Comparsion of IV Dexmedetomidine, Tramdol and Ketamine for Post Spinal Anesthesia Shivering.

Comparing the Efficacy of Intravenous Dexmedetomidine, Tramadol and Ketamine for Control of Post Spinal Shivering in Obstetric Patients Undergoing Lower Segment C-section

To study control of post spinal shivering in patients undergoing lower segment cesarean section using dexmedetomidine, tramadol and ketamine

Its a Comparison of drugs for a better control of post spinal shivering in patietns underwent cesarean section.using grades of shivering (0-4)patients will be assessed

Inclusion Criteria:

• Woman of age 18-60
• Pregnant woman in outdoor patient department and emergency

Exclusion Criteria:

• patient. with history of hypersensitivity to opioids,
• ketamine or bupivacaine
• History of cardiovascular disease,
• Hypertension,
• psychosis,
• antepartum hemorrhage,
• cord prolapse,
• fetal distress