\*Ketamine:\* Ketamine is a medication that can help reduce shivering by blocking certain nerve signals in the brain. It's like a "nerve blocker" that helps calm down the body's shivering response.
\- \*Tramadol:\* Tramadol is a pain medication that can also help reduce shivering. It works by affecting the brain's temperature regulation centers, which helps to reduce the shivering response.
Pateint for elective cesarean section
Age 18 to 40 years
ASA 1 and 2
ASA 2 and 3
Cesarean section requiring general anesthesia
Hypersensitivity to Ketamine, Tramadol and Opiods
History of cardiovascular disease