Research Article

A Randomized Controlled Trial for Prevention of Postspinal Anesthesia Shivering in Gynecological Surgeries: Mirtazapine vs. Dexamethasone

Table 2

Incidence, grades, and treatment of postspinal anesthesia shivering among the studied groups.

Time pointsM group (n = 100)D group (n = 100)C group (n = 100) value

Incidence of shivering; n, %41 (41%) a62 (62%) b91 (91%) c#<0.001
Grade; n, %
(i) 059 (59%) a38 (38%) b9 (9%) c#<0.001
(ii) I25(25%) a31 (31%) a17 (17%) a
(iii) II10 (10%) a19 (19%) a43 (43%) b
(iv) III6 (6%) a12 (12%) a31 (31%) b
Patients with clinically significant shivering (Grade ≥2); n, %16 (16%) a31 (31%) b74 (74%) c#<0.001
Onset of shivering (min)51.3 ± 5.2 a32.8 ± 3.5 b16.0 ± 5.4 c^<0.001
Dose of meperidine (mg)25.1 ± 1.2 a31.3 ± 4.7b36.1 ± 3.5 c^<0.001
Response rate after administration of 1st dose of meperidine; n, %16 (100%) a22 (71%) b41 (55.4%) b#0.002
Recurrence; n, %0 (0.0%) a9 (29%) b33 (44.6%) b#0.002

Data were presented as numbers and percent. #Chi square test and ^ANOVA test. Labels (a, b, c) denote homogenous groups depending on post hoc Bonferroni test. Statistically significant. M group: mirtazapine group; D group: dexamethasone group; C group: control group.