Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: o Age 19 – 60 years old o American society of anesthesia physiological status (ASA) I and II. o All lower limb surgeries under spinal anesthesia lasting not more than 2 hours. o Both male and female gender.
Exclusion criteria
Exclusion criteria: o Contraindication to neuro-axial block as patient refusal, infection at site of injection, bleeding disorders, neuropsychiatric disorders, sepsis, hypotension. o Allergy to opioids or local anesthetics. o Chronic opioid use or other drugs that alter pain perception. o Failure of spinal anesthesia requiring general anesthesia. o Patients of BMI >35 o Intraoperative blood loss > 30% of blood volume. o Spinal deformities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compare the prevalence of intra-operative shivering in both groups (intrathecal tramadol and intravenous tramadol) after spinal anesthesia. | — |
Secondary
| Measure | Time frame |
|---|---|
| • Intra-operative hemodynamics., HR,BP, temperature;postoperative shivering, its timing, duration and score;postoperative analgesic requirement;postoperative hemodynamics;time, duration and score of intraoperative shivering | — |
Countries
Egypt
Contacts
proffessor and head of department of anethesia and ICU