Costa Giovanna Lucrezia, Bruno Fabio, Leonardi Fabio, Licata Patrizia, Macrì Francesco, Fernández Parra Rocío, Bruschetta Giuseppe, Nava Vincenzo, Pugliese Michela, Spadola Filippo
Department of Veterinary Sciences, University of Messina, Via Palatucci Annunziata, 98168 Messina, Italy.
Department of Veterinary Science, University of Parma, Via del Taglio 10, 43126 Parma, Italy.
Animals (Basel). 2024 Jun 27;14(13):1902. doi: 10.3390/ani14131902.
The surgical site infiltration of a local anesthetic is defined as the direct injection of a drug. This study aimed to compare the effects of surgical site infiltration with 4 mg kg lidocaine using a Comfort-in device and traditional syringe on oxidative status and intra- and postoperative pain in dogs undergoing regional mastectomy. Sixty adult female dogs divided into C (Comfort-in device), S (traditional syringe), and CTR (control) groups received 2 µg kg dexmedetomidine and 4 mg kg tramadol IM, 5 mg kg tiletamine/zolazepam IV, and isoflurane. The physiological and anesthesiological parameters were measured. The assessment of intra- and postoperative responses to the surgical stimulus was performed using a cumulative pain scale (CPS score of 0-4) and the Colorado Pain Scale (CSU-CAPS score of 0-4). The hematological and biochemical parameters and inflammatory oxidative status were measured. The CPS scores showed no significant differences between the C and S groups ( = 0.236), while the comparison between the CTR, C, and S groups, respectively, showed a significant difference ( < 0.001). The postoperative analgesia scores were significantly lower in the C group compared to those of the S and CTR groups ( < 0.001). In the C group, no subject received rescue analgesia during the intra- and postoperative periods. The level of oxidative inflammatory stress was lower in group C than those in S and CTR groups, and no side effects were observed in all the groups.
局部麻醉药的手术部位浸润定义为药物的直接注射。本研究旨在比较使用Comfort-in装置和传统注射器,以4mg/kg利多卡因进行手术部位浸润,对接受区域乳房切除术的犬的氧化状态及术中和术后疼痛的影响。60只成年雌性犬分为C组(Comfort-in装置组)、S组(传统注射器组)和CTR组(对照组),肌肉注射2μg/kg右美托咪定和4mg/kg曲马多,静脉注射5mg/kg替来他明/唑拉西泮,并吸入异氟烷。测量生理和麻醉学参数。使用累积疼痛量表(CPS评分0 - 4)和科罗拉多疼痛量表(CSU - CAPS评分0 - 4)评估术中和术后对手术刺激的反应。测量血液学和生化参数以及炎症氧化状态。C组和S组之间的CPS评分无显著差异(P = 0.236),而CTR组、C组和S组之间的比较分别显示出显著差异(P < 0.001)。与S组和CTR组相比,C组术后镇痛评分显著更低(P < 0.001)。在C组中,没有动物在术中和术后接受救援镇痛。C组的氧化炎症应激水平低于S组和CTR组,并且所有组均未观察到副作用。