A retrospective comparison of two analgesic strategies after uncomplicated tibial plateau levelling osteotomy in dogs

Bini, G; Vettorato, Enzo; Gennaro, Chiara De; Corletto, Federico

doi:10.1016/j.vaa.2017.11.005

Cited by 29 publications

(25 citation statements)

References 37 publications

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“…The use of a composite pain scale during the postoperative period guides the administration of opioids. Bini et al (2018) showed that the use of a composite pain scale to assess pain after TPLO decreases the amount of methadone required when compared with its administration at fixed intervals. Furthermore, titrating analgesia to an individual's need was associated with a decreased incidence of vomiting and an increased food intake (Bini et al 2018).…”

Section: Discussionmentioning

confidence: 99%

Opioid requirements after locoregional anaesthesia in dogs undergoing tibial plateau levelling osteotomy: a pilot study

Marolf

Spadavecchia²,

Müller³

et al. 2021

Veterinary Anaesthesia and Analgesia

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Section: Discussionmentioning

confidence: 99%

Opioid requirements after locoregional anaesthesia in dogs undergoing tibial plateau levelling osteotomy: a pilot study

Marolf

Spadavecchia²,

Müller³

et al. 2021

Veterinary Anaesthesia and Analgesia

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“…A study in dogs illustrated that administration of methadone, regardless of pain score, after orthopaedic procedures significantly increased the risk of vomiting, dysphoria and reduced food intake. 26 Cats 1 and 2 had just one high pain score in the first 24 h postoperatively, while cat 3 presented three elevated scores. However, postoperative rescue analgesia was given on three occasions for cat 1, on six occasions for cat 2 and on four occasions for cat 3.…”

Section: Discussionmentioning

confidence: 88%

Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats

Salvatierra

Linares²,

Motta³

et al. 2021

Journal of Feline Medicine and Surgery Open Reports

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Case series summary The erector spinae plane (ESP) block consists of an interfascial injection of local anaesthetic between the erector spinae muscle group and the transverse processes of the thoracic vertebrae. This block targets the dorsal rami of the thoracic spinal nerves to desensitise the cutaneous area near the dorsal midline, the paraspinal muscles, the dorsal vertebral laminae and the facet joints. The purpose of this case series is to describe the perioperative analgesic effect and complications of ultrasound-guided ESP block with bupivacaine in three cats undergoing spinal surgery. Only one cardiovascular response was recorded in this case series. Just one cat received intraoperative rescue analgesia. Cats 1 and 2 recorded just one high pain score in the first 24 h postoperatively, and cat 3 recorded three high pain scores. The total amount of methadone given in the 24 h postoperatively was 0.6 mg/kg in cat 1, 0.9 mg/kg in cat 2 and 0.8 mg/kg in cat 3. All three cats suffered mild and transient intraoperative complications, which were easily addressed. There were no postoperative complications. Relevance and novel information This case series documents a novel locoregional anaesthesia technique as an alternative to traditional systemic analgesia. The technique is part of a multimodal analgesia approach for spinal surgery in cats. Perioperative analgesic effect and complications presented in this case series are evaluated and discussed.

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“…The low opioid consumption could have contributed to the relatively fast resumption of oral food intake. 72 While the dose of paracetamol we administered was below the licensed dose in dogs (33 mg/kg every 8 hours; Pardale-V), it was similar to the one that provided postoperative analgesia in dogs undergoing ovariohysterectomy. 9 Nevertheless, the relationship between dose and analgesic efficacy of paracetamol needs to be better established in dogs.…”

Section: Discussionmentioning

confidence: 99%

Perioperative use of thoracic epidural anaesthesia, dexmedetomidine and magnesium sulphate infusion in a dog undergoing neuroendocrine tumour resection

Viilmann¹,

Vettorato²

2021

Vet Record Case Reports

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An 11-year-old, 22 kg, male neutered English Staffordshire Bull Terrier, in which a pheochromocytoma was removed from the left retroperitoneal space, was referred to investigate the regrowth of a mass in the same region. A neuroendocrine tumour, compatible with pheochromocytoma, was cytologically diagnosed after ultrasound-guided fine-needle aspirates, and the dog underwent explorative celiotomy. A combination of thoracic epidural anaesthesia, dexmedetomidine and magnesium sulphate infusion was used intraoperatively to control nociception and potential haemodynamic changes caused by sudden catecholamines release. Postoperative analgesia was provided by administering 0.12% levobupivacaine through the thoracic epidural catheter and oral paracetamol and gabapentin. Postoperative methadone was administered twice during the first 24 postoperative hours only. Two days after the surgery, the dog was anaemic and packed red blood cells were administered. No other complications occurred, and the dog was discharged from the hospital 5 days following surgery. INVESTIGATIONSAbnormalities found on blood analysis are reported in Table 1. Prothrombin time was 6.0 seconds [reference interval (r.i.), 7.0-12.0], activated partial thromboplastin time was 16.0 seconds (r.i., 15.0-25.0). The blood type was dog erythrocyte antigen (DEA) 1.1-negative. In addition to CT findings, an abdominal ultrasound (US) showed nodular hepatopathy, bilateral chronic nephropathy, left mild hydronephrosis. The mass was

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A retrospective comparison of two analgesic strategies after uncomplicated tibial plateau levelling osteotomy in dogs

Cited by 29 publications

References 37 publications

Opioid requirements after locoregional anaesthesia in dogs undergoing tibial plateau levelling osteotomy: a pilot study

Opioid requirements after locoregional anaesthesia in dogs undergoing tibial plateau levelling osteotomy: a pilot study

Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats

Perioperative use of thoracic epidural anaesthesia, dexmedetomidine and magnesium sulphate infusion in a dog undergoing neuroendocrine tumour resection

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