The Effectiveness of Dexamethasone vs Pethidine as Adjuvant with Bupivacaine VS Bupivacaine Alone for Prevention of Post-Spinal Anesthesia Shivering During Cystourethroscopy Surgery in Tikur Anbessa Specialized Hospital Addis Ababa, Ethiopia 2022/2023gc Prospective Cohort Study
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Date
2023-05-15
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Addis Ababa University
Abstract
Shivering is a common complication after spinal anesthesia, particularly in patients undergoing urological surgery under SA. Another study showed that it can also lead to hemodynamic instability, impairing monitoring and worsening patients' conditions by increasing cardiopulmonary workload and lengthening hospital stays, straining the country's economy and putting patients and their families at risk. Intrathecally administered dexamethasone and pethidine are believed to prevent shivering when used as adjuvants with bupivacaine. Objective: To compare the effects of dexamethasone versus pethidine adjuvanted with bupivacaine versus bupivacaine alone on the prevention of shivering after spinal anesthesia and the hemodynamic effect in patients undergoing TURP and TURBT surgery at TASH, Addis Ababa, Ethiopia.
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TURP, TURBT, Shivering, dexamethasone, pethidine, bupivacaine