The effect of prophylactic clonidine on postoperative shivering - A large prospective double-blind study

被引:43
作者
Vanderstappen, I [1 ]
Vandermeersch, E [1 ]
Vanacker, B [1 ]
Mattheussen, M [1 ]
Herijgers, P [1 ]
VanAken, H [1 ]
机构
[1] UNIV MUNSTER,DEPT ANAESTHESIA,D-48149 MUNSTER,GERMANY
关键词
complications; shivering; pharmacology; clonidine;
D O I
10.1111/j.1365-2044.1996.tb07747.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The primary goal of this study was to assess the inJZuence of clonidine administered after induction on postoperative shivering after elective peripheral surgery. The effect of clonidine on intra-operative haemodynamics (blood pressure and heart rate) during the first 30 min after induction and on the postoperative sedation of the patient was also investigated. Two hundred and eighty male ASA 1 and 2 patients, undergoing elective peripheral surgery were randomly administered either placebo or clonidine 2 mu g.kg(-1) intravenously over 10 min after induction of anaesthesia. Clonidine was found to reduce the total incidence (p = 0.024), the severity (p = 0.005) and the duration (p = 0.01) of postoperative shivering. Clonidine did not increase postoperative sedation or diminish overall consciousness. We conclude that administration of clonidine 2 mu g.kg(-1) intravenously after induction of anaesthesia is safe and reduces postoperative shivering in this group of patients.
引用
收藏
页码:351 / 355
页数:5
相关论文
共 28 条
[1]  
CIOFOLO MJ, 1989, ANESTHESIOLOGY, V70, P737
[2]   PERIOPERATIVE SHIVERING [J].
CROSSLEY, AWA .
ANAESTHESIA, 1992, 47 (03) :193-195
[3]   6 MONTHS OF SHIVERING IN A DISTRICT GENERAL-HOSPITAL [J].
CROSSLEY, AWA .
ANAESTHESIA, 1992, 47 (10) :845-848
[4]  
CROSSLEY AWA, 1994, ANAESTHESIA, V49, P205
[5]   CLONIDINE COMPARABLY DECREASES THE THERMOREGULATORY THRESHOLDS FOR VASOCONSTRICTION AND SHIVERING IN HUMANS [J].
DELAUNAY, L ;
BONNET, F ;
LIU, N ;
BEYDON, L ;
CATOIRE, P ;
SESSLER, DI .
ANESTHESIOLOGY, 1993, 79 (03) :470-474
[6]   CLONIDINE DECREASES POSTOPERATIVE OXYGEN-CONSUMPTION IN PATIENTS RECOVERING FROM GENERAL-ANESTHESIA [J].
DELAUNAY, L ;
BONNET, F ;
DUVALDESTIN, P .
BRITISH JOURNAL OF ANAESTHESIA, 1991, 67 (04) :397-401
[7]   REDUCED NARCOTIC REQUIREMENT BY CLONIDINE WITH IMPROVED HEMODYNAMIC AND ADRENERGIC STABILITY IN PATIENTS UNDERGOING CORONARY-BYPASS SURGERY [J].
FLACKE, JW ;
BLOOR, BC ;
FLACKE, WE ;
WONG, D ;
DAZZA, S ;
STEAD, SW ;
LAKS, H .
ANESTHESIOLOGY, 1987, 67 (01) :11-19
[8]   CLONIDINE AND THE SYMPATICO-ADRENAL RESPONSE TO CORONARY-ARTERY BYPASS-SURGERY [J].
HELBOHANSEN, S ;
FLETCHER, R ;
LUNDBERG, D ;
NORDSTROM, L ;
WERNER, O ;
STAHL, E ;
NORDEN, N .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1986, 30 (03) :235-242
[9]   HEAT LOSS DURING ANESTHESIA [J].
HOLDCROFT, A ;
HALL, GM .
BRITISH JOURNAL OF ANAESTHESIA, 1978, 50 (02) :157-164
[10]   EFFECTS OF INTRAVENOUS CLONIDINE ON POSTOPERATIVE SHIVERING [J].
HOMMERIL, JL ;
BERNARD, JM ;
PASSUTI, N ;
PINAUD, M ;
SOURON, R .
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION, 1991, 10 (06) :554-558