with fentanyl is associated with a lower incidence and severity of shivering.<p></p></font></font></p><font size="3" face="Times New Roman"> </font>
Shivering; Fentanyl; Spinal anesthesia; Cesarean section.
85
89
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-303&slc_lang=en&sid=1
Ali
Sadegh
hosp_arash@tums.ac.ir
20031947532846007489
20031947532846007489
No
Department of Anesthesiology, Arash Women’s Hospital, Tehran University of Medical Sciences, and, Imam Reza General Hospital, AJA (Artesh Jomhorie Eslami Iran) University of Medical Sciences, Tehran, Iran Tehran, Iran.
Nasrin
Faridi Tazeh-kand
nfaridi@sina.tums.ac.ir
20031947532846007490
20031947532846007490
Yes
Tehran University of Medical Sciences, Department of Anesthesiology, Arash Women’s Hospital, Rashid Ave., Resalat Highway, Tehranpars, Tehran, Iran.
Bita
Eslami
bita_i2001@yahoo.com
20031947532846007491
20031947532846007491
No
Research Promotion Center, Arash Women’s Hospital, Tehran University of Medical Sciences, Tehran, Iran.