بررسی مقایسه ای اثرات دوپرام و مپریدین در درمان لرز بعد از بیهوشی عمومی
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Abstract:
Postanesthesia shivering is a common complication occurring after general anesthesia. It has potentially adverse side effects, especially in high risk patients that their increased oxygen consumption is critical. Although the true cause of shivering is unknown, some believe that shivering is useful and beneficial for the patients, because it increases body temperature. We studied a total of 65 patients, 10-40 years. All of the patients were in physical status I and II and they received a balanced anesthesia. Upon development of significant shivering, patients were randomized into two groups receive either meperidine (0.35 mg/kg) or dopram(1.5mg/kg). After injection it was recorded whether the shivering stopped, and other factors such as HR, RR, BP, Temp (axillary), vomiting and the level of consciousness were documented. Percentage of patients whose shivering stopped was significantly higher among the patients receiving dopram than the other group (94% Vs 80%). On the other hand in patients receiving dopram shivering stopped earlier (22s Vs 42s). respiratory pattern, RR and level of consciousness had significantly better changes after dopram consumption. According to this study for treatment of postanesthesia shivering dopram is more useful than meperidine in most situations.
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Journal title
volume 5 issue 2
pages 0- 0
publication date 1998-09
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