Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1396
10
1
gregorian
2018
1
1
9
2
online
1
fulltext
en
Comparison of preemptive effect of intravenous ketorolac versus meperidine on postoperative shivering and pain in patients undergoing cesarean section under spinal anesthesia: A prospective, randomized, double-blind study
Anesthesiology
Anesthesiology
Original Article
Original Article
<span style="font-size:14px;"><span style="font-family:times new roman;"><span style="color:#0000FF;"><strong><em>Background:</em></strong> </span>Pain and shivering are two unpleasant problems in postoperative period. Various techniques are used to alleviate the postoperative shivering and pain. We compared the preemptive prescription of a single dose of intravenous meperidine and ketorolac on postoperative pain and shivering in patients undergoing cesarean section with spinal anesthesia.<br>
<span style="color:#0000FF;"><strong><em>Methods</em></strong><em>:</em></span> One hundred and fifty patients who were scheduled for elective cesarean section under spinal anesthesia were randomly allocated to one of three study groups to receive either intravenous ketorolac (group K), meperidine (group M) or normal saline (group P). Time to first analgesic request, analgesic requirement in the first 24 hours after surgery, body tympanic temperature, hemodynamic variables and incidence of shivering were assessed as outcome variables.<br>
<span style="color:#0000FF;"><strong><em>Results:</em></strong> </span>There was no significant difference between meperidine and ketorolac groups in terms of prevalence of shivering, although both groups were different from the placebo group (p<0.04). The mean time to first analgesic request was longer in group k (3.8±1.4) and groups M (3.3±1.2) than in group P (2.1±0.8) hours (p<0.001).<br>
<span style="color:#0000FF;"><strong><em>Conclusions:</em></strong> </span>The preemptive prescription of a single dose of intravenous meperidine and ketorolac can provide a satisfying analgesia immediately after surgery and decrease shivering prevalence without any serious side effects.</span></span><br>
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shivering, ketorolac, meperidine, spinal anesthesia, cesarean section
151
157
http://caspjim.com/browse.php?a_code=A-10-754-1&slc_lang=en&sid=1
Marzieh Beigom
Khezri
mkhezri88@gmail.
100319475328460011954
100319475328460011954
Yes
Department of Anesthesiology , Faculty of Medicine, Qazvin University of Medical Sciences,Qazvin, Iran
Maryam Al-sadat
Mosallaei
m.mosallaei93@gmail.com
100319475328460011955
100319475328460011955
No
Department of Anesthesiology , Faculty of Medicine, Qazvin University of Medical Sciences,Qazvin, Iran
Mahdi
Ebtehaj
mhdebtehaj@yahoo.com
100319475328460011956
100319475328460011956
No
Department of Anesthesiology , Faculty of Medicine, Qazvin University of Medical Sciences,Qazvin, Iran
Navid
Mohammadi
nvmohammadi2017@gmail.com
100319475328460011957
100319475328460011957
No
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran