The need for opioid in the postoperative analgesia of dogs undergoing hemilaminectomy due to intervertebral disc extrusion

Ferrarin, Dênis Antonio; Schwab, Marcelo Luís; Wrzesinski, Mathias Reginatto; Ripplinger, Angel; Rauber, Júlia da Silva; Santos, Anne G.C.; Aiello, Graciane; Mazzantí, Alexandre

doi:10.1590/1678-5150-pvb-6825

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…They demonstrated that paracetamol was as effective as both NSAIDs for postoperative analgesia. Additionally, in a study by Ferrarin et al (2021), it was shown that methadone as a postoperative drug is not required in dogs that underwent hemilaminectomy for IVDE, when a combination of meloxicam (NSAID) and metamizole (non-opioid analgesic and antipyretic drug) was used for postoperative analgesia. The key finding from this study was that combining paracetamol with an NSAID provides effective postoperative analgesia in dogs undergoing hemilaminectomy to treat intervertebral disc disease and reduces the need for opioid analgesia in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Paracetamol add-on treatment for perioperative pain management in dogs undergoing single-site thoracolumbar hemilaminectomy: a prospective clinical study

Burger,

Bosmans,

Bhatti

et al. 2023

Vlaams Diergeneeskundig Tijdschrift

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In this prospective, double-blinded, randomized, clinical trial, it was evaluated whether paracetamol, as an adjunct to NSAID and opioid analgesia, might limit the requirements for intraoperative fentanyl and postoperative methadone administration in dogs undergoing a singlesite thoracolumbar hemilaminectomy for surgical treatment of an intervertebral disc extrusion. Twelve client-owned dogs were randomly assigned to two multimodal analgesia groups: NSAID + paracetamol group (group NP) and NSAID + placebo group (group N). Intraoperative analgesic assessment was based on the clinical evaluation of a nociceptive response, whereas postoperative analgesic assessment was determined by using the short form of the Glasgow Composite Pain Scale. No statistically significant difference was found in both groups for the intraoperative need for fentanyl (P = 0.18). The probability of having to administer rescue analgesia postoperatively was significantly higher in group N than in group NP (P = 0.01). For both groups, there were no serious side effects reported, nor was any significant difference found between both groups regarding the occurrence of side effects (P = 0.55). Despite multimodal perioperative pain management consisting of a full μ-agonist opioid, a NSAID and paracetamol, intraoperative rescue analgesia was still required, although the need for postoperative opioid based analgesia was significantly lower in group NP.

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Section: Discussionmentioning

confidence: 99%

Paracetamol add-on treatment for perioperative pain management in dogs undergoing single-site thoracolumbar hemilaminectomy: a prospective clinical study

Burger,

Bosmans,

Bhatti

et al. 2023

Vlaams Diergeneeskundig Tijdschrift

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An investigation of the impact of body condition score on the grade of intervertebral disc disease and recovery time

Ball¹,

Cartlidge

2022

The Veterinary Nurse

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Background: Risk factors for Hansen type I intervertebral disc disease (IVDD) have been widely investigated, but studies looking at the impact of body condition score (BCS) on recovery times have had many limitations. Aims: To investigate whether BCS is associated with IVDD grade; and whether BCS affects recovery time following thoracolumbar hemilaminectomy in Dachshunds. Methods: An owner questionnaire was shared through social media between 11 November 2021 and 11 January 2022. 294 responses were received from owners of Dachshunds that had had thoracolumbar hemilaminectomies. Data on Dachshund variety, age, gender and neuter status were collected as well as information about the time of developing IVDD including age, weight and BCS using a Dachshund specific scale. Postoperative data included days spent in hospital and times to consciously urinate and to walk without assistance. BCS was then compared with IVDD grade, recovery time (days in hospital, days to urinate, days to walk unaided) to look for any significant differences. Results: BCS was not associated with grade of IVDD (p=0.566). There was no significant association between body condition and days to walk unaided or days in hospital. However, there was an association between body condition and number of days to consciously urinate (p=0.016). Conclusion: Dachshunds that are overweight (BCS ≥ 6) took longer to consciously urinate following IVDD surgery than those of ideal weight. This is new evidence that being overweight can delay time to consciously urinate, highlighting the importance of maintaining ideal BCS in this breed, which commonly suffers with IVDD. No conclusion could be drawn about underweight Dachshunds from this study and so further research about underweight dogs is required.

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The need for opioid in the postoperative analgesia of dogs undergoing hemilaminectomy due to intervertebral disc extrusion

Cited by 2 publications

References 23 publications

Paracetamol add-on treatment for perioperative pain management in dogs undergoing single-site thoracolumbar hemilaminectomy: a prospective clinical study

Paracetamol add-on treatment for perioperative pain management in dogs undergoing single-site thoracolumbar hemilaminectomy: a prospective clinical study

An investigation of the impact of body condition score on the grade of intervertebral disc disease and recovery time

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