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Dexmedetomidine for the prevention of shivering during spinal anesthesia
PURPOSE: The aim of this study was to evaluate the effect of dexmedetomidine on shivering during spinal anesthesia. METHODS: Sixty patients (American Society of Anesthesiologists physical status I or II, aged 18-50 years), scheduled for elective minor surgical operations under spinal anesthesia with...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148462/ https://www.ncbi.nlm.nih.gov/pubmed/21876972 http://dx.doi.org/10.1590/S1807-59322011000700011 |
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author | Usta, Burhanettin Gozdemir, Muhammet Demircioglu, Ruveyda Irem Muslu, Bunyamin Sert, Huseyin Yaldız, Adnan |
author_facet | Usta, Burhanettin Gozdemir, Muhammet Demircioglu, Ruveyda Irem Muslu, Bunyamin Sert, Huseyin Yaldız, Adnan |
author_sort | Usta, Burhanettin |
collection | PubMed |
description | PURPOSE: The aim of this study was to evaluate the effect of dexmedetomidine on shivering during spinal anesthesia. METHODS: Sixty patients (American Society of Anesthesiologists physical status I or II, aged 18-50 years), scheduled for elective minor surgical operations under spinal anesthesia with hyperbaric bupivacaine, were enrolled. They were administered saline (group C, n = 30) or dexmedetomidine (group D, n = 30). Motor block was assessed using a Modified Bromage Scale. The presence of shivering was assessed by a blinded observer after the completion of subarachnoid drug injection. RESULTS: Hypothermia was observed in 21 patients (70%) in group D and in 20 patients (66.7%) in group C (p = 0.781). Three patients (10%) in group D and 17 patients (56.7%) in group C experienced shivering (p = 0.001). The intensity of shivering was lower in group D than in group C (p = 0.001). Time from baseline to onset of shivering was 10 (5-15) min in group D and 15 (5-45) min in group C (p = 0.207). CONCLUSION: Dexmedetomidine infusion in the perioperative period significantly reduced shivering associated with spinal anesthesia during minor surgical procedures without any major adverse effect during the perioperative period. Therefore, we conclude that dexmedetomidine infusion is an effective drug for preventing shivering and providing sedation in patients during spinal anesthesia. |
format | Online Article Text |
id | pubmed-3148462 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo |
record_format | MEDLINE/PubMed |
spelling | pubmed-31484622011-08-03 Dexmedetomidine for the prevention of shivering during spinal anesthesia Usta, Burhanettin Gozdemir, Muhammet Demircioglu, Ruveyda Irem Muslu, Bunyamin Sert, Huseyin Yaldız, Adnan Clinics (Sao Paulo) Clinical Science PURPOSE: The aim of this study was to evaluate the effect of dexmedetomidine on shivering during spinal anesthesia. METHODS: Sixty patients (American Society of Anesthesiologists physical status I or II, aged 18-50 years), scheduled for elective minor surgical operations under spinal anesthesia with hyperbaric bupivacaine, were enrolled. They were administered saline (group C, n = 30) or dexmedetomidine (group D, n = 30). Motor block was assessed using a Modified Bromage Scale. The presence of shivering was assessed by a blinded observer after the completion of subarachnoid drug injection. RESULTS: Hypothermia was observed in 21 patients (70%) in group D and in 20 patients (66.7%) in group C (p = 0.781). Three patients (10%) in group D and 17 patients (56.7%) in group C experienced shivering (p = 0.001). The intensity of shivering was lower in group D than in group C (p = 0.001). Time from baseline to onset of shivering was 10 (5-15) min in group D and 15 (5-45) min in group C (p = 0.207). CONCLUSION: Dexmedetomidine infusion in the perioperative period significantly reduced shivering associated with spinal anesthesia during minor surgical procedures without any major adverse effect during the perioperative period. Therefore, we conclude that dexmedetomidine infusion is an effective drug for preventing shivering and providing sedation in patients during spinal anesthesia. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2011-07 /pmc/articles/PMC3148462/ /pubmed/21876972 http://dx.doi.org/10.1590/S1807-59322011000700011 Text en Copyright © 2011 Hospital das Clínicas da FMUSP http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Science Usta, Burhanettin Gozdemir, Muhammet Demircioglu, Ruveyda Irem Muslu, Bunyamin Sert, Huseyin Yaldız, Adnan Dexmedetomidine for the prevention of shivering during spinal anesthesia |
title | Dexmedetomidine for the prevention of shivering during spinal anesthesia |
title_full | Dexmedetomidine for the prevention of shivering during spinal anesthesia |
title_fullStr | Dexmedetomidine for the prevention of shivering during spinal anesthesia |
title_full_unstemmed | Dexmedetomidine for the prevention of shivering during spinal anesthesia |
title_short | Dexmedetomidine for the prevention of shivering during spinal anesthesia |
title_sort | dexmedetomidine for the prevention of shivering during spinal anesthesia |
topic | Clinical Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148462/ https://www.ncbi.nlm.nih.gov/pubmed/21876972 http://dx.doi.org/10.1590/S1807-59322011000700011 |
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