文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

术中鞘内注射布比卡因脂质体联合或不联合吗啡硬膜外给药后行胫骨平台抬高截骨术的犬术后使用阿片类药物的发生率。

Incidence of postoperative administration of opioids in dogs undergoing a tibial plateau leveling osteotomy after intra-operative liposomal bupivacaine administration with or without morphine epidural.

机构信息

Surgery Department, The Veterinary Medical Center of Long Island, 75 Sunrise Highway, West Islip, NY, USA.

出版信息

BMC Vet Res. 2023 Jul 31;19(1):102. doi: 10.1186/s12917-023-03664-7.


DOI:10.1186/s12917-023-03664-7
PMID:37525246
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10388522/
Abstract

OBJECTIVE: To determine the influence of two intraoperative pain management protocols on the need for additional opioids in patients receiving an epidural and periarticular liposomal bupivacaine (PLB) vs. PLB alone in the 12-24 h period after undergoing a TPLO. STUDY DESIGN: Retrospective study. ANIMALS: One hundred seventy-four dogs with cranial cruciate ligament tears presenting for TPLO. METHODS: Medical records of dogs presenting for a unilateral or bilateral cranial cruciate ligament tear who had a TPLO performed were reviewed for signalment, weight, body condition score, and peri-operative pain management protocol. Dogs were divided into two groups: those who received an epidural and PLB, and those who received only PLB. Post-operative opioid administration was recorded for each group. RESULTS: Patients who received an epidural and PLB received fewer postoperative opioids. There were 36% fewer opioid injections administered to dogs who received epidurals compared to dogs who did not receive epidurals (IRR) (95% CI) = 0.64 (0.45-0.92), P = 0.02). BCS was not a significant predictor of the post-operative opioid requirement (IRR (95% CI) = 1.3 (0.75-2.4), P = 0.38). When adjusting for BCS as a possible confounder, there were 39% fewer opioid injections in dogs who received epidurals than dogs without (IRR (95% CI) = 0.61 (0.42-0.88), P = 0.009). CONCLUSIONS: The incidence of postoperative opioid administration was significantly diminished in patients receiving both an epidural and PLB. CLINICAL SIGNIFICANCE: Administration of an epidural in addition to infiltration of PLB significantly decreased the incidence of postoperative opioid administration in dogs undergoing a TPLO.

摘要

目的:确定两种术中疼痛管理方案对接受硬膜外和关节周包载布比卡因(PLB)与仅接受 PLB 的患者在接受 TPLO 后 12-24 小时内额外使用阿片类药物的需求的影响。 研究设计:回顾性研究。 动物:174 只患有前十字韧带撕裂的狗,接受 TPLO。 方法:对接受单侧或双侧前十字韧带撕裂并接受 TPLO 的狗的病历进行了回顾,以评估其特征、体重、身体状况评分和围手术期疼痛管理方案。狗被分为两组:接受硬膜外和 PLB 的组和仅接受 PLB 的组。记录每组术后阿片类药物的使用情况。 结果:接受硬膜外和 PLB 的患者术后使用的阿片类药物较少。与未接受硬膜外麻醉的狗相比,接受硬膜外麻醉的狗接受的阿片类药物注射次数减少了 36%(IRR)(95%CI)=0.64(0.45-0.92),P=0.02)。BCS 不是术后阿片类药物需求的显著预测因素(IRR(95%CI)=1.3(0.75-2.4),P=0.38)。当调整 BCS 作为可能的混杂因素时,接受硬膜外麻醉的狗比未接受硬膜外麻醉的狗的阿片类药物注射次数减少了 39%(IRR(95%CI)=0.61(0.42-0.88),P=0.009)。 结论:接受硬膜外和 PLB 联合治疗的患者术后阿片类药物的使用发生率显著降低。 临床意义:在接受 TPLO 的狗中,硬膜外给药加 PLB 浸润显著降低了术后阿片类药物的使用发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/10388522/e0c7c221e055/12917_2023_3664_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/10388522/e0c7c221e055/12917_2023_3664_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/374b/10388522/e0c7c221e055/12917_2023_3664_Fig1_HTML.jpg

相似文献

[1]
Incidence of postoperative administration of opioids in dogs undergoing a tibial plateau leveling osteotomy after intra-operative liposomal bupivacaine administration with or without morphine epidural.

BMC Vet Res. 2023-7-31

[2]
Comparison of perioperative analgesic protocols for dogs undergoing tibial plateau leveling osteotomy.

Vet Surg. 2005

[3]
Blinded, randomized, placebo-controlled study of the efficacy of bupivacaine liposomal suspension using static bodyweight distribution and subjective pain scoring in dogs after tibial plateau leveling osteotomy surgery.

Vet Surg. 2023-7

[4]
Fibular osteotomy to facilitate proximal tibial rotation during tibial plateau leveling osteotomy.

Vet Surg. 2018-10

[5]
Influence of fixation systems on complications after tibial plateau leveling osteotomy in dogs greater than 45.4 kilograms (100 lb).

Vet Surg. 2019-5

[6]
Outcome and owner assessment after single-session bilateral tibial plateau leveling osteotomy in 127 dogs.

Can Vet J. 2023-2

[7]
Prevalence and Risk Factors for Bilateral Meniscal Tears Identified during Treatment for Cranial Cruciate Ligament Disease Via Tibial Plateau Levelling Osteotomy in Dogs.

Vet Comp Orthop Traumatol. 2021-1

[8]
Extended long-term radiographic and functional comparison of tibial plateau leveling osteotomy vs tibial tuberosity advancement for cranial cruciate ligament rupture in the dog.

Vet Surg. 2020-1

[9]
Radiographic evaluation of patellar ligament length after tibial plateau leveling osteotomy in dogs.

Am J Vet Res. 2019-6

[10]
Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog.

Vet Surg. 2005

本文引用的文献

[1]
The analgesic efficacy of liposomal bupivacaine compared with bupivacaine hydrochloride for the prevention of postoperative pain: a systematic review and meta-analysis with trial sequential analysis.

Reg Anesth Pain Med. 2021-6

[2]
Effects of perioperative saphenous and sciatic nerve blocks, lumbosacral epidural or morphine-lidocaine-ketamine infusion on postoperative pain and sedation in dogs undergoing tibial plateau leveling osteotomy.

Vet Anaesth Analg. 2021-5

[3]
Influence of radiographic examination findings on recommendations made during routine clinical re-evaluation of dogs with uncomplicated tibial plateau leveling osteotomy.

Vet Surg. 2021-1

[4]
The influence of the choice of preemptive analgesia on long-term postsurgical pain after tibial plateau leveling osteotomy in dogs.

Vet Surg. 2021-1

[5]
Comparison of liposomal bupivacaine and 0.5% bupivacaine hydrochloride for control of postoperative pain in dogs undergoing tibial plateau leveling osteotomy.

J Am Vet Med Assoc. 2020-5-1

[6]
Peripheral nerve block versus systemic analgesia in dogs undergoing tibial plateau levelling osteotomy: Analgesic efficacy and pharmacoeconomics comparison.

Vet Anaesth Analg. 2020-1

[7]
Femorotibial kinematics in dogs treated with tibial plateau leveling osteotomy for cranial cruciate ligament insufficiency: An in vivo fluoroscopic analysis during walking.

Vet Surg. 2020-1

[8]
The effect of tibial plateau leveling osteotomy on patellofemoral kinematics in dogs: An in vivo study.

Vet Surg. 2020-1

[9]
Fibular osteotomy to facilitate proximal tibial rotation during tibial plateau leveling osteotomy.

Vet Surg. 2018-10

[10]
A retrospective comparison of two analgesic strategies after uncomplicated tibial plateau levelling osteotomy in dogs.

Vet Anaesth Analg. 2018-7

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索