REVISTA DESTACADA

Eficacia de la infusión continua de lidocaína en perros para el control del dolor en la herida quirúrgica

Descripción: La colocación de un catéter en el espacio pre-peritoneal para administrar lidocaína en el postoperatorio es eficaz para el control del dolor postoperatorio en perras

TITULO FUENTE ORIGINAL:

Effectiveness of pre-peritoneal continuous wound infusion with lidocaine for pain control following ovariohysterectomy in dogs

AUTORES:

Morgaz J, Muñoz-Rascón P, Serrano-Rodríguez JM, Navarrete R, Domínguez JM, Fernández-Sarmiento JA,,Gómez-Villamandosa RJ, Serrano JM, Granados MM

REVISTA ABREV.:

Vet J

AÑO:

2014

REFERENCIA:

202(3):522–526

DOI:

10.1016/j.tvjl.2014.08.030

FECHA DE PUBLICACIÓN:

06/12/2014

RESUMEN ORIGINAL:

This study compared the post-operative analgesic efficacy of continuous lidocaine administration with that of intramuscular (IM) methadone in dogs undergoing ovariohysterectomy. Thirty-eight dogs were divided randomly into two groups. Following surgery, the lidocaine group (L) received a continuous lidocaine infusion (2 mg/kg/h) through a wound catheter inserted in the pre-peritoneal... + Leer más

This study compared the post-operative analgesic efficacy of continuous lidocaine administration with that of intramuscular (IM) methadone in dogs undergoing ovariohysterectomy. Thirty-eight dogs were divided randomly into two groups. Following surgery, the lidocaine group (L) received a continuous lidocaine infusion (2 mg/kg/h) through a wound catheter inserted in the pre-peritoneal space; the control group (C) received methadone (0.2 mg/kg IM). A dynamic and interactive visual analogue scale (DIVAS), the Scale-Form Glasgow Composite Measure Scale (CMPS-SF), mechanical wound thresholds, heart rate, respiratory rate and blood pressure were assessed pre-operatively and 2, 4, 6, 18, and 24 h after surgery. The presence of the wound catheter prevented the evaluator from remaining blinded to group allocations. Plasma lidocaine and cortisol levels were measured 2, 6, 18, and 24 h after surgery.

There were no intergroup differences in any pain assessment scale scores at any time point. Stable intravenous lidocaine levels were observed. Four animals in the control group but none in the lidocaine group required rescue analgesia. There were no differences in complication rates between groups. Continuous locoregional lidocaine delivered via a wound catheter between the parietal peritoneum and abdominal muscle offers effective analgesia in dogs during ovariohysterectomy and appears to be a promising analgesic option in veterinary surgery.

- Leer menos

COMENTARIO

Highlights
• We compare the postoperative analgesia of preperitoneal lidocaine versus methadone.
• We compare analgesic action, requirement of rescue analgesia and complication rate.
• No significant differences were found in the pain assessments between groups.
• Good analgesia without important complications was obtained in both...
+ Leer más

Highlights
• We compare the postoperative analgesia of preperitoneal lidocaine versus methadone.
• We compare analgesic action, requirement of rescue analgesia and complication rate.
• No significant differences were found in the pain assessments between groups.
• Good analgesia without important complications was obtained in both groups.
• Wound catheter after ovariohysterectomies is a good analgesic option in veterinary.

- Leer menos