Jacobs Journal of Anesthesiology and Research

Comparison of Tramadol and Pethidine for Control Post- Spinal Shivering in Women Undergoing Cesarean Section at Khartoum Maternity Hospital in Sudan

Published on: 2018-08-28


Background: Shivering occurs during both general anesthesia and regional anesthesia, but it is more frequent and troublesome during regional anesthesia. Objective: To evaluate the efficacy and safety of tramadol in comparison to pethidine for control post- spinal shivering in women undergoing cesarean section at Khartoum Maternity Hospital. Methodology: It was an interventional prospective, double-blind clinical trial and hospital based study implemented during a time period of six month from (January to July 2013) in Khartoum Maternity Hospital. A total of 100 grade I & II pregnant ladies who scheduled for elective caesarean section under spinal anesthesia and subsequently developed shivering were included. The patients were randomly divided into 2 groups. Group A; 50 patients who received 0.50 mg/kg tramadol intravenously. Group B; 50 patients who received 0.5 mg/kg pethidine intravenously. Results: The incidence and severity of shivering, at 5, 15 and 30 minutes postoperatively was reduced significantly in Case Group A (tram dole). Five (10%) patients in the tramadol group and 19 (38.0%) patients in the pethidine group developed significant side effects (P = 0.02) Conclusion: Tramadol when used to control post- spinal shivering was shown to be effective, more potent, with less rates of recurrence and with less observed side effects than pecidine in decreasing post- spinal shivering.


Shivering; Tramadol; Pethidine; Spinal Anesthesia