Comparison of Intravenous Ondansetron versus Intravenous Tramadol on Post-Spinal Shivering and Nausea/Vomiting in Cesarean Sections

Sanum Kashif; Faisal Azam; Khalid Mehmood; Saira Tasneem; Asad Shamim; Fawad Alam; Tasneem Alam

doi:10.37185/LnS.1.1.102

Sanum Kashif Frontier Corps Hospital, Quetta
Faisal Azam Frontier Corps Hospital, Quetta
Khalid Mehmood Combined Military Hospital, Quetta
Saira Tasneem Frontier Corps Hospital, Quetta
Asad Shamim Combined Military Hospital, Quetta
Fawad Alam Combined Military Hospital, Quetta
Tasneem Alam Combined Military Hospital, Quetta

DOI: https://doi.org/10.37185/LnS.1.1.102

Keywords: Cesarean Section, Shivering, Nausea/Vomiting, Ondansetron, Spinal Anesthesia, Tramadol.

Abstract

Objective: To compare the effect of intravenous ondansetron versus intravenous tramadol on post-spinal shivering and nausea/vomiting in caesarean sections.
Study Design: Prospective comparative study
Place and Duration of Study: The study was carried out at Department of Anesthesia, Frontier Corps Hospital Quetta from 2nd July 2019 to 1st November 2019.
Materials and Methods: Ninety patients, who were scheduled for elective cesarean section under spinal anesthesia were randomly allocated to one of three study groups to receive intravenous ondansetron (group O), tramadol (group T) or normal saline/placebo (group P). Intra- and post-operative shivering score, nausea/vomiting score and hemodynamic changes were recorded. Descriptive data was expressed as means and standard deviations (SD). Analysis of variance (ANOVA) and repeated measure analysis were used for continuous parametric variables. Within groups, comparisons were made using the Tukey's post-hoc analysis. Chi-square test was used for association of shivering and nausea/vomiting among the groups.
Results: Both groups were comparable for the age and weight. Shivering was reported 0.35±0.59 in ondansetron group 0.73±0.55 in Tramadol group and 1.90±0.84 in Placebo group (p value< 0.001). Postoperative nausea and vomiting (PONV) was reported 0.25±0.53 in ondansetron group 1.04±0.63 in tramadol group and 0.99±0.71 in placebo group (p value<0.001).There was a significant difference in post- spinal shivering and nausea/vomiting in ondansetron (O) group versus tramadol (T) group and placebo group.
Conclusion: The effect of intravenous ondansetron is better than intravenous tramadol in preventing shivering as well as nausea/vomiting.

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