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

Tomacheuski, Rubia Mitalli; Taffarel, Marilda Onghero; Cardoso, Guilherme Schiess; Derussi, A. A. P.; Ferrante, Marcos; Volpato, Rodrigo; Luna, Stélio Pacca Loureiro

doi:10.3390/vetsci7030094

Cited by 8 publications

(8 citation statements)

References 39 publications

(67 reference statements)

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“…A similar study compared meloxicam to laserpuncture for postoperative OVH pain in the canine has recently been reported by Tomacheuski et al [40]. In this prospective, randomized, blinded study, 16 bitches were sedated with acepromazine and randomly treated before ovariohysterectomy with systemic meloxicam or laserpuncture.…”

Section: Influence Directed On Reproductive Surgical Painmentioning

confidence: 78%

Evidence-Based Application of Acupuncture in Theriogenology

Holyoak

2022

Veterinary Sciences

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Historical evidence of acupuncture predates written history. It has been a component of Traditional Chinese veterinary medicine for many generations and is officially recognized in recorded history for treating equine disease in the Zhou Dynasty, circa 1050 BC. Drawing from a range of searchable databases, we present the use of veterinary acupuncture related to theriogenology. We touch on human-based medicine only as an introduction to current uses within veterinary medical acupuncture. This review is confined to the use of acupuncture encompassing dry needle, electroacupuncture, aquapuncture, and the few reports of laserpuncture. Starting with acupuncture’s influence on the master organs of reproduction, the hypothalamus and the pituitary glands, and the hypothalamic–pituitary–gonadal axis, we then review reports specific to the gonads—ovaries and testicles—and then its influences on the uterus. From there, we review reports on the influence of acupuncture on pain associated with reproductive surgery, and finally, on the use of acupuncture for maternal lactation. Based on published reports, we conclude that acupuncture has been shown to be effective in many situations as a treatment for infertility and/or reproductive tract disfunction, resulting in improvements in both female and male patients.

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Section: Influence Directed On Reproductive Surgical Painmentioning

confidence: 78%

Evidence-Based Application of Acupuncture in Theriogenology

Holyoak

2022

Veterinary Sciences

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“…In our study, ST-36 and SP-6 acupoints were chosen based on results from previous clinical reports showing significant analgesic benefits derived from their stimulation in human and veterinary patients undergoing laparotomy [26,28]. Other acupoints such as Liver-3 (LIV-3), Gallbladder-34 (GB-34), and Large Intestine-4 (LI-4) have also been reported to positively impact postoperative abdominal pain [11,15,29]. Accordingly, it is likely that stimulating more acupoints could have intensified the analgesic response in cats used in the current study.…”

Section: Discussionmentioning

confidence: 99%

Effects of Lidocaine Injection at Acupuncture Points on Perioperative Analgesia in Cats Undergoing Ovariohysterectomy

Lima

Segatto

Zanelli

et al. 2022

J Acupunct Meridian Stud

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Background: Pharmacopuncture is an acupuncture-related technique that has been used to amplify the therapeutic effects of different medications. Objectives: To investigate the analgesic efficacy of a lidocaine injection at acupoints in cats undergoing ovariohysterectomy. Methods: Thirty cats were randomly distributed into two groups (n = 15, per group). The experimental group received a bilateral administration of lidocaine at the following acupoints: Stomach 36 (ST-36) and Spleen 6 (SP-6) (Lido group). The control group did not receive lidocaine (Control group). All cats were sedated with dexmedetomidine and anesthesia was induced with propofol and maintained with isoflurane. Intraoperatively, fentanyl was given to control cardiovascular responses to surgical stimulation. Postoperative pain was assessed at various time points, up to 24 hours after extubation, using the UNESP-Botucatu multidimensional composite pain scale (MCPS) and Glasgow feline composite measure pain scale (CMPS-Feline). Sedation scores were measured at the same time points. Morphine/meloxicam was administered as rescue analgesia. Data were analyzed using t-tests, Fisher´s exact test, the Mann-Whitney test, and the Friedman test (p < 0.05). Results: Intraoperatively, more cats in the Control group required analgesic supplementation than those in the Lido group, but the difference was not significant (p = 0.65). Postoperative pain, sedation scores, and analgesic requirements did not differ between groups. Rescue analgesia was given to 67% (10/15) of the cats in each group. Conclusion:The administration of lidocaine at ST-36 and SP-6 acupuncture points did not provide significant perioperative analgesic benefits in healthy cats undergoing ovariohysterectomy.

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“…Another possibility is the possible synergistic opioidergic effect of fentanyl with acupuncture and meloxicam [35], but this would occur in the three groups. Several studies assessing the analgesic effect of different modalities of acupuncture used transoperative fentanyl [18,37,38].…”

Section: Discussionmentioning

confidence: 99%

“…Even for major surgery like mastectomy, the number of rescue analgesia was smaller in female dogs treated with preemptive electroacupuncture than morphine [11]. LASERpuncture provided a superior postoperative pain relief than meloxicam [18] and injection of ozone into acupoints was as effective as meloxicam for postoperative analgesia [45].…”

Section: Discussionmentioning

confidence: 99%

“…Various animal pain guidelines [9,10] consider acupuncture as an effective analgesic modality to control pain in dogs. Preoperative acupuncture and its modalities provide comparable or superior postoperative analgesia to opioids and NSAIDs in dogs [11][12][13][14][15][16] and the Large intestine 4, Spleen 6, and Stomach 36 acupoints are some of the most commonly used for this [17][18][19][20]. Performing preoperative acupuncture in unmanageable animals is a major limitation of this procedure, however, this drawback could be overcome by performing acupuncture in the immediate postoperative period when the residual effect of anesthetics would provide sedation and facilitate the procedure.…”

Section: Introductionmentioning

confidence: 99%

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Postoperative Acupuncture is as Effective as Preoperative Acupuncture or Meloxicam in Dogs Undergoing Ovariohysterectomy: a Blind Randomized Study

Ferro

Cannolas²,

Reginato³

et al. 2022

J Acupunct Meridian Stud

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Background: Acupuncture has the same analgesic effect as non-steroidal antiinflammatory drugs and opioids. It is challenging to perform preoperative acupuncture in unmanageable animals, while the residual postoperative anesthetic effect facilitates the performance of acupuncture postoperatively. Objectives: To compare preoperative acupuncture or meloxicam versus postoperative acupuncture for postoperative analgesia after ovariohysterectomy. Methods: This is a horizontal prospective positive control blind randomized experimental study. Thirty-six dogs were randomly divided into three groups: GA (preemptive acupuncture), GPA (postoperative acupuncture), and GM (meloxicam 0.2 mg/kg IV preoperatively). After sedation with acepromazine (0.05 mg/kg IM), anesthesia was induced with propofol (5.3 ± 0.3 mg/kg) and maintained with isoflurane/O 2 . Fentanyl (2 µg/ kg, IV) was administered immediately before surgery. Bilateral acupuncture was performed at acupoints Large intestine 4, Spleen 6, and Stomach 36 for 20 minutes, before (GA) or immediately after surgery (GPA). Pain was evaluated by an observer blind to the treatment using the Glasgow scale before and for 24 hours after ovariohysterectomy. Dogs with a score ≥ 6 received rescue analgesia with morphine (0.5 mg/kg IM). Nonparametric data were analyzed by the Kruskal-Wallis test, followed by Dunn's test and parametric data by ANOVA followed by Tukey's test. Results: Two GA and one GPA dogs received rescue analgesia once. Two GM dogs received rescue analgesia and one of those was treated again twice. There were no differences in the number of dogs receiving rescue analgesia between groups (p = 0.80). Conclusion:Postoperative acupuncture was as effective as preoperative acupuncture or meloxicam in female dogs undergoing ovariohysterectomy.

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

Cited by 8 publications

References 39 publications

Evidence-Based Application of Acupuncture in Theriogenology

Evidence-Based Application of Acupuncture in Theriogenology

Effects of Lidocaine Injection at Acupuncture Points on Perioperative Analgesia in Cats Undergoing Ovariohysterectomy

Postoperative Acupuncture is as Effective as Preoperative Acupuncture or Meloxicam in Dogs Undergoing Ovariohysterectomy: a Blind Randomized Study

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