Journal ID : CJOHNS-23-05-2024-11448
[This article belongs to Volume - 55, Issue - 06]

Title : A STUDY OF DEGREE AND INCIDENCE OF SHIVERING IN PATIENTS RECEIVING POST-OPERATIVE DRUGS LIKE KETAMINE AND TRAMADOL

Abstract :

We have carried out this prospective study to assess the severity and frequency of shivering in patients receiving post-operative medications such as ketamine and tramadol. A prospective study with an institutional focus was carried out at the Rai Medical College Teaching Hospital in Sargodha, Pakistan. The study population was the entire population who underwent surgery at the comprehensive specialty of Rai Medical College Teaching Hospital, Sargodha, Pakistan, between 1st August 2023 and January 30th 2024. Patients were divided into two groups: the K group (n = 50) received an intravenous prophylactic dose of ketamine, while the T group (n = 50) received Tramadol. After manually verifying that the data was complete and coding it, SPSS 23 was used for entering and evaluating the information. A chi-square test was run, and significant results were defined as p-values less than 0.05. Based on statistical analysis, 56% of participants belonged to Group I in the Tramadol group, and 62.1% of participants belonged to the Ketamine group (15–25 years of age). Patients in Group K were 31.4% male and 68.6% female, whereas patients in Group T were 23.8% male and 76.2% female. The ketamine group's preoperative baseline MAP and HR scores were 93.28 ± 6.61 and 82.02 ± 9.59, respectively. The tramadol group` mean scores were 94.2 ± 6.34 for MAP and 78.48 ± 10.64 for heart rate. 12% of participants in Group T and 80% of patients in Group K exhibited shivering following a 15-minute spinal anaesthesia. Shivering was seen in 12% of patients in Group T at 60 minutes, compared to 64% of participants in Group K with a significant <0.00. In the present investigation, it was concluded that there was a substantial amount of shivering in the tramadol and ketamine groups. It is concluded that frequency of shivering with tramadol is less than ketamine. A randomised controlled experiment using core temperature measurement should be conducted to reduce confounding variables.

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