COMPARISON OF INTRAVENOUS CLONIDINE AND TRAMADOL FOR POST SPINAL ANAESTHESIA SHIVERING: A RANDOMIZED STUDY

Objective: Post-spinal anesthesia shivering is a frequent complication that can affect patient recovery and comfort. Clonidine and tramadol are both used to treat this condition, but direct comparisons of their effectiveness and safety are limited. Methods: This prospective, randomized study included 120 patients undergoing surgery under spinal anesthesia, divided equally into two groups to receive either clonidine or tramadol upon the onset of shivering. Outcomes measured included incidence of shivering, heart rate, and temperature changes, analyzed using chi-square and t-tests. Results: There were no significant differences in age, weight, and ASA status between the groups, indicating a homogeneous sample. Both drugs effectively managed temperature and heart rate during and after shivering, with no significant differences in efficacy or safety observed. Conclusion: Both drugs are effective for managing post-shivering but Clonidine is more effective then tramadol for managing post-spinal anesthesia shivering, suggesting that treatment choice can be guided by individual patient needs and drug availability.