Dexmedetomidine for the prevention of shivering during spinal anesthesia

Detalhes bibliográficos
Autor(a) principal: Usta, Burhanettin
Data de Publicação: 2011
Outros Autores: Gozdemir, Muhammet, Demircioglu, Ruveyda Irem, Muslu, Bunyamin, Sert, Huseyin, Yaldiz, Adnan
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/19359
Resumo: PURPOSE: The aim of this study was to evaluate the effect of dexmedetomidine on shivering during spinal anesthesia. METHODS: Sixty patients (American Society of Anesthesiologists physical status I or II, aged 18-50 years), scheduled for elective minor surgical operations under spinal anesthesia with hyperbaric bupivacaine, were enrolled. They were administered saline (group C, n = 30) or dexmedetomidine (group D, n = 30). Motor block was assessed using a Modified Bromage Scale. The presence of shivering was assessed by a blinded observer after the completion of subarachnoid drug injection. RESULTS: Hypothermia was observed in 21 patients (70%) in group D and in 20 patients (66.7%) in group C (p = 0.781). Three patients (10%) in group D and 17 patients (56.7%) in group C experienced shivering (p = 0.001). The intensity of shivering was lower in group D than in group C (p = 0.001). Time from baseline to onset of shivering was 10 (5-15) min in group D and 15 (5-45) min in group C (p = 0.207). CONCLUSION: Dexmedetomidine infusion in the perioperative period significantly reduced shivering associated with spinal anesthesia during minor surgical procedures without any major adverse effect during the perioperative period. Therefore, we conclude that dexmedetomidine infusion is an effective drug for preventing shivering and providing sedation in patients during spinal anesthesia.
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spelling Dexmedetomidine for the prevention of shivering during spinal anesthesia DexmedetomidineShiveringSpinal anesthesia PURPOSE: The aim of this study was to evaluate the effect of dexmedetomidine on shivering during spinal anesthesia. METHODS: Sixty patients (American Society of Anesthesiologists physical status I or II, aged 18-50 years), scheduled for elective minor surgical operations under spinal anesthesia with hyperbaric bupivacaine, were enrolled. They were administered saline (group C, n = 30) or dexmedetomidine (group D, n = 30). Motor block was assessed using a Modified Bromage Scale. The presence of shivering was assessed by a blinded observer after the completion of subarachnoid drug injection. RESULTS: Hypothermia was observed in 21 patients (70%) in group D and in 20 patients (66.7%) in group C (p = 0.781). Three patients (10%) in group D and 17 patients (56.7%) in group C experienced shivering (p = 0.001). The intensity of shivering was lower in group D than in group C (p = 0.001). Time from baseline to onset of shivering was 10 (5-15) min in group D and 15 (5-45) min in group C (p = 0.207). CONCLUSION: Dexmedetomidine infusion in the perioperative period significantly reduced shivering associated with spinal anesthesia during minor surgical procedures without any major adverse effect during the perioperative period. Therefore, we conclude that dexmedetomidine infusion is an effective drug for preventing shivering and providing sedation in patients during spinal anesthesia. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1935910.1590/S1807-59322011000700011Clinics; Vol. 66 No. 7 (2011); 1187-1191 Clinics; v. 66 n. 7 (2011); 1187-1191 Clinics; Vol. 66 Núm. 7 (2011); 1187-1191 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/19359/21422Usta, BurhanettinGozdemir, MuhammetDemircioglu, Ruveyda IremMuslu, BunyaminSert, HuseyinYaldiz, Adnaninfo:eu-repo/semantics/openAccess2012-05-23T16:36:08Zoai:revistas.usp.br:article/19359Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T16:36:08Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Dexmedetomidine for the prevention of shivering during spinal anesthesia
title Dexmedetomidine for the prevention of shivering during spinal anesthesia
spellingShingle Dexmedetomidine for the prevention of shivering during spinal anesthesia
Usta, Burhanettin
Dexmedetomidine
Shivering
Spinal anesthesia
title_short Dexmedetomidine for the prevention of shivering during spinal anesthesia
title_full Dexmedetomidine for the prevention of shivering during spinal anesthesia
title_fullStr Dexmedetomidine for the prevention of shivering during spinal anesthesia
title_full_unstemmed Dexmedetomidine for the prevention of shivering during spinal anesthesia
title_sort Dexmedetomidine for the prevention of shivering during spinal anesthesia
author Usta, Burhanettin
author_facet Usta, Burhanettin
Gozdemir, Muhammet
Demircioglu, Ruveyda Irem
Muslu, Bunyamin
Sert, Huseyin
Yaldiz, Adnan
author_role author
author2 Gozdemir, Muhammet
Demircioglu, Ruveyda Irem
Muslu, Bunyamin
Sert, Huseyin
Yaldiz, Adnan
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Usta, Burhanettin
Gozdemir, Muhammet
Demircioglu, Ruveyda Irem
Muslu, Bunyamin
Sert, Huseyin
Yaldiz, Adnan
dc.subject.por.fl_str_mv Dexmedetomidine
Shivering
Spinal anesthesia
topic Dexmedetomidine
Shivering
Spinal anesthesia
description PURPOSE: The aim of this study was to evaluate the effect of dexmedetomidine on shivering during spinal anesthesia. METHODS: Sixty patients (American Society of Anesthesiologists physical status I or II, aged 18-50 years), scheduled for elective minor surgical operations under spinal anesthesia with hyperbaric bupivacaine, were enrolled. They were administered saline (group C, n = 30) or dexmedetomidine (group D, n = 30). Motor block was assessed using a Modified Bromage Scale. The presence of shivering was assessed by a blinded observer after the completion of subarachnoid drug injection. RESULTS: Hypothermia was observed in 21 patients (70%) in group D and in 20 patients (66.7%) in group C (p = 0.781). Three patients (10%) in group D and 17 patients (56.7%) in group C experienced shivering (p = 0.001). The intensity of shivering was lower in group D than in group C (p = 0.001). Time from baseline to onset of shivering was 10 (5-15) min in group D and 15 (5-45) min in group C (p = 0.207). CONCLUSION: Dexmedetomidine infusion in the perioperative period significantly reduced shivering associated with spinal anesthesia during minor surgical procedures without any major adverse effect during the perioperative period. Therefore, we conclude that dexmedetomidine infusion is an effective drug for preventing shivering and providing sedation in patients during spinal anesthesia.
publishDate 2011
dc.date.none.fl_str_mv 2011-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/19359
10.1590/S1807-59322011000700011
url https://www.revistas.usp.br/clinics/article/view/19359
identifier_str_mv 10.1590/S1807-59322011000700011
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/19359/21422
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 66 No. 7 (2011); 1187-1191
Clinics; v. 66 n. 7 (2011); 1187-1191
Clinics; Vol. 66 Núm. 7 (2011); 1187-1191
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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