Assessing the Analgesic Efficacy of Lumbosacral Epidural Morphine in Cats Undergoing Ovariohysterectomy: A Comparative Study of Two Doses.
Ludimilla C T MartinsJéssica B GuimarãesHenrique T FerrazFlávia Augusta de OliveiraLeidiane de S GomesClóvis Júnior C ChafesThalita de C C SantosKaline OgliariReiner Silveira de MoraesDiego RibeiroDirceu Guilherme de Souza RamosThiago André Salvitti de Sá RochaDoughlas RegalinPublished in: Veterinary sciences (2024)
Opioids are administered epidurally (PV) to provide trans- and postoperative analgesia. Twenty healthy female cats aged between 6 and 24 months and weighing between 2 and 3.7 kg, undergoing elective ovariohysterectomy (OVH), were induced with propofol (8 mg/kg), followed by continuous infusion (0.1-0.4 mg/kg/min). Three groups were defined: CG (0.1 mL/kg of iodinated contrast, n = 6), G0.1 (0.1 mg/kg of morphine, n = 7), and G0.2 (0.2 mg/kg of morphine, n = 7) per VP. All received 0.1 mL/kg of iodinated contrast per VP and injection water to obtain a total of 0.3 mL/kg. Heart rate (HR), systolic blood pressure (SBP), temperature, expired CO 2 , oxygen saturation, and number of rescue analgesics were monitored. Postoperatively, a multidimensional scale was used to assess acute pain in cats for 12 h. The mean HR and SBP in the CG were higher at the time of maximum noxious stimulation and required fentanyl in all groups. Postoperatively, 83%, 28%, and 7% of the animals in CG, G0.1, and G0.2, respectively, received rescue analgesia. In cats undergoing OVH, epidural morphine at doses of 0.1 and 0.2 mg/kg did not prevent the need for intraoperative rescue analgesia but reduced the postoperative analgesic needed.
Keyphrases
- blood pressure
- heart rate
- pain management
- patients undergoing
- spinal cord
- ultrasound guided
- neuropathic pain
- magnetic resonance
- heart rate variability
- postoperative pain
- left ventricular
- magnetic resonance imaging
- spinal cord injury
- computed tomography
- low dose
- hypertensive patients
- adipose tissue
- atrial fibrillation
- hepatitis b virus
- high glucose
- skeletal muscle
- weight loss