Shivering Control
Conditions
Brief summary
Aim of the study is comparing the effect of amino acid versus magnesium sulfate infusion on postoperative shivering in patients undergoing elective percutaneous nephrolithotomy surgery under general anesthesia.
Detailed description
A written informed consent was taken from the patients. Patients were assigned randomly to two groups (40 subjects each) to be anesthetized and infused with either an iv amino acid starting just before and during anesthesia (group A) or an iv magnesium sulphate starting just before and during anesthesia (group M) in the perioperative period.
Interventions
amino acid infusion 150 ml/kg/hr starting preoperative
magnesium sulphate bolus and infusion 60 mg/kg starting preoperative
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I-II who were listed for elective percutaneous nephrolithotomy PCNL surgery under general anesthesia.
Exclusion criteria
* Hepatic inefficiency * Renal inefficiency * Spinal anesthesia because of a different mechanism of hypothermia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative shivering grade | 2 hours postoperative | grading of shivering, in which shivering degree was assessed as 1 of 5 levels (0, 1, 2, 3, and 4), grade 0 lack of shivering, grade 1 slight shivering (inconsiderable yet apparent peripheral vasoconstriction), grade 2 medium level shivering (muscular activity in one muscle group only) grade 3 severe shivering (muscular activity in more than one muscle group without generalized shivering) and grade 4 generalized shivering. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shivering frequency | 2 hours postoperative | Number of shivering episodes in postoperative period |
| Blood loss volume | 2 hours postoperative | Assessing blood loss in surgical drains postoperative |
Countries
Egypt