Post Operative Management of Shivering: A Comparison Between the Efficacy of Tramadol and Pethidine
DOI:
https://doi.org/10.51253/pafmj.v76iSUPPL-8.14611Keywords:
Aged, Meperidine, Postoperative Shivering, Spinal Anesthesia, Tramadol, Transurethral Resection of ProstateAbstract
Objective: To compare improvement in shivering and frequency of adverse effects in geriatric patients undergoing trans-urethral resection of prostate (TURP).
Study Design: Quasi-experimental study.
Place and Duration of Study: Anesthesia Department of Combined Military Hospital, Sialkot, Pakistan from Jan 2025 to Dec 2025.
Methodology: A total of 860 patients were divided into Group-A (n=430) to receive IV Tramadol and Group-B (n=430) to receive IV Pethidine. The primary outcome measure was the improvement or prevention of postoperative shivering following administration of the study drug. The secondary outcome measure included the frequency of adverse effects associated with each medication.
Results: The overall frequency of postoperative shivering was significantly lower in the Tramadol Group where 41 patients (9.5%) developed shivering compared with 98 patients (22.8%) in the Pethidine Group (p<0.001) with the grade of shivering considerably more severe in the Pethidine than the Tramadol Group (p<0.001).
Conclusion: Overall, the findings of the present study are consistent with contemporary anesthesia literature demonstrating that Tramadol is an effective and safe pharmacologic agent for preventing postoperative shivering. In addition to its superior efficacy, Tramadol exhibited a more favorable safety profile compared with Pethidine, particularly with respect to respiratory depression, sedation, and hypotension.
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Copyright (c) 2026 Osamah Ahmed, Sabrina Ali, Mohsin Saleem, Akhtar Hussain, Khan Muhammad Yaqub, Raja Muhammad Nousherwan
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