post spainal sheivering. Other complications of anaesthesia
Conditions
Interventions
Intervention 1: In First group, we will inject 75 µg /kg of Midazolam IV. after clamping the umbilical cord. Intervention 2: In Second group, we will inject 0/5mg / kg of ketamine IV. after clamping t
Prevention
Placebo
In First group, we will inject 75 µg /kg of Midazolam IV. after clamping the umbilical cord.
In Second group, we will inject 0/5mg / kg of ketamine IV. after clamping the umbilical cord.
In Third group, we will inject 0/25mg / kg of ketamine and 37/5µg / kg midazolam IV. after clamping the umbilical cord.
In control group we will inject 2 cc of Normal saline 0/9% IV. after clamping the umbilical cord
Sponsors
Vice-chancellor for Research the Technology, Hamadan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 40 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: (a) Age 18-40 years and undergoing cesarean section; (b) ; physical status class I or II in accordance with anesthesia; (c) Term pregnancy (gestational age 36-40 weeks); (d) Singleton pregnancy. Exclusion criteria: (a) High-risk pregnancy; (b) Preeclampsia;(c) A history of cardiovascular disease, lung disease, mental, thyroid disease, diabetes mellitus type 1 and 2;(d) needs to blood or blood supply transfusion;(e) Fever over 38 ° C;(f) Drag over an hour during surgery;(g) A history of nausea and vomiting to Previous surgery;(h) Despite the decrease in body temperature or sheivering before the start of anesthesia due to fear or other reasons;(i) Patients with spinal anesthesia ban.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Shivering after spinal anesthesia in patients undergoing elective cesarean. Timepoint: Since spinal anesthesia or intravenous of midazolam, ketamine ,midazolam- ketamine or normal saline. Method of measurement: Shivering intensity divided by 4 score will be assessed.Grade zero: no Shivering . Grade1: mild fasciculation in the face and neck. Grade2: trembling visible muscle groups in more than one category. Grade 3: Zlany activity of the whole body is involved. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate. Timepoint: during the surgery and recovery. Method of measurement: Cardiac monitor.;Arterial blood oxygen saturation. Timepoint: during the surgery and recovery. Method of measurement: Pulse oximeter.;Hemodynamic instability. Timepoint: during the surgery and recovery. Method of measurement: Sphygmomanometer.;Hallucination. Timepoint: during the surgery and recovery. Method of measurement: Observation.;Sedation Score. Timepoint: during the surgery and recovery. Method of measurement: Ramsay score. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNasim Alipour
Fatemieh Hospital
Outcome results
None listed