Acupuncture and pharmacopuncture are as effective as morphine or carprofen for postoperative analgesia in bitches undergoing ovariohysterectomy

Abstract

PURPOSE:To investigate the analgesic effect of acupuncture (AP) or micro-dose pharmacopuncture (PA), using carprofen or morphine, in bitches undergoing ovariohysterectomy (OHE). METHODS:Thirty five dogs were randomly assigned to five groups after sedation with acepromazine IM: AP, 0.5 mg.kg -1 of morphine subcutaneously (SC), 4 mg.kg -1 of carprofen SC, and PA with 0.05 mg.kg -1 of morphine or 0.4 mg.kg -1 of carprofen. Anaesthesia was induced with propofol and maintained with isoflurane. Pain was assessed after OHE by a blind observer for 24h, by dynamic visual analogue scale (DIVAS), Glasgow (CMPS-SF), Melbourne (UMPS) and Colorado University pain scale (CSU). Animals reaching 33% of the UMPS score received rescue analgesia with morphine IM. Non parametric data were analysed by Kruskal-Wallis or Friedman tests where applicable, followed by Dunn´s test. Parametric data were analysed by two way ANOVA, followed by Tukey test. RESULTS:There were no differences among groups in number of rescue analgesia. Except for the DIVAS score where animals treated with morphine had the lowest score compared with AP and carprofen, at 1h after surgery, there were no other differences among groups.CONCLUSION: Acupuncture or pharmacopuncture were equally effective as morphine or carprofen to control postoperative pain in bitches undergoing ovariohysterectomy.

Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy

“…In cats undergoing ovariohysterectomy, bilateral laserpuncture at Stomach 36 and Spleen 6 reduced the postoperative analgesic requirements compared to the control group, which received no acupuncture [ 8 ]. In dogs, acupuncture performed at the same acupoints use here, abated pain after ovariohysterectomy as effectively as NSAIDs and morphine [ 7 ]. In two studies in cats undergoing ovariohysterectomy, laserpuncture, using the same settings, except for 3 J.cm-2, for 9 s at Stomach 36 and Spleen 6 acupoints, reduced postoperative analgesic requirements [ 8 , 10 ].…”

“…Various techniques may be used to replace or complement the effect of dry needle acupuncture. The main techniques are electroacupuncture [ 6 ], pharmacopuncture [ 7 ], and laserpuncture [ 8 ]. Laserpuncture consists of using a light amplification by stimulated emission of radiation (LASER) to stimulate acupoints.…”

Postoperative analgesic effects of Reiki therapy in bitches undergoing ovariohysterectomy

“…In addition to traditional pharmacological treatment, other therapies have proven effective in controlling postoperative pain in canine patients submitted to OVH, including acupuncture, pharmacopuncture, and electroacupuncture (gROPPETTI et al, 2011;CASSU et al, 2012;LUNA et al, 2015). In humans, another complementary therapy called Reiki has proven effective in reducing postoperative pain in women undergoing cesarean section (MIDILLI & ESER, 2015;MIDILLI & gUNDUZOgLU, 2016).…”

Efeito da eletroacupuntura sobre a motilidade e trânsito intestinal de equinos

“…A acupuntura é uma terapia complementar que tem sido cada vez mais procurada pelos proprietários de animais (SHMALBERG; XIE, 2011) e, dentre eles, os de equinos, devido à segurança do procedimento e por ser bem tolerada pela maioria dos animais (JEUNE; HENNEMAN;MAY et al, 2016). Estudos demonstram que o uso de acupuntura e eletroacupuntura têm influência na motilidade gastrointestinal de humanos e animais (LI et al, 2015), com a vantagem de se reduzir ou inexistir efeitos indesejáveis quando comparados ao uso de fármacos (LUNA et al, 2015;SHMALBERG;.…”

“…Constantemente buscam-se por novas terapias que induzam bons resultados clínicos com reduzidos efeitos indesejáveis(LAUS et al, 2017). A associação da acupuntura ao tratamento medicamentoso convencional ou o uso isolado da acupuntura apresenta-se como uma alternativa promissora(LUNA et al, 2015; …”