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一只接受骨盆肢体截肢手术的猫在术中和术后的阿片类药物节省镇痛

Intra- and postoperative opioid-sparing analgesia in a cat undergoing pelvic limb amputation.

作者信息

Santoro Francesco, Castineiras Diego, Kaartinen Johanna

机构信息

Department of Clinical Sciences and Services, The Royal Veterinary College, Hatfield, UK.

Willows Veterinary Centre & Referral Service, Solihull, Birmingham, UK.

出版信息

JFMS Open Rep. 2022 Aug 16;8(2):20551169221116868. doi: 10.1177/20551169221116868. eCollection 2022 Jul-Dec.

Abstract

CASE SUMMARY

A combination of preoperative epidurally administered morphine, peripheral nerve blocks and postoperative wound irrigation with ropivacaine is described as an opioid-sparing analgesic protocol for a feline immunodeficiency virus-positive cat with hypertrophic cardiomyopathy undergoing hindlimb amputation. The reported strategy resulted in a lack of intraoperative sympathetic response, haemodynamic stability and adequate postoperative analgesia. No rescue analgesia was needed at any point.

RELEVANCE AND NOVEL INFORMATION

This report represents an example of how several locoregional techniques can be effectively combined to minimise the perioperative use of systemic opioids and their potential side effects in selected cases.

摘要

病例摘要

术前硬膜外注射吗啡、外周神经阻滞以及术后用罗哌卡因冲洗伤口的联合方法,被描述为一种用于一只患有肥厚性心肌病且感染猫免疫缺陷病毒的猫进行后肢截肢手术的阿片类药物节省镇痛方案。所报道的策略导致术中无交感反应、血流动力学稳定以及术后镇痛充分。在任何时候都无需补救镇痛。

相关性和新信息

本报告展示了一个例子,说明在特定病例中如何有效组合多种局部区域技术,以尽量减少全身阿片类药物的围手术期使用及其潜在副作用。

相似文献

本文引用的文献

1
The Feline Cardiomyopathies: 2. Hypertrophic cardiomyopathy.猫心肌病:2. 肥厚型心肌病。
J Feline Med Surg. 2021 Nov;23(11):1028-1051. doi: 10.1177/1098612X211020162.

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