Magnesium sulfate intravenous infusion versus intrathecal injection for prevention of post-spinal shivering during lower limb fracture surgery: a randomized controlled study
نویسندگان
چکیده
Abstract Background Shivering is a prevalent adverse event after spinal anesthesia, often disturbing to medical staff and hazardous patients. Intravenous magnesium sulfate [MgSO 4 ] has been proven be effective in prevention of post-spinal shivering. However, the risk intravenous route develop hypermagnesemia certain patients encouraged us do this study order investigate effectiveness intrathecal MgSO as an alternative The enrolled 135 were allocated 3 groups, 45 each, groups: [T], IV infusion [M], control [C]. Group T (no. = 45) received 50 mg added heavy bupivacaine 0.5% intrathecally, while group M mg/kg 100 cc saline within 20 min loading dose then infused 2 mg/kg/h performing anesthesia. vital signs, duration shivering grades, temperature, effects recorded. Results groups showed significant difference from regard incidence with 40%, 26.7%, 64.4% for T, M, C respectively, needed rescue pethidine 17.7%, 11.1%, 60% C, (min) was 24.86 ± 7.411, 20.47 6.61, 36.2 respectively statistically insignificant between regards these parameters. Conclusions Intrathecal potentiality used regarding This makes advantage use at toxicity.
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ژورنال
عنوان ژورنال: Ain-Shams Journal of Anesthesiology
سال: 2021
ISSN: ['1687-7934', '2090-925X']
DOI: https://doi.org/10.1186/s42077-021-00147-5