Variability of performance of wound infusion catheters

Hansen, Bernie; Lascelles, B. Duncan X.; Thomson, Andrea; DePuy, Venita

doi:10.1111/vaa.12016

Cited by 15 publications

(7 citation statements)

References 14 publications

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“…), and regardless of the catheter type used, bolus administration is thought to provide for better dispersion of local anaesthetic throughout the wound than continuous infiltration (Hansen et al . ). Studies in human patients have highlighted the importance of where the analgesic catheter is placed within the wound (Wu et al .…”

Section: Local Anaestheticsmentioning

confidence: 97%

An extended release local anaesthetic: potential for future use in veterinary surgical patients?

Lascelles

Shaw

2016

Veterinary Medicine & Sci

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One of the most effective means of preventing the transduction and transmission of acute and perioperative pain is through the use of local anaesthetics. However, local anaesthetics currently available have a relatively short duration of action. Although there are several tools available to treat perioperative pain in companion animals, overall, there is an unmet need for products that can be administered in the clinic, and provide pain relief for the crucial first few days following surgery in the home environment. Specifically, in relation to local anaesthetics, there is a clear unmet need for a long‐acting local anaesthetic that can be added to the multimodal analgesic protocol to provide pain relief to patients in the home environment or during extended hospitalization. Bupivacaine liposomal injectable suspension recently became available for use in humans, and has proven efficacious and safe. This paper will review the use of local anaesthetics, particularly bupivacaine, in dogs and cats, and introduce a new formulation of prolonged release bupivacaine that is in development for dogs and cats.

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Section: Local Anaestheticsmentioning

confidence: 97%

An extended release local anaesthetic: potential for future use in veterinary surgical patients?

Lascelles

Shaw

2016

Veterinary Medicine & Sci

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“…100 Wound infusion catheters: These are flexible indwelling catheters that are embedded near, or in, surgical sites that are used to deliver intermittent infusions of local anaesthetics 101 (continuous infusions have been show to lead to unequal distribution). 102 Electrical nerve locators (ENLs): These devices can be used to facilitate neural blockade of brachial plexus, tibial and femoral nerves, epidurals, among other local blocks. Clinical use of ENLs helps with needle placement and may shorten onset time, prolong duration of action, and reduce risk for nerve injury.…”

Section: Toolsmentioning

confidence: 99%

Guidelines for recognition, assessment and treatment of pain

Mathews¹,

Kronen²,

Lascelles³

et al. 2015

The Veterinary Nurse

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Non-steroidal anti-inflammatory drugs are toxic in dogs and cats' False. As most pain is associated with inflammation NSAIDs are the mainstay of analgesia for both acute and chronic pain in dogs and cats, and are widely and safely used in many animals around the world. The analgesic benefits far outweigh the potential risks. However, it is essential that the individual patient is screened for potential risk factors prior to administration and monitored during treatment. Many of the NSAIDs licensed for use in humans have a narrow safety margin in animals and should be used with caution. Where approved drugs are available, they should be used preferentially. 'If I alleviate pain, the animal will move and disrupt its suture line/fracture repair' False. The use of pain to control movement following surgery is unethical. Where activity needs to be controlled, other means should be adopted (e.g. cage confinement, controlled leash walking). Controlled walking exercise is essential for postoperative orthopaedic E24

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“…Wound infusion catheters : These are flexible indwelling catheters that are embedded near, or in, surgical sites that are used to deliver intermittent infusions of local anaesthetics (continuous infusions have been show to lead to unequal distribution) …”

Section: Section 2: Pain Managementmentioning

confidence: 99%