Assessing the Analgesic Efficacy of Lumbosacral Epidural Morphine in Cats Undergoing Ovariohysterectomy: A Comparative Study of Two Doses

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, <i>n</i> = 6), G0.1 (0.1 mg/kg of morphine, <i>n</i> = 7), and G0.2 (0.2 mg/kg of morphine, <i>n</i> = 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<sub>2</sub>, 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.

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Journal
Veterinary Sciences
Published
2024-08-09
DOI
https://doi.org/10.3390/vetsci11080360
Primary Topic
Anesthesia and Pain Management
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article
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article

Assessing the Analgesic Efficacy of Lumbosacral Epidural Morphine in Cats Undergoing Ovariohysterectomy: A Comparative Study of Two Doses

Doughlas Regalin, Thiago André Salvitti de Sá Rocha, Kaline Ogliari, Henrique Trevizoli Ferraz et al.
Veterinary Sciences
Anesthesia and Pain Management
article

Assessing the Analgesic Efficacy of Lumbosacral Epidural Morphine in Cats Undergoing Ovariohysterectomy: A Comparative Study of Two Doses

Doughlas Regalin, Thiago André Salvitti de Sá Rocha, Kaline Ogliari, Henrique Trevizoli Ferraz, Dirceu Guilherme de Souza Ramos, Diego Ribeiro, Reiner Silveira de Moraes, Thalita de Castro Carvalho Santos, Jéssica Bueno Guimarães, Clóvis Júnior C. Chafes, Flávia Augusta de Oliveira, Leidiane de S. Gomes, Leandro Ferreira Martins
article en

Abstract

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, <i>n</i> = 6), G0.1 (0.1 mg/kg of morphine, <i>n</i> = 7), and G0.2 (0.2 mg/kg of morphine, <i>n</i> = 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<sub>2</sub>, 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.

Veterinary SciencesVol. 11(8)
Universidade Federal do Tocantins (BR), Universidade Federal de Jataí (BR), Universidade Federal de Goiás (BR), Universidade Estadual Paulista (Unesp) (BR)
Openalex Percentile: Top 76%
Anesthesia and Pain Management
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