Cicirelli Vincenzo, Burgio Matteo, Lacalandra Giovanni M, Aiudi Giulio G
Department of Veterinary Medicine, University of Bari "Aldo Moro", 70021 Bari, Italy.
Animals (Basel). 2022 Jul 27;12(15):1920. doi: 10.3390/ani12151920.
Canine ovariectomy is an elective surgery with a moderate level of pain. Despite its relative simplicity, it requires surgical pain management. This study aimed to collect all recent information about local and regional anaesthetic/analgesic techniques in a review of the literature describing the technique utilised. The various procedures described in this review use local anaesthetics to improve analgesia in the routine systemic anaesthetic protocol. The approach described in this paper is called multimodal analgesia and is used in addition to the normal standard anaesthetic protocol. These techniques proved effective in minimising responses to the surgical stimulus and ensured adequate intraoperative and postoperative analgesia. The routine use of multimodal analgesia is considered a useful alternative for pain management in canine ovariectomy, in that it minimises patient suffering, improves the recovery of rescue analgesia, increases drug savings, and improves animal outcomes. In addition, the use of these local and regional techniques ensures satisfactory analgesic coverage that lasts for the first hours postoperatively.
犬卵巢切除术是一种择期手术，疼痛程度中等。尽管该手术相对简单，但仍需要进行手术疼痛管理。本研究旨在通过回顾描述所用技术的文献，收集有关局部和区域麻醉/镇痛技术的所有最新信息。本综述中描述的各种方法使用局部麻醉剂来改善常规全身麻醉方案中的镇痛效果。本文所描述的方法称为多模式镇痛，除了正常的标准麻醉方案外还会使用。这些技术被证明在最小化对手术刺激的反应方面有效，并确保了术中及术后足够的镇痛效果。多模式镇痛的常规使用被认为是犬卵巢切除术疼痛管理的一种有用替代方法，因为它能最大限度地减少患者痛苦，改善补救性镇痛的恢复情况，增加药物节省，并改善动物预后。此外，使用这些局部和区域技术可确保术后最初几个小时有令人满意的镇痛覆盖范围。
