Use of Iv Tramadol and Ketamine for Prevention of Post Spinal Anesthesia Shivering

Frequency of Shivering Among Patient Treaed With IV Tramadol Versus Iv Ketamine in Prevention of Post Spinal Anesthesia Undergoing Cesarean Section: Rendomiced Control Trial

*Ketamine:* Ketamine is a medication that can help reduce shivering by blocking certain nerve signals in the brain. It's like a "nerve blocker" that helps calm down the body's shivering response.

- *Tramadol:* Tramadol is a pain medication that can also help reduce shivering. It works by affecting the brain's temperature regulation centers, which helps to reduce the shivering response.

Post-spinal shivering is when a patient starts shaking or shivering after receiving spinal anesthesia. This can be uncomfortable and even scary for the patient.

Using ketamine and tramadol to reduce post-spinal shivering can have several benefits, including:

• Reduced discomfort and anxiety for the patient
• Improved patient satisfaction
• Reduced need for additional medications or interventions
• Faster recovery times

Inclusion Criteria:

• Pateint for elective cesarean section
• Age 18 to 40 years
• ASA 1 and 2

Exclusion Criteria:

• ASA 2 and 3
• Cesarean section requiring general anesthesia
• Hypersensitivity to Ketamine, Tramadol and Opiods
• History of cardiovascular disease