Abstract

ALEGRE ANDRADE, Patricia. EFFICACY OF KETAMINE AND MEPERIDINE FOR THE PREVENTION OF SHIVERING IN PATIENTS UNDERGOING CESAREAN SECTION UNDER REGIONAL ANESTHESIA. Rev Cient Cienc Méd [online]. 2020, vol.23, n.1, pp.38-43. ISSN 2077-3323.

Introduction: The presence of shiviring in obstetric anesthesia in the postoperative period is up to 54%. Therefore, it is intended to avoid in the recovery room, using medications that regulate shiviring such as ketamine and meperidine. Objectives: To determine the efficacy of ketamine and meperidine for the prevention of shivering in patients undergoing cesarean section under regional anesthesia. Methods: A single-blind, randomized, controlled clinical trial was conducted. In Hospital Obrero N ° 2, 40 patients enrolled in the study meeting inclusion criteria, 20 patients per group.The doses used in the Ketamine group of 0.25 mg / kg and meperidine group of 0.1 mg / Kg. The Crossley scale was used to determine shivering, peripheral temperature measurement and maternal and fetal side effects. For statistical analysis, Chi x2 from Pearson was used. Results: The average age of the study is 29.77 ± 3.35 years; Average surgical time of 50 ± 8.8 minutes;Temperature in the most frequent operating room was between 22 ° to 23 ° C;The peripheral temperature was between 36.6 ºC to 37.5 ºC; in the meperidine group there was more nausea; No neonatal side effects. Conclusions: Patients who received ketamine is better at preventing tremors while patients who received meperidine had more nausea as a side effect.

Keywords : Ketamine; Meperidine; Anesthesia Obstetrical.

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