EFFICACY OF EPIDURAL TRAMADOL AS ADJUVANT TO BUPIVACAINE TO REDUCE POST- ANESTHESIA SHIVERING: COMPARISON WITH INTRAVENOUS TRAMADOL HCL IN ELECTIVE CAESARIAN SECTION

Objective: Central neuraxial blocks have been pillar for elective caesarian segments. Epidural anesthesia is better endured hemodynamically and gives titer capable absence of pain and delayed span of absence of pain. Shivering in perioperative period is accounted for as high as 65% when all is said in done anesthesia and 33% in focal neuraxial anesthesia. Intravenous tramadol has been utilized for quite a long time to treat perioperative shivering. Epidural tramadol as adjuvant to neighborhood anesthesia expands quality and length of anesthesia. We intended to note viability of epidural tramadol. Study Design: Prospective, Randomized Control Trial study. Place and Duration of Study: This investigation was directed at the Operation theaters of Khyber Teaching Hospital Peshawar Materials and Methods: Total number of 250 patients remembered for concentrate arbitrarily partitioned in gathering 1 and 2, gotten epidural and intravenous tramadol successively. SPSS programming was utilized to examine measurements. Results: Group 1 brought about 7 patients with shivering interim to shivering was 41.42+7.29 minutes and mean APGAR was 7.56+1.14,9.83+0.41,9.99+0.08 at 1,5 and 10 minutes successively. Gathering 2 brought about 6 patients with shivering interim to shivering was 43.66+4.27 minutes and mean APGAR was 8.48+0.85, 9.78+0.62,9.97+0.15 at 1,5 and 10 minutes successively. Shivering and time to shivering between 2 groups were irrelevant with centrality level of p=0.777 and p=0.524 continuously. APGAR at 1 moment was critical with level of p< 0.001 while at 5 and 10 minutes improved and got unimportant with p=0.478 and p=0.315 levels successively. Queasiness spewing was unimportant between 2 groups p=0.856. Conclusion: Epidural tramadol is as powerful as intravenous tramadol for perioperative shivering. Keywords: Epidural tramadol shivering