2 research outputs found
Comparative study of dexmedetomidine and tramadol for control of post-spinal anesthesia shivering
Background and Aim: Dexmedetomidine, a congener of clonidine is an α2 adrenoceptor agonist, commonly used for sedation, alsoknown to have antishivering potential. Its use as an agent to treat and control post-spinal anesthesia shivering has been inadequatelystudied. This study is thus aimed to evaluate the efficacy, hemodynamic changes and side effects of dexmedetomidine in comparisonto tramadol when used to control post-spinal anesthesia shivering. Materials and Methods: A prospective randomized, and doubleblindstudy was conducted in 60 ASA Grade I and II patients of either gender, aged between 18 and 60 years, undergoing varioussurgical procedure under spinal-anesthesia and developing shivering. The patients were randomized into two groups of n = 30each to receive either dexmedetomidine - 0.5 μg/kg (Group D) or tramadol - 0.5 mg/kg (Group T) as an intravenous infusion onappearance of shivering. The time of onset, grade of shivering, time taken for cessation of shivering, response rate, and adverseeffect were observed at scheduled intervals. SPSS-20 was used for statistical analysis, unpaired t-test for numerical data andchi-square test for categorical data. Results: Both the drugs effectively controlled shivering, taking almost the same time for itscessation. It was observed that patients in Group D were found to have a greater sedation score, whereas the side effects such asnausea and vomiting requiring treatment was more in Group T. The incidence of recurrence of shivering was higher in Group T.Conclusions: Dexmedetomidine effectively controls shivering taking almost the same time for cessation as that of tramadol. Itprovides an additional benefit of intraoperative sedation
Radiologic finding of intraosseous gas: A rare case of emphysematous osteomyelitis of the foot
Emphysematous osteomyelitis is a rare but potentially life-threatening infection which is characterized by presence of intraosseous gas. It is a very rare form of osteomyelitis which is complicated by infection with gas forming organisms. In majority of the cases, it has been found to be associated with comorbidities like immunosuppressive therapies, diabetes mellitus, alcohol use, and several others. Early identification on radiologic imaging is necessary to enable implementation of prompt treatment plan