Perbandingan Parasetamol dan Petidin sebagai Profilaksis Menggigil pada Pasien yang Menjalani Operasi dengan Anestesi Spinal di Rumah Sakit Umum Pusat Haji Adam Malik Medan

Abstract

Background: Shivering is known to be a common complication in patients undergoing surgery under neuraxial anesthesia. This study aims to determine the difference between intravenous paracetamol and intravenous pethidine as the prevention of shivering after spinal anesthesia. Methods: This study is a double-blind randomized controlled clinical trial. This research was conducted at Haji Adam Malik General Hospital, Medan. This study was conducted in August 2022. The study sample was patients with spinal anesthesia at the Haji Adam Malik General Hospital Medan who met the research criteria. Shivering scale was measured by Modified Crossley and Mahajan Scale (1-4).The number of subjects who met the inclusion criteria were 34 patients with 17 patients in the pethidine group and 17 in the paracetamol group. The data that will be collected is analyzed using the SPSS software program. Results: Of the 34 patients with 17 patients in the group receiving pethidine and 17 patients in the group receiving paracetamol. Furthermore, both groups were randomized to obtain a balanced group of 17 patients in each group. In this study, the degree of shivering in the paracetamol and pethidine groups did not show a statistically significant difference with the value (p = 0.19), although the highest degree of shivering was found in the paracetamol group with a score of 2 (significant shivering in the chest muscles). ) of 17.6% while in the pethidine group, the highest score was 1 (intermittent and mild shivering in the jaw and neck muscles). Conclusion: the role of paracetamol and pethidine as shivering prophylaxis showed the same effect in preventing shivering.