\*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.
Pateint for elective cesarean section
Age 18 to 40 years
ASA 1 and 2
ASA 2 and 3
Cesarean section requiring general anesthesia
Hypersensitivity to Ketamine, Tramadol and Opiods
History of cardiovascular disease
Parallel
Ketamine only
DrugInj: Ketamine given to group K following spinal anesthesia
Tramadol
DrugInj Tramadol given to group T following spinal anesthesia
Shivering
Scale validated by crossley and mahajan Grade 0: No shivering Grade 1: Piloerection, peripheral vasoconstriction, peripheral cyanosis, or mild fasciculation of the face or neck, but no visible muscle activity Grade 2: Visible muscle activity in one muscle group Grade 3: Visible muscle activity in more than one muscle group Grade 4: Gross muscle activity involving the entire body
Click on the lead sponsor to view all of their trials.
