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Date Published: 28/09/2024
Abstract Views: 4
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DOI: https://doi.org/10.56535/jmpm.v49i7.859
Issue
Vol. 49 No. 7 (2024): TẠP CHÍ Y DƯỢC HỌC QUÂN SỰ SỐ 7 - 2024
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Articles
How to Cite
Nguyen, N. T., Trần, H. N., & Nguyễn, T. Đ. (2024). STUDY ON THE SHIVERING PREVENTIVE EFFECT OF KETAMINE 0.2MG/KG INTRAVENOUS INJECTION AFTER SPINAL ANESTHESIA. Journal of Military Pharmaco-medicine, 49(7), 191-199. https://doi.org/10.56535/jmpm.v49i7.859

STUDY ON THE SHIVERING PREVENTIVE EFFECT OF KETAMINE 0.2MG/KG INTRAVENOUS INJECTION AFTER SPINAL ANESTHESIA

Nguyen Ngoc Thach1, , Trần Hoài Nam1, Nguyễn Tiến Đức2
1 Bệnh viện Quân y 103, Học viện Quân y
2 Bệnh viện K cơ sở Tân Triều

Main Article Content

Abstract

Objectives: To evaluate the shivering preventive effect and other unwanted effects of ketamine 0.2 mg/kg intravenous injection after spinal anesthesia for lower limb surgery.


Subjects and methods: Prospective clinical study on 30 cases with indications for lower limb surgery under spinal anesthesia with a mixture hyperbaric bupivacaine 0.5% 6-10mg and fentanyl 20mcg. Immediately after spinal anesthesia, patients were injected with ketamine 0.2 mg/kg intravenously to prevent shivering


Results: The rate of shivering during surgery was 10%, of which grade 2 shivering was 6.6% and grade 3 shivering was 3.3%. The postoperative shivering rate was 3.3% and was grade 2 shivering. During surgery, the rates of hallucination, nausea vomiting, bradycardia, tachycardia, hypotension, hypertension, headache, itching, dizziness, sedation with OAAS4  were 26.7%; 6.6%; 3.3%; 36.7%; 3.3%; 73.3%; 3.3%; 3.3%; 6.6%; 26.7%; respectively. After surgery, the rates of nausea vomiting, headache, itching were 9.9%; 6.6%; 3.3%, respectively.


Conclusion: Intravenous injection of ketamine 0.2mg/kg is effective in preventing shivering after spinal anesthesia for lower limb surgery with transient, easy-to-manage unwanted effects.

Article Details

Keywords

Shivering, spinal anaesthesia, lower limb sugery, ketamine

References

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