Comparison of effect of electroacupuncture and nefopam for prevention of postanesthetic shivering in patients undergoing urologic operation under spinal anesthesia
| Autor: | Min-Sub Hwang, Jun-Ho Hong, Su Jin Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Mean arterial pressure
medicine.medical_specialty animal structures Electroacupuncture medicine.medical_treatment Hemodynamics shivering lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Nefopam 030202 anesthesiology Heart rate electroacupuncture medicine nefopam spinal anesthesia Clinical Research Article business.industry Postanesthetic shivering medicine.disease Surgery Anesthesiology and Pain Medicine lcsh:Anesthesiology Anesthesia Shivering medicine.symptom Complication business 030217 neurology & neurosurgery medicine.drug |
| Zdroj: | Korean Journal of Anesthesiology, Vol 69, Iss 6, Pp 579-586 (2016) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | Background Shivering during spinal anesthesia is a frequent complication and is induced by the core-to-peripheral redistribution of heat. Nefopam has minimal side effects and prevents shivering by reducing the shivering threshold. Electroacupuncture is known to prevent shivering by preserving the core body temperature. We compared the efficacies of electroacupuncture and nefopam for the prevention of shivering during spinal anesthesia. Methods Ninety patients scheduled for elective urological surgery under spinal anesthesia were enrolled in the study. Patients were randomly divided into the control group (Group C, n = 30), the electroacupuncture group (Group A, n = 30), and the nefopam group (Group N, n = 30). Groups C and A received 100 ml of isotonic saline intravenously for 30 minutes before spinal anesthesia, while Group N received nefopam (0.15 mg/kg) mixed in 100 ml of isotonic saline. Group A received 30 minutes of electroacupuncture before receiving anesthesia. Shivering scores, mean arterial pressure, heart rate, body temperature and side effects were recorded before, and at 5, 15, 30, and 60 minutes after spinal anesthesia. Results The incidence of postanesthetic shivering was significantly lower in Group N (10 of 30) and Group A (4 of 30) compared with that in Group C (18 of 30)(P < 0.017). Body temperature was higher in Group N and Group A than in Group C (P < 0.05). Hemodynamic parameters were not different among the groups. Conclusions By maintaining body temperature during spinal anesthesia, electroacupuncture is as effective as nefopam in preventing postanesthetic shivering. |
| Databáze: | OpenAIRE |
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