RT Journal Article
SR Electronic
T1 Clonidine versus tramadol for post spinal anesthesia shivering
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 363
OP 369
DO 10.15537/smj.2021.42.4.20200342
VO 42
IS 4
A1 Wang, Jinguo
A1 Zhao, Haixiao
A1 Li, Yanhui
A1 Wang, Rui
A1 Wang, Na
YR 2021
UL http://smj.org.sa/content/42/4/363.abstract
AB Objectives: To compare clonidine with tramadol for shivering control following spinal anesthesia.Methods: The literature was searched updated to August 2020, and only randomized controlled trials comparing clonidine and tramadol for shivering control following spinal anesthesia were eligible for this study.Results: Fourteen studies with 960 patients were identified. Clonidine demonstrated a lower effective rate of shivering control (OR: 0.59; 95% CI: 0.40-0.88; p=0.009; I2=36%), but with decreased occurrence of nausea, vomiting, and dizziness. Clonidine increased the occurrence of bradycardia, hypotension, and sedation compared to tramadol.Conclusion: Tramadol is more effective for shivering control than clonidine, but with increased occurrence of nausea, vomiting, and dizziness.PROSPERO No: CRD42020207979