Comparison of the effects of intrathecal meperidine and morphine on incidence and intensity of shivering after caesarean sections under spinal anesthesia : a randomized controlled trial
Joint Authors
Nasiri, Karim
Ghaderi, Ibrahim
Khezripour, Irfan
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 19, Issue 7 (31 Jul. 2017), pp.1-6, 6 p.
Publisher
Publication Date
2017-07-31
Country of Publication
United Arab Emirates
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background : Shivering is a common unpleasant problem in parturients undergoing cesarean section under spinal anesthesia.
Therefore, attempts for solving this problem are rational.
Objectives : to evaluate and compare the effect of intrathecal meperidine with morphine on the incidence and intensity of shivering and other side-effects during delivery under spinal anesthesia.
Methods : in a double blind randomized controlled trial, 90 parturient women who were scheduled for elective cesarean delivery under spinal anesthesia were selected conveniently and randomly divided in 3 groups at the Besat hospital, which is a tertiary referral hospital in Sanandaj, Iran, from March to October 2013.
Spinal anesthesia was applied using 12.5 mg of hyperbaric bupivacaine 0.5% combined with 10 mg meperidine in group P (n = 30), 12.5 mg of hyperbaric bupivacaine 0.5% combined with 0.2 mg morphine in group M (n = 30), and 12.5 mg of hyperbaric bupivacaine 0.5% combined with 0.5 mL saline in group S (n = 30).
Results : incidence of shivering in the meperidine group (6.7%) was significantly lower than the morphine (40%) and control groups (67.7%, P = 0.0001).
The intensity of shivering in the meperidine group (0.13) was significantly lower than the morphine (0.73) and control groups (1.43, P = 0.001).
There was no clinically significant difference in anesthesia’s side effects between the 3 groups.
Conclusions : according to the study results, adding either meperidine or morphine to hyperbaric bupivacaine during spinal anesthesia for cesarean section decreases the incidence and severity of shivering without increasing the side effects.
However, intrathechal meperidine is superior for this purpose.
American Psychological Association (APA)
Nasiri, Karim& Ghaderi, Ibrahim& Khezripour, Irfan. 2017. Comparison of the effects of intrathecal meperidine and morphine on incidence and intensity of shivering after caesarean sections under spinal anesthesia : a randomized controlled trial. Iranian Red Crescent Medical Journal،Vol. 19, no. 7, pp.1-6.
https://search.emarefa.net/detail/BIM-766696
Modern Language Association (MLA)
Nasiri, Karim…[et al.]. Comparison of the effects of intrathecal meperidine and morphine on incidence and intensity of shivering after caesarean sections under spinal anesthesia : a randomized controlled trial. Iranian Red Crescent Medical Journal Vol. 19, no. 7 (Jul. 2017), pp.1-6.
https://search.emarefa.net/detail/BIM-766696
American Medical Association (AMA)
Nasiri, Karim& Ghaderi, Ibrahim& Khezripour, Irfan. Comparison of the effects of intrathecal meperidine and morphine on incidence and intensity of shivering after caesarean sections under spinal anesthesia : a randomized controlled trial. Iranian Red Crescent Medical Journal. 2017. Vol. 19, no. 7, pp.1-6.
https://search.emarefa.net/detail/BIM-766696
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 6
Record ID
BIM-766696