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超声引导精索阻滞在去势手术猫中的应用:罗哌卡因注射到精索以改善围手术期镇痛。

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

机构信息

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

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

出版信息

BMC Vet Res. 2022 May 10;18(1):169. doi: 10.1186/s12917-022-03279-4.

Abstract

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

As result, cats in R group responded better to surgical procedure, maintaining lower postoperative pain scores than C group.

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.

摘要

背景

猫的去势是一种常见的手术,具有中等程度的疼痛,因此需要进行围手术期镇痛管理。本研究的目的是比较两组行去势手术的猫的围术期疼痛。60 只健康猫被随机分为两组(n=30),在手术前向精索内注射盐酸罗哌卡因(0.2mL/kg,0.5%)(R 组)或生理盐水 0.9%(C 组)。术中评估采用心肺稳定性参数,并最终给予解救性镇痛。如果血压、心率或呼吸率明显升高,在去势过程中给予解救性镇痛(芬太尼 2μg/kg)。术后评估采用 UNESP-Botucatu 多模式评分,在术后 6 小时内进行。

结果

R 组的猫对手术过程的反应更好,术后疼痛评分低于 C 组。

结论

本研究中使用的超声引导精索阻滞,如在犬中已经证明的那样,是一种保护猫免受手术疼痛和确保良好手术镇痛水平的好方法。

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