Mousumi Das - Academia.edu (original) (raw)

Mousumi Das

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PMAS Arid Agricultural university.Rawalpindi,Pakistan

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Research paper thumbnail of Effects of Intravenous Ketamine, Butorphanol and Fentanyl for the Management of Intraoperative Shivering under Spinal Anaesthesia- A Randomised Clinical Trial

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Introduction: Neuraxial block can cause intraoperative shivering. Though, so many drugs have been... more Introduction: Neuraxial block can cause intraoperative shivering. Though, so many drugs have been studied for treatment of shivering, none has been found ideal. N-methyl-Daspartate (NMDA) antagonist like ketamine, k-opioid receptor agonist butorphanol and µ receptors agonist fentanyl have shown antishivering effect but each one has its own demerits. Aim: To examine the efficacy of ketamine, butorphanol, and fentanyl in suppressing shivering under spinal anaesthesia in elective lower abdomen and lower limb surgery. Materials and Methods: The double-blind, randomised trial was conducted between June 2011 to September 2013. A total of 90 patients, posted for surgery under spinal anaesthesia, were randomly allocated into three groups of 30 each. After giving spinal anaesthesia, patients who developed shivering (grade 3 or more), lasting for more than 3 minutes, the study drugs were administered. Patients in Group I received ketamine (0.5 mg/ kg), Group II received butorphanol (0.02 mg/k...

Research paper thumbnail of Effects of Intravenous Ketamine, Butorphanol and Fentanyl for the Management of Intraoperative Shivering under Spinal Anaesthesia- A Randomised Clinical Trial

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

Introduction: Neuraxial block can cause intraoperative shivering. Though, so many drugs have been... more Introduction: Neuraxial block can cause intraoperative shivering. Though, so many drugs have been studied for treatment of shivering, none has been found ideal. N-methyl-Daspartate (NMDA) antagonist like ketamine, k-opioid receptor agonist butorphanol and µ receptors agonist fentanyl have shown antishivering effect but each one has its own demerits. Aim: To examine the efficacy of ketamine, butorphanol, and fentanyl in suppressing shivering under spinal anaesthesia in elective lower abdomen and lower limb surgery. Materials and Methods: The double-blind, randomised trial was conducted between June 2011 to September 2013. A total of 90 patients, posted for surgery under spinal anaesthesia, were randomly allocated into three groups of 30 each. After giving spinal anaesthesia, patients who developed shivering (grade 3 or more), lasting for more than 3 minutes, the study drugs were administered. Patients in Group I received ketamine (0.5 mg/ kg), Group II received butorphanol (0.02 mg/k...

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