REVISTA DESTACADA

Efectos analgésicos postoperatorios de analgesia epidural con administración de neostigmina sola o en combinación con morfina en perros sometidos a ci

Valoración Valoración: 4 Estrellas

Descripción: Valoración del dolor postoperatorio en animales sometidos a analgesia epidural con neostigmina, con morfina, solas o en combinación tras cirugía ortopédica

TITULO FUENTE ORIGINAL:

Postoperative analgesic effects of epidural administration of neostigmine alone or in combination with morphine in dogs undergoing orthopedic surgery of the pelvic limbs.

AUTORES:

Marucio RL, Monteiro ER, Moroz LR, Fantoni DT.

REVISTA ABREV.:

Am J Vet Res

AÑO:

2014

REFERENCIA:

Nov;75(11):956-63.

DOI:

10.2460/ajvr.75.11.956.

FECHA DE PUBLICACIÓN:

02/07/2014

RESUMEN ORIGINAL:

Abstract
OBJECTIVE:
To evaluate the postoperative analgesic effects of epidural administration of morphine and neostigmine, either alone or in combination, in dogs.
ANIMALS:
30 dogs undergoing orthopedic surgery on a pelvic limb.
PROCEDURES:
Anesthetic protocols were standardized. At the end of surgery, 10 dogs each received 1 of 3 epidural treatments: morphine...
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Abstract
OBJECTIVE:
To evaluate the postoperative analgesic effects of epidural administration of morphine and neostigmine, either alone or in combination, in dogs.
ANIMALS:
30 dogs undergoing orthopedic surgery on a pelvic limb.
PROCEDURES:
Anesthetic protocols were standardized. At the end of surgery, 10 dogs each received 1 of 3 epidural treatments: morphine (0.1 mg/kg), neostigmine (5 μg/kg), or morphine plus neostigmine (0.1 mg/kg and 5 μg/kg, respectively). Postoperative pain scores and the need for rescue analgesia were evaluated for 24 hours.
RESULTS:
Pain scores were higher in the neostigmine group, compared with scores for the morphine-neostigmine group, at 2 and 24 hours after surgery and higher in the morphine group than in the morphine-neostigmine group at 2 and 4 hours. During 24 hours, rescue analgesia was provided for 4, 7, and 2 of 10 dogs each in the morphine, neostigmine, and morphine-neostigmine groups, respectively. The number of dogs given rescue analgesia was significantly different among groups at 2, 3, 4, and 6 hours after surgery. Dogs in the morphine and morphine-neostigmine groups had a lower probability of receiving rescue analgesia within 24 hours than did dogs in the neostigmine group.
CONCLUSIONS AND CLINICAL RELEVANCE:
When administered epidurally, morphine alone or in combination with neostigmine provided effective postoperative analgesia in most dogs after orthopedic surgery, whereas neostigmine alone did not. Findings for this study suggested a potential role for neostigmine as an adjuvant for epidural analgesia in dogs undergoing orthopedic surgeries on the pelvic limbs.

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