The ultrasound-guided funicular block in cats undergoing orchiectomy: ropivacaine injection into the spermatic cord to improve intra and postoperative analgesia.


Journal

BMC veterinary research
ISSN: 1746-6148
Titre abrégé: BMC Vet Res
Pays: England
ID NLM: 101249759

Informations de publication

Date de publication:
10 May 2022
Historique:
received: 17 01 2022
accepted: 05 05 2022
entrez: 10 5 2022
pubmed: 11 5 2022
medline: 14 5 2022
Statut: epublish

Résumé

The orchiectomy in cats is a common surgical procedure with medium level of pain and for this reason requires intra and postoperative analgesia management. The aim of this study was to compare intra and postoperative pain in two groups of cats undergoing orchiectomy. Sixty healthy cats were randomly assigned in two groups (n = 30) to receive pre surgery ropivacaine hydrochloride (0.2 mL/kg at 0.5%) (R Group) or NaCl 0.9% (C group) into the spermatic cord. The intraoperative evaluation was carried out using the cardiorespiratory stability parameters and eventually administration of rescue analgesia. A rescue analgesia (fentanyl 2 µg/kg) was administered during orchiectomy in case of considerable increase of blood pressure, heart rate or respiratory rate. The postoperative evaluation was been done using scores following a UNESP-Botucatu multimodal scale for 6 h post-surgery. As result, cats in R group responded better to surgical procedure, maintaining lower postoperative pain scores than C group. The ultrasound-guided funicular block used in this study, as already demonstrated in dogs, is a good method to protect the cats from surgical pain and ensure a good level of surgical analgesia.

Sections du résumé

BACKGROUND BACKGROUND
The orchiectomy in cats is a common surgical procedure with medium level of pain and for this reason requires intra and postoperative analgesia management. The aim of this study was to compare intra and postoperative pain in two groups of cats undergoing orchiectomy. Sixty healthy cats were randomly assigned in two groups (n = 30) to receive pre surgery ropivacaine hydrochloride (0.2 mL/kg at 0.5%) (R Group) or NaCl 0.9% (C group) into the spermatic cord. The intraoperative evaluation was carried out using the cardiorespiratory stability parameters and eventually administration of rescue analgesia. A rescue analgesia (fentanyl 2 µg/kg) was administered during orchiectomy in case of considerable increase of blood pressure, heart rate or respiratory rate. The postoperative evaluation was been done using scores following a UNESP-Botucatu multimodal scale for 6 h post-surgery.
RESULTS RESULTS
As result, cats in R group responded better to surgical procedure, maintaining lower postoperative pain scores than C group.
CONCLUSIONS CONCLUSIONS
The ultrasound-guided funicular block used in this study, as already demonstrated in dogs, is a good method to protect the cats from surgical pain and ensure a good level of surgical analgesia.

Identifiants

pubmed: 35538544
doi: 10.1186/s12917-022-03279-4
pii: 10.1186/s12917-022-03279-4
pmc: PMC9088067
doi:

Substances chimiques

Anesthetics, Local 0
Ropivacaine 7IO5LYA57N

Types de publication

Journal Article Randomized Controlled Trial, Veterinary

Langues

eng

Sous-ensembles de citation

IM

Pagination

169

Informations de copyright

© 2022. The Author(s).

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Auteurs

Vincenzo Cicirelli (V)

Department of Veterinary Medicine, University of Bari "Aldo Moro", Bari, Italy. vin.cicirelli@libero.it.

Burgio Matteo (B)

Department of Veterinary Medicine, University of Bari "Aldo Moro", Bari, Italy.

Caterina Di Bella (C)

School of Biosciences and Veterinary Medicine, University of Camerino, Matelica, Italy.

Giovanni Michele Lacalandra (GM)

Department of Veterinary Medicine, University of Bari "Aldo Moro", Bari, Italy.

Giulio Aiudi (G)

Department of Veterinary Medicine, University of Bari "Aldo Moro", Bari, Italy.

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Classifications MeSH