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Intrathecal meperidine reduces intraoperative shivering during transurethral prostatectomy in elderly patients

Authors
 Duk-Hee Chun  ;  Hae Keum Kil  ;  Hyun-Joo Kim  ;  Chunghyun Park  ;  Kum-Hee Chung 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.59(6) : 389-393, 2010 
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY
ISSN
 2005-6419 
Issue Date
2010
Keywords
Anesthesia ; Meperidine ; Shivering ; Spinal
Abstract
BACKGROUND: Shivering is a frequent event during the perioperative period. We performed a prospective, randomized, double-blind study to determine whether intrathecal meperidine (0.2 mg/kg) decreases the incidence and intensity of shivering after spinal anesthesia for transurethral operations.

METHODS: Fifty patients scheduled for elective transurethral resection operations under spinal anesthesia were randomly allocated to two groups. Spinal anesthesia consisted of 0.5% hyperbaric bupivacaine 8 mg and, mperidine (0.2 mg/kg) (meperidine group) or, normal saline (saline group). Data collection, including sensory block level (by pinprick), blood pressure, heart rate, sublingual temperature, incidence and intensity of shivering, pruritus, nausea, and vomiting was performed at 10 minute intervals.

RESULTS: The incidence and intensity of shivering was significantly less in the meperidine group than saline group (P = 0.012 and P = 0.008, for incidence and intensity, respectively). However, pruritus was more common in the meperidine group compared with the saline group (16% vs. 0%, P < 0.05).

CONCLUSIONS: The addition of meperidine 0.2 mg/kg to intrathecal bupivacaine lowers the incidence and severity of shivering during transurethral prostatectomy in elderly patients
Files in This Item:
T201005075.pdf Download
DOI
10.4097/kjae.2010.59.6.389
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kil, Hae Keum(길혜금)
Kim, Hyun Joo(김현주C)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102974
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