Efektivitas Tramadol Sebagai Pencegah Menggigil Pasca Anestesi Umum

Background: One of the most frequently happened complications in a post-anesthesia patient is shivering. Shivering caused an inconvenient feeling and created a variety of risks especially in a patient who had unwell physical condition such as severe chronic obstructive pulmonary disease patient, or patient with heart disorder. Tramadol is a medicine that works by affecting temperature control mechanism e2specially through the μ-opioid agonist reseptor. Therefore, tramadol can be used as shivering prevention medicine.Objective : The aim of this study was to prove that giving intra venous tramadol 2 mg/kg as soon before the end of the surgery is effective to prevent shivering after general anesthesia.Methods: This study used cross sectional analytic design. Using medical record which consists of 48 patients with range of age is 16 – 60 years old underwent elective surgery with general anesthesia. Data divided into 2 groups, control group and tramadol group. Each subject in its group was being observed to know the shivering incidence, degree, and duration. After that the data were processed using computer program. Data analyses were done by using Chi Square test, Mann Whitney test, and independent sample T- test.Results: Characteristic data show there were not significantly different (p>0,05). There were 4 people (16,6%) shivering which all of them suffered 1st degree in tramadol group and there were 13 people (54,2%) shivering which 7 people (29,2%) suffered 1st degree, 3 people (12,5%) suffered 2nd degree, 2 people (8,3%) suffered 3rd degree and 1 people suffered 4thdegree in control group. The incidence and degree of shivering in tramadol group were significantly different ( p<0,05) compared to control group.Conclusion: Tramadol 2 mg/kg body weight USAge is effective for shivering prevention in post general anesthesia patients