Abstract:
Postoperative shivering control without lengthening recovery time and worsening cardiovascular system
is important and necessary. The main objective of the present study was to evaluate the efficiency of
Meperidine and Oxycodone in preventing shivering in patients who underwent inguinal hernia repair
with spinal anesthesia. The present study consisted of patients with herniorrhaphy in the Fatemi and Imam
Hospital of Ardabil who were studied through a double-blind clinical trial. with spinal anesthesia from
2017 through 18. In the study110 cases with hernia were included. In both studied groups of Meperidine
or oxycodone, patients were allocated randomly. Interventions began half an hour before spinal anesthesia
in the operating room. Each groups had their own structured treatment plan so that the first and the second
groups received 5 mg of oxycodone and placebo respectively. After the patients being stable, Meperidine
0.4 mg/kg (2 CC) was injected to the second group following the spinal anesthesia. Normal saline (2
CC) injected to the first group as placebo. Patients were evaluated for shivering, nausea, vomiting and
other complications up to 4 hours after surgery. After the operation, an uninformed questioner asked
for shivering, nausea and vomiting and other complications of the operation, including dizziness and
headache, for up to 4 hours (at intervals of 0, 2 and 4 hours), filling the relevant questionnaire and then
the data were entered into SPSSv 21 and analyzed using Chi Square, T test and Fisher exact tests. A
significance Level of 0.05 was considered for all the tests. The incidence of shivering in the oxycodone
group at zero time (in recovery room) was significantly lower than the Meperidine group. But in other
times, oxycodone had no significant effect on shivering compared to Meperidine. In both studied groups,
there was not significant differences between rate of nausea and vomiting. We showed that oxycodone
pills immediately after surgery may reduce the incidence of shivering significantly and also effective in
shivering control as much as Meperidine at the other times of recovery.
Keywords:
Spinal anesthesia
,
Shivering
,
Oxycodone tablets
,
Meperidine injections
,
Inguinal herniorrhaphy