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Wednesday, January 09, 2008

Pethidine - Treatment of postoperative shivering

024. Which of the following agents is used for the treatment of postoperative shivering?


1. Thiopentone

2. Suxamethonium

3. Atropine

4. Pethidine

Answer

4. Pethidine

Reference

Ajay yadav, Page 101

Quality

Reader

Status

New in All India

QTDF

Most books give this

Discussion

In course of anaesthesia, Shivering occurs as a protective mechanism as inhalational agents, spinal/epidural block causes vasodilatation leading to heat loss. Shivering can be abolished by inhibition of hypothalamus,

Explanation

Treatment of Shivering

    1. Pethidine or Pentazocine
    2. Oxygen Inhalation

Comments

Oxygen consumption may increase upto 4 times (400 %) during shivering. So oxygen inhalation during shivering is mandatory.

Tips

Most commonly shivering is seen after Halothane

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