Effectiveness of Prophylactic Intravenous Dex-Amethasone for the Prevention of Intraopera-Tive Shivering Following Spinal Anesthesia for Cesarean Section at Gandhi Memorial Hospital, Addis Ababa. Ethiopia 2022/2023 Prospective Cohort Study
| dc.contributor.advisor | Meron Abrar | |
| dc.contributor.author | Moges Kefale | |
| dc.date.accessioned | 2023-12-09T10:41:01Z | |
| dc.date.available | 2023-12-09T10:41:01Z | |
| dc.date.issued | 2023-06-12 | |
| dc.description.abstract | intraoperative shivering is a commonly seen side effect of spinal anesthesia during cesarean section. Different types of medications like; opioids, non opioid agonists, ketamine were for the prevention and treatment of shivering of shivering but it have serious side effects and ex-pensive. Some studies showed dexamethasone had preventive effect with minimal side effects; however there was a limited study about its efficacy in cesarean section. Objective: to assess the effectiveness of prophylactic intravenous dexamethasone for the preven-tion of intraoperative shivering following spinal anesthesia for cesarean section. Methods: institutional based prospective cohort study was conducted at Gandhi memorial hospital from February 07 to April 08/2023. Ninety eight ASA II parturients undergoing cesarean section under spinal anesthesia were involved in the study. Systematic random sampling technique was used to select study participants from scheduled for cesarean section. Parturients premedicated with 0.1mg/kg dexamethasone before 10 minutes of spinal anesthesia and non dexamethasone groups were followed for 50minutes intraoperatively. The incidence of intraoperative shivering was compared between groups. The data was entered into Epi data v4.6 and analyzed using SPSS version 26 software. Continuous data was checked for normality distribution and analyzed using independent samples t-test. Non-normally distributed data was analyzed using Mann Whitney U test. Chi square and fisher’s exact test were used to analyze categorical data. Descriptive data were displayed using tables and figures. P value < 0.05 was considered as statistically significant. Result: the incidence of intraoperative shivering was 32.1% in dexamethasone group and 67.8% in non dexamethasone group (p value =.000084). There was statistically significant difference in grade of shivering (p value=.044); the result showed; 48.1% had grade 1, 19.2% had grade 2, 0% had grade 3 shivering in dexamethasone group. Whereas, 15.8% had grade 1, 80.7% had grade 2, 1% had grade 3 shivering in non dexamethasone group. Conclusion and recommendation: this study concluded that prophylaxis intravenous dexame-thasone 0.1 mg /kg before 10minutes of spinal anesthesia had effective prevention of intraoperative shivering during cesarean section. We recommend premedication of prophylaxis intravenous dex-amethasone (0.1mg/kg) to prevent intraoperative shivering during cesarean section under spinal anesthesia. | |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/481 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | cesarean section, dexamethasone, shivering, spinal anesthesia | |
| dc.title | Effectiveness of Prophylactic Intravenous Dex-Amethasone for the Prevention of Intraopera-Tive Shivering Following Spinal Anesthesia for Cesarean Section at Gandhi Memorial Hospital, Addis Ababa. Ethiopia 2022/2023 Prospective Cohort Study | |
| dc.type | Thesis |