Tramadol and Tramadol Plus Ketamine for Shivering Prevention After Spinal Anesthesia in Lower Segment Caeserian Section

Randomised Double Blind Comparison of Prophylactic Tramadol and Tramadol Plus Ketamine for Prevention of Shivering After Spinal Anesthesia in Lower Segment Caeserian Section

The objective of this study is to compare the efficacy of prophylactic use of intravenous tramadol versus tramadol plus ketamine for prevention of shivering under spinal anaesthesia in lower segment caeserian section.

Inclusion Criteria:

• Age between 18 to 40 years
• American Society of Anesthesiologist physical status I and II
• Pregnant female for lower segment caeserian section

Exclusion Criteria:

• Patients with Hypertension
• Patients with hypo- or hyperthyroidism
• Known case of Cardiopulmonary disease, pre-eclampsia and eclampsia
• An initial body temperature 38.00C or, 36.0oC assessed by thermometer