• Home Page
  • Case Study: Dexmedetomidine Vs. Granisetron

Case Study: Dexmedetomidine Vs. Granisetron

Improved Essays
Show More
Dexmedetomidine versus Granisetron for the management of post spinal shivering
Abstract
Background: Shivering is one of the most stressful complications for patient and surgeon during spinal anesthesia. In this prospective, randomized, double blinded study we compared the efficacy of Dexmedetomidine versus Granisetron for control of post spinal shivering.
Methods: study was conducted on 120 patients, ASA I-III, of either sex, aged 18–60 years, scheduled for elective lower abdominal and lower abdominal surgeries under spinal anesthesia. Response rate, time taken for control of shivering, recurrence rate, and adverse effects were recorded.
Results: From 1127 patients; 28 patients developed grade 4 shivering, and 92 patients developed grade 3. Heart rate and blood pressure were significantly lower in Dexmedetomidine group compared to Granisetron group during the 1st hour but no evidence of severe bradycardia. Shivering disappeared in 48 (96%) Dexmedetomidine and 46 (92%) Granisetron patients, rescue dose was given in …show more content…
2008).
To our knowledge, no study assessed Granisetron effect in management of post spinal shivering; thus we planned this study to assess Granisetron effect in control of post spinal shivering, and compare it with Dexmedetomidine. Hypothesis of this study was that each of Granisetron, and Dexmedetomidine when administered intravenously could control or decrease severity of post spinal shivering.
Aim: the aim of this study was to compare the efficacy and safety of Dexmedetomidine with that of Granisetron for control of shivering following spinal anesthesia.

Related Documents

  • Superior Essays

    Anesthesiologist Research Paper
    • 1112 Words
    • 5 Pages

    Anesthesiologist Research Paper

    Carlie Fleming Mrs. Stanley English 12 27 October 2016 An Anesthesiologist Anesthesiologists are physicians who administer and determine what type of anesthetic treatment is to be used for the patient prior to surgery, as well as positioning the patient on the operating table in a manner that will be helpful to the surgery. Following strict medical guidelines, the anesthesiologist takes into account the patient’s current health, any medications they are taking, and the type of surgery that is being performed. While the surgery is taking place, the anesthesiologist monitors the patient’s critical life functions to make sure no complications arise. After the surgery is over, the patient’s well-being has to be monitored as the anesthetic wears…

    • 1112 Words
    • 5 Pages
    Superior Essays
    Read More
  • Improved Essays

    Pros And Cons Of ADN Vs BSN
    • 785 Words
    • 4 Pages

    Pros And Cons Of ADN Vs BSN

    Usually, as a standard post-op order set, surgeons would include diet, incision site dressing care, medications, and Foley catheter removal time. One day morning, a two- day post-op patient was running a fever with an oral temperature of 101.2. The primary nurse was an ADN new graduate; she immediately responded with checking the medication orders and administering the patient a Tylenol 500 mg tablet as indicated. When she rechecked the temperature one hour later, the oral temperature was 100.8. Then, she lowered the room temperature and applied some ice packs.…

    • 785 Words
    • 4 Pages
    Improved Essays
    Read More
  • Improved Essays

    Patient Controlled Analgesia Case Study Essay
    • 847 Words
    • 4 Pages

    Patient Controlled Analgesia Case Study Essay

    POSTOPERATIVE CARE At 2000hrs, when Mrs. Audrey returns from the theatre, assessment of observations, neurovascular (pulse, motor strength, temperature, sensation and movement), neurological should be conducted to prevent any further complications postoperatively according to the hospital protocol (Brigham and Women’s Hospital, 2010). Along with this, a quick physical examination could be done to detect any potential problems. Mrs. Audrey should be provided a maximum level of comfort which can be done by making her pain free. Therefore, a proper assessment is essential to manage postoperative pain.…

    • 847 Words
    • 4 Pages
    Improved Essays
    Read More
  • Improved Essays

    Root Canal Post-Op Pain
    • 439 Words
    • 2 Pages

    Root Canal Post-Op Pain

    Additionally, ensure that you take your pain medications if they were prescribed. Ideally, you should take your first dose of pain reliever before the anesthesia wears off. This will ensure that you only experience mild discomfort immediately following the procedure, instead of moderate pain. 2.…

    • 439 Words
    • 2 Pages
    Improved Essays
    Read More
  • Decent Essays

    Sugammadex: An Experimental Study
    • 465 Words
    • 2 Pages

    Sugammadex: An Experimental Study

    Although very rare, cases of allergic reactions to sugammadex have been reported. Most of these cases have been reported from Asia, where sugammedex is most widely used.23 Anaphylaxis occurs in about 29 out of every 1 million patients.61 Risk of hypersensitivity reactions resulted in the initial delay of FDA approval of sugammadex.26,62 Since FDA approval and the subsequent increased use of sugammadex, the incidence of hypersensitivity is anticipated to rise.23 The mechanism of sugammadex anaphylaxis is not well understood. In contrast to NMBA anaphylaxis which largely believed to be IgE-mediated, the role of IgE is unknown in sugammadex anaphylaxis. Sugammadex specific IgE antibodies have not been found.…

    • 465 Words
    • 2 Pages
    Decent Essays
    Read More
  • Superior Essays

    Colloid Osmotic Pressure Lab Report
    • 995 Words
    • 4 Pages

    Colloid Osmotic Pressure Lab Report

    The effects infused crystalloid fluid has on osmotic pressures and total protein on horses undergoing surgery for colic Ashleigh Dawson 815672 31 October 2016 ABSTRACT Background: Horses diagnosed with colic can present with hypovolemia and dehydration if not infused with crystalloid fluid during surgery. The maintenance of colloid osmotic pressure (COP) and total protein (TP) is necessary to avoid intra- and post-operative complications.…

    • 995 Words
    • 4 Pages
    Superior Essays
    Read More
  • Improved Essays

    Case Study: Post Dural Headache
    • 490 Words
    • 2 Pages

    Case Study: Post Dural Headache

    The patient complained of occipital headache and neckache, postural in nature, 48 hours after surgery. He was advised to have plenty of oral fluids along with Tab. Paracetamol 650 mg…

    • 490 Words
    • 2 Pages
    Improved Essays
    Read More
  • Improved Essays

    Compare Anesthesia, Anagesia And Thermodynamic Surgery
    • 258 Words
    • 2 Pages

    Compare Anesthesia, Anagesia And Thermodynamic Surgery

    Objectives: This study was performed to compare the anesthesia, analgesia and hemodynamic effects of two different anesthetic techniques for knee artroscopy. Material and Methods: ASA I-II, 90 patients scheduled for arthroscopic meniscectomy were randomized into three groups. Spinal anaesthesia was performed with 7.5 mg hyperbaric bupivacaine (group S, n=30). Combined sciatic-femoral nerve block(25 ml for femoral nerve block and 15 ml for sciatic nerve block with bupivacaine or levobupivacaine) was performed with bupivacaine (group FS-B, n=30) or levobupivacaine (group FS-L, n=30). Heart rate, blood pressure and peripheral oxygen saturation was recorded before the block, after the block and during the operation.…

    • 258 Words
    • 2 Pages
    Improved Essays
    Read More
  • Superior Essays

    Root Cause Analysis In Nursing
    • 1695 Words
    • 7 Pages

    Root Cause Analysis In Nursing

    The Policy problem A. Root Cause Analysis The scenario consists of a 67 year-old male arriving at the emergency room (ER) due to a fall. The patient exhibits increased respirations, edema in the calf, possible hip fracture, and pain ten of ten. Past history of elevated cholesterol and lipids, chronic back pain for which he takes medications of atorvastatin and oxycodone. Patient receives diazepam and hydromorphone, but is not monitored appropriately.…

    • 1695 Words
    • 7 Pages
    Superior Essays
    Read More
  • Improved Essays

    Emergence Delirium (ED): A Case Study
    • 838 Words
    • 4 Pages

    Emergence Delirium (ED): A Case Study

    Emergence delirium (ED) was first described in the 1960s by Dr. Eckenhoff as "a dissociated state of consciousness in which the child is inconsolable, irritable, uncooperative, typically thrashing, crying, moaning, or incoherent" (Mohkamkar et al., 2014, para. 1)‌. Several possible causes of ED have been proposed including rapid emergence from short acting volatile anesthetics and the chemical makeup of volatile anesthetics themselves (Reduque & Verghese, 2012).‌ ED impacts 5.3% of all post-anesthetic patients as a whole, with the highest incidence (12-13%) occurring in children.(Vlajkovic, Gordana, Sindjelic, & Radomir, 2007). The incidence of ED in children is volatile gas dependent, occurring in 2% of cases after receiving halothane and…

    • 838 Words
    • 4 Pages
    Improved Essays
    Read More
  • Decent Essays

    Advantages And Disadvantages Of Opioid Conversion Calculators
    • 312 Words
    • 2 Pages

    Advantages And Disadvantages Of Opioid Conversion Calculators

    One of the medications that I chose was morphine sulfate converting to hydromorphone. The information obtained was interesting. Chose this related to a patient that was on the unit that was on a PCA (patient controlled analgesia) and wean to…

    • 312 Words
    • 2 Pages
    Decent Essays
    Read More
  • Superior Essays

    The Importance Of Sedation In Dental Procedures
    • 1325 Words
    • 6 Pages

    The Importance Of Sedation In Dental Procedures

    It is critical for patients undergoing any dental procedure that they are made aware of all the options available to them for having their treatment carried out. For many people having to undertake dental treatment is a very unpleasant prospect. We see people every day with varying levels of apprehension from the slightly anxious to those with a severe phobia. Good sedation practice requires the consideration of a range of non-pharmacological and pharmacological methods of anxiety management in planning treatment for each individual patient. For some patient’s treatment under Local anaesthesia alone is not possible making them ideal candidates for intravenous sedation.…

    • 1325 Words
    • 6 Pages
    Superior Essays
    Read More
  • Great Essays

    Summary Of The Most Effective Dose Of Nalbuphine
    • 967 Words
    • 4 Pages

    Summary Of The Most Effective Dose Of Nalbuphine

    We concluded that intrathecal nalbuphine 0.6 mg added to 0.5% hyperbaric bupivacaine for spinal anaesthesia in patients undergoing lower limb orthopedic surgeries had prolonged duration of motor block and duration of analgesia without increased adverse effects. So we conclude that 0.6 mg of nalbuphine is better adjuvant to bupivacaine in spinal anaesthesia. References : 1.veering B. Focus on adjuvants in regional anaesthesia. Euro anaesthesia . 2005;50:…

    • 967 Words
    • 4 Pages
    Great Essays
    Read More
  • Superior Essays

    Reflection On A 100-Bird Shoot
    • 1085 Words
    • 5 Pages

    Reflection On A 100-Bird Shoot

    In late September of 2014, my freshman year, I was at my FFA district trap shoot. This shoot was a 100-bird shoot, meaning we would go up to the line four times, shoot twenty-five shells spread out upon five stations, to shoot one hundred shells total. It was the third time to the line and I was on station three and my vision was gradually getting worse, causing me to miss more birds. But I continued to go up to the line and shoot.…

    • 1085 Words
    • 5 Pages
    Superior Essays
    Read More
  • Great Essays

    Respiratory Distress Syndrome Case Study
    • 1624 Words
    • 6 Pages

    Respiratory Distress Syndrome Case Study

    TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and suffocation o 'Can 't breathe ' is a short summation of complaints in the child that is exquisitely accurate o The patient may report paresthesia ( 'pins and needles sensation ') as a manifestation of hyperventilation; peri-oral paresthesia is typical o In some cases the patient may arrive in…

    • 1624 Words
    • 6 Pages
    Great Essays
    Read More

Related Topics

Ready To Get Started?
Discover
Company
Follow
©2024 Cram.com
Privacy Policy |  About Ads |  Site Map |  Advertise  | 
  • Cookie Settings