Use of acupuncture as adjuvant analgesic technique in dogs undergoing thoracolumbar hemilaminectomy

Machin, Hanna; Taylor‐Brown, Frances; Adami, Chiara

doi:10.1016/j.tvjl.2020.105536

Cited by 11 publications

(8 citation statements)

References 24 publications

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“…To assess pain control between groups, all patients were evaluated and assigned pain scores using the Colorado (CSU) Acute Pain Scale, 32 and the short‐form Glasgow Composite Measure Pain Scale (CMPS‐SF) 33 the morning after surgery by an observer blinded to their treatment. Secondary outcome measures included the time (days) elapsed before dogs were willing to eat and before they gained control of urination, which were obtained from hospital records or from follow‐up with the owners.…”

Section: Methodsmentioning

confidence: 99%

Randomized clinical trial comparing outcomes after fentanyl or ketamine‐dexmedetomidine analgesia in thoracolumbar spinal surgery in dogs

Lovell

Simon

Boudreau

et al. 2022

Veterinary Internal Medicne

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Background: Opioids are widely used for perioperative pain control in dogs undergoing spinal surgery, but alternatives may be required because data suggest that opioids exacerbate inflammation in the injured spinal cord and veterinary access to opioids may become more restricted in the future.Objectives: To compare recovery of ambulation and other functions between spinal cord-injured dogs receiving peri-operative fentanyl and those receiving a ketaminedexmedetomidine combination. Animals: A total of 102 client-owned dogs undergoing decompressive surgery for thoracolumbar intervertebral disc herniation. Methods: Randomized clinical trial. Dogs were randomized 1:1 to fentanyl or a ketamine-dexmedetomidine combination for intra and postoperative analgesia. Primary outcome was time to recovery of ambulation; secondary outcomes were the postoperative Colorado Acute Pain Scale, the short-form Glasgow Composite Measure Pain Scale, time to recovery of voluntary urination and time to unassisted eating. Results: No difference was found in time to recovery of ambulation between groups

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Section: Methodsmentioning

confidence: 99%

Randomized clinical trial comparing outcomes after fentanyl or ketamine‐dexmedetomidine analgesia in thoracolumbar spinal surgery in dogs

Lovell

Simon

Boudreau

et al. 2022

Veterinary Internal Medicne

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“…Pain after TL-IVDE has been quantified in dogs using ordinal pain scores, frequency of rescue medication use, and mechanical sensory thresholds (MST). [143][144][145][146][168][169][170][171][172][173][174][175]…”

Section: Pain Managementmentioning

confidence: 99%

“…Neuropathic pain, caused by a lesion that leads to damage or dysfunction of the somatosensory system, 167 also is known to be a common phenomenon in people after SCI; however, limited data are available on its occurrence in dogs. Pain after TL‐IVDE has been quantified in dogs using ordinal pain scores, frequency of rescue medication use, and mechanical sensory thresholds (MST) 143‐146,168‐175 …”

Section: Pain Managementmentioning

confidence: 99%

ACVIMconsensus statement on diagnosis and management of acute canine thoracolumbar intervertebral disc extrusion

Moore

Olby

Brisson³

et al. 2022

Veterinary Internal Medicne

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Background Thoracolumbar intervertebral disc extrusion (TL‐IVDE) is the most common cause of acute paraparesis and paraplegia in dogs; however, guidelines on management of the condition are lacking. Objectives To summarize the current literature as it relates to diagnosis and management of acute TL‐IVDE in dogs, and to formulate clinically relevant evidence‐based recommendations. Animals None. Methods A panel of 8 experts was convened to assess and summarize evidence from the peer‐reviewed literature in order to develop consensus clinical recommendations. Level of evidence available to support each recommendation was assessed and reported. Results The majority of available literature described observational studies. Most recommendations made by the panel were supported by a low or moderate level of evidence, and several areas of high need for further study were identified. These include better understanding of the ideal timing for surgical decompression, expected surgical vs medical outcomes for more mildly affected dogs, impact of durotomy on locomotor outcome and development of progressive myelomalacia, and refining of postoperative care, and genetic and preventative care studies. Conclusions and Clinical Importance Future efforts should build on current recommendations by conducting prospective studies and randomized controlled trials, where possible, to address identified gaps in knowledge and to develop cost effectiveness and number needed to treat studies supporting various aspects of diagnosis and treatment of TL‐IVDE.

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“…This component of the study design may have skewed the results, since opioidergic pathways play an important role in the analgesic effect triggered by acupuncture [22,23]. Clinical studies on dogs and cats have demonstrated a synergistic interaction between acupuncture and opioids with respect to perioperative pain management [24][25][26][27]. Thus, it is possible that the inclusion of an opioid in our analgesic protocol could have increased the effectiveness of the pharmacopuncture techniques utilized.…”

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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Use of acupuncture as adjuvant analgesic technique in dogs undergoing thoracolumbar hemilaminectomy

Cited by 11 publications

References 24 publications

Randomized clinical trial comparing outcomes after fentanyl or ketamine‐dexmedetomidine analgesia in thoracolumbar spinal surgery in dogs

Randomized clinical trial comparing outcomes after fentanyl or ketamine‐dexmedetomidine analgesia in thoracolumbar spinal surgery in dogs

ACVIMconsensus statement on diagnosis and management of acute canine thoracolumbar intervertebral disc extrusion

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

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