| dc.description.abstract | Background: Shivering have adverse physiological effects and one common
complication after general anesthesia. The inoidence of shivering after general
anesthesia is approximately 40-60%. Overooming shivering becomes very
important. Meperidine drugs are widely used in different hospitals.Meperidine have
unweloome side effects, Ketamine is another alternative to overcome chills. Given
the procedures and the availability of ketamr-ne periphetal hospital easier. Has been
much research done, but I am anxious to investigate the effectiveness and side effects
of ketamine administration and meperidine as a therapy in the treatment of shivering
after general anesthesia.
Methods: The study used a double-blind randomized clinical fial
on 60patients. Patients were divided into two !troups A (ketamine 0.25 milligrarns /
kg / iv) and B (meperidine 0,4mg / kg / iv) / iv. Shivering was assessed using BSAS
score 5 points (0ll/2/3/4), when BSAS score> 1 is given the appropriate therapy
Envelopes received, said to be effective when BSAS score to 0. The side effects of
nausea and vomiting was assessed by a numerical scale 4 point ( 0lll2/3). The data
were anabrzed using independent T-test, Marm-Whitney test, Chi-square test,
Kolmogorov-Smirnov trvo sample test and Fisher's Exact with a significance level of
95o/o and p <0.05 was oonsidered statistically significant.
Results: In goup A was found 29 patients (93%) BSAS be 0, in pgoup B 20 patients
(70%), group A is more effective for the treatment of shivering after general
anesthesra, although not statistically significant fpr, 0.05). The side effects of nausea
and vomiting A group of 6 patients (6 7,A, goup B 12 patients
$0%) (p <0.05). Respiratory depression is not found grouped A.
Conclusion: administration of ketamine dose 0.25 mg lkg liv more effective than
meperidine dose 0-4 mg / kg / iv for the treatrnent of post-genera"l anesthetic
shivering, nausea, vomiting less in the ketamine group, and there is no respiratory
depression. | en_US |
