Research Article

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

Table 3

Side effects, administered treatments, and patient satisfaction score.

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

Bradycardia; n,%6 (6%)8 (8%)7 (7%)#0.858
Hypotension; n,%6 (6%) a8 (8%) a25 (25%) b#<0.001
Need for ephedrine; n, %27 (27%) a32 (32%) a78 (78%) b#<0.001
Ephedrine dose (mg)10.3 ± 3.1 a13.5 ± 4 a21.4 ± 6.9 b^<0.001
Pruritus; n, %2 (2%) a10 (10%) a24 (24%) b#<0.001
Nausea; n, %4 (4%) a5 (5%) a28 (28%) b#<0.001
Vomiting; n, %2 (2%) a3 (3%) a17 (17%) b#<0.001
Rescue antiemetic; n, %3 (3%) a4 (4%) a22 (22%) b#<0.001
Sedation; n, %
(i) I7 (7%) a100 (100%) b100 (100%)b#<0.001
(ii) II85 (85%)0 (0)0 (0)
(iii) III8 (8%)0 (0)0 (0)
(iv) IV0 (0)0 (0)0 (0)
Headache; n, %6 (6%)4 (4%)5 (5%)#0.810
Dry mouth; n, %22 (22%) a8 (8%) b10 (10%) b#0.007
Elevated liver enzymes; n, %3 (3%)1 (1%)1 (1%)0.625
Patient satisfaction score5.0 (5-6) a5.0 (4–6) a2.0 (2-3) b§<0.001

Data were presented as median (range), mean (SD), numbers, and percent. #Chi square test, ^ANOVA test, §Kruskal Wallis test, and Fisher’s exact 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.