Santoro Francesco, Castineiras Diego, Kaartinen Johanna
Department of Clinical Sciences and Services, The Royal Veterinary College, Hatfield, UK.
Willows Veterinary Centre & Referral Service, Solihull, Birmingham, UK.
JFMS Open Rep. 2022 Aug 16;8(2):20551169221116868. doi: 10.1177/20551169221116868. eCollection 2022 Jul-Dec.
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.
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.
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。
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。