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The effeect of intravenous injection of midazolam ,midazolam- ketamine and ketamine on reduce prevalence of post spainal sheivering

Not Applicable
Completed
Conditions
post spainal sheivering.
Other complications of anaesthesia
Registration Number
IRCT2016043012251N3
Lead Sponsor
Vice-chancellor for Research the Technology, Hamadan University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
124
Inclusion Criteria

(a) Age 18-40 years and undergoing cesarean section; (b) ; physical status class I or II in accordance with anesthesia; (c) Term pregnancy (gestational age 36-40 weeks); (d) Singleton pregnancy. Exclusion criteria: (a) High-risk pregnancy; (b) Preeclampsia;(c) A history of cardiovascular disease, lung disease, mental, thyroid disease, diabetes mellitus type 1 and 2;(d) needs to blood or blood supply transfusion;(e) Fever over 38 ° C;(f) Drag over an hour during surgery;(g) A history of nausea and vomiting to Previous surgery;(h) Despite the decrease in body temperature or sheivering before the start of anesthesia due to fear or other reasons;(i) Patients with spinal anesthesia ban.

Exclusion Criteria

Not provided

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Shivering after spinal anesthesia in patients undergoing elective cesarean. Timepoint: Since spinal anesthesia or intravenous of midazolam, ketamine ,midazolam- ketamine or normal saline. Method of measurement: Shivering intensity divided by 4 score will be assessed.Grade zero: no Shivering . Grade1: mild fasciculation in the face and neck. Grade2: trembling visible muscle groups in more than one category. Grade 3: Zlany activity of the whole body is involved.
Secondary Outcome Measures
NameTimeMethod
Heart rate. Timepoint: during the surgery and recovery. Method of measurement: Cardiac monitor.;Arterial blood oxygen saturation. Timepoint: during the surgery and recovery. Method of measurement: Pulse oximeter.;Hemodynamic instability. Timepoint: during the surgery and recovery. Method of measurement: Sphygmomanometer.;Hallucination. Timepoint: during the surgery and recovery. Method of measurement: Observation.;Sedation Score. Timepoint: during the surgery and recovery. Method of measurement: Ramsay score.
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