Nociceptive threshold measurement as a non‐invasive functional test of an epidural injection in a dog

Abstract We present a case of a 3‐year‐old, male Border Collie with severe hip dysplasia and osteoarthritis undergoing total hip replacement, notably having a history of a previous hip surgery with inadequate epidural analgesia. Our objective was to evaluate epidural efficacy before surgery using nociceptive threshold measurement. Nociceptive thresholds were measured with transdermal electrical stimulation via the Dolosys Pain Tracker device. The dog received epidural ropivacaine and morphine, resulting in a cessation of withdrawal response and electromyographic activity. This effect was confirmed under anaesthesia. Postoperatively, the dog recovered without relevant complications. In conclusion, nociceptive threshold measurement using the Dolosys Pain Tracker device allowed immediate confirmation of epidural efficacy, reducing the risk of intraoperative analgesic inadequacy. This approach may enhance surgical pain management in challenging cases.

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Publication Details

Journal
Veterinary Record Case Reports
Published
2024-09-16
DOI
https://doi.org/10.1002/vrc2.990
Primary Topic
Anesthesia and Pain Management
Type
article
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article

Nociceptive threshold measurement as a non‐invasive functional test of an epidural injection in a dog

Olivier Levionnois, Alessandro Mirra, Bastien Planchamp, A. Hess
Veterinary Record Case Reports
Anesthesia and Pain Management
article

Nociceptive threshold measurement as a non‐invasive functional test of an epidural injection in a dog

Olivier Levionnois, Alessandro Mirra, Bastien Planchamp, A. Hess
article en

Abstract

Abstract We present a case of a 3‐year‐old, male Border Collie with severe hip dysplasia and osteoarthritis undergoing total hip replacement, notably having a history of a previous hip surgery with inadequate epidural analgesia. Our objective was to evaluate epidural efficacy before surgery using nociceptive threshold measurement. Nociceptive thresholds were measured with transdermal electrical stimulation via the Dolosys Pain Tracker device. The dog received epidural ropivacaine and morphine, resulting in a cessation of withdrawal response and electromyographic activity. This effect was confirmed under anaesthesia. Postoperatively, the dog recovered without relevant complications. In conclusion, nociceptive threshold measurement using the Dolosys Pain Tracker device allowed immediate confirmation of epidural efficacy, reducing the risk of intraoperative analgesic inadequacy. This approach may enhance surgical pain management in challenging cases.

Veterinary Record Case ReportsVol. 12(4)
University of Bern (CH)
Openalex Percentile: Top 71%
Anesthesia and Pain Management
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