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Comparing Nalbuphine Alone to Dexmedetomidine-Nalbuphine for Intraoperative Shivering Control Under Spinal Anesthesia
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Author(s): N. V. Kanase (Vishwa Vidyapeeth, India), R. M. Mulla (Krishna Institute of Medical Sciences, India), Amruta Hippalgaonkar (Krishna Institute of Medical Sciences, India)and Khaled Saad (Assiut University, Egypt)
Copyright: 2024
Pages: 13
Source title:
Advancements in Clinical Medicine
Source Author(s)/Editor(s): P. Paramasivan (Dhaanish Ahmed College of Engineering, India), S. Suman Rajest (Dhaanish Ahmed College of Engineering, India), Karthikeyan Chinnusamy (Veritas, USA), R. Regin (SRM Instıtute of Science and Technology, India)and Ferdin Joe John Joseph (Thai-Nichi Institute of Technology, Thailand)
DOI: 10.4018/979-8-3693-5946-4.ch009
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Abstract
Intraoperative shivering under spinal anaesthesia might induce discomfort and perioperative problems. Drugs like dexmedetomidine and nalbuphine have been explored for shivering prevention and treatment. Nalbuphine alone and in combination with dexmedetomidine were tested for intraoperative shivering prevention and treatment. In a prospective, randomised controlled trial, 120 adult elective spinal anaesthesia patients participated. Two groups were randomly assigned: Group B received nalbuphine and dexmedetomidine, while Group A received nalbuphine alone. Shivering, hemodynamic stability, postoperative pain, and patient satisfaction were compared between groups. Group B had substantially less intraoperative shivering than Group A. Dexmedetomidine and nalbuphine were given to Group B. Group B had improved hemodynamic stability. No differences in postoperative pain levels were seen between groups.
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