1. Evaluation of intraperitoneal and subcutaneous lidocaine and bupivacaine for analgesia following ovariohysterectomy in the dog.
- Author
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Wilson, DV and Evans, AT
- Subjects
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ANALGESIA , *PAIN management , *DOGS - Abstract
Many dogs in private practice undergo ovariohysterectomy (OHE) without analgesics. The purpose of this study was to determine if intraperitoneal (IP) and subcutaneous (SQ) lidocaine or bupivacaine provide analgesia following OHE. Thirty dogs presenting to the Veterinary Teaching Hospital for elective OHE were included in the study. All dogs were pre-medicated with acepromazine and butorphanol IM, induced with thiopental, and maintained with isoflurane. Dogs were randomly assigned to three groups: 10 received 8.8 mg kg-1 2% lidocaine with epinephrine IP (LID), 10 received 2.2 mg kg-1 0.75% bupivacaine IP (BUP), and 10 received 0.9% saline IP (SAL) upon completion of OHE. All IP doses were standardized to 0.88 mL kg-1 with saline. An additional 2 mL of the assigned solution was placed SC as a splash block prior to incisional closure. Dogs were scored at 0.5, 1, 2, 3, 6, 8, and 18 hours post-extubation by one observer blinded to treatment status. Dogs were evaluated using a visual analogue scale (VAS) for pain and sedation, and a scoring system that included physiologic and behavioral variables. Dogs were given supplemental analgesia with 0.22 mg kg-1 butorphanol ± acepromazine if their VAS (pain) score was >50. Parametric variables were analyzed using Student's t -test or Repeated Measures anova as appropriate. Nonparametric variables were analyzed by χ2 -test. There were no significant differences in age, weight, incision length, surgery time, anesthesia time, or total thiopental dose between groups. Peak pain scores for all groups occurred at 0.5 hour and returned to baseline by 18 hours. Dogs in the BUP group had significantly lower pain scores at 0.5 hour than did dogs in the SAL group. Seven out of 10 dogs in the SAL group, 4 out of 10 dogs in the LID group, and 2 out of 10 dogs in the BUP group were given supplemental analgesia. No adverse side-effects were observed. Our findings supported the use of IP and SC bupivacaine for post-operative analgesia following OHE in the dog. [ABSTRACT FROM AUTHOR]
- Published
- 2003
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