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Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy

Background: This prospective, randomised and blind study investigated the efficacy of laserpuncture for postoperative pain management in dogs. Method: Sixteen bitches were sedated with acepromazine and randomly treated before ovariohysterectomy with meloxicam 0.2 mg·kg(−1) intramuscular or laserpunc...

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Autores principales: Tomacheuski, Rubia M., Taffarel, Marilda O., Cardoso, Guilherme S., Derussi, Ana A. P., Ferrante, Marcos, Volpato, Rodrigo, Luna, Stelio P. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559566/
https://www.ncbi.nlm.nih.gov/pubmed/32708066
http://dx.doi.org/10.3390/vetsci7030094
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author Tomacheuski, Rubia M.
Taffarel, Marilda O.
Cardoso, Guilherme S.
Derussi, Ana A. P.
Ferrante, Marcos
Volpato, Rodrigo
Luna, Stelio P. L.
author_facet Tomacheuski, Rubia M.
Taffarel, Marilda O.
Cardoso, Guilherme S.
Derussi, Ana A. P.
Ferrante, Marcos
Volpato, Rodrigo
Luna, Stelio P. L.
author_sort Tomacheuski, Rubia M.
collection PubMed
description Background: This prospective, randomised and blind study investigated the efficacy of laserpuncture for postoperative pain management in dogs. Method: Sixteen bitches were sedated with acepromazine and randomly treated before ovariohysterectomy with meloxicam 0.2 mg·kg(−1) intramuscular or laserpuncture (wavelength 904 mm, frequency 124 Hz, potency 10 Joules, 100 s in each acupoint). Anaesthesia was performed with propofol, isoflurane/O(2), and fentanyl. The Glasgow Composite Measure Pain Scale (GCMPS) and Dynamic Interactive Visual Analog Scale (DIVAS) were used to evaluate postoperative pain before and for 24 h after surgery. Morphine was administrated as rescue analgesia when pain scores were ≥3.33 (GCMPS). Differences between treatments, time points, and amount of rescue analgesia between groups were investigated by the Mann–Whitney test and the area under the curve (AUC) for GCMPS, Friedman, and Chi-squared tests, respectively (p < 0.05). Results: Dogs treated with laserpuncture presented lower GCMPS AUC for 24 h and lower GCMPS scores at 2 and 4 h postoperatively (p = 0.04). Three dogs treated with meloxicam required postoperatively rescue analgesia against none treated with laserpuncture. Conclusions: In this preliminary study, laserpuncture mitigated postoperative pain in dogs following ovariohysterectomy, and the technique is a promising adjunct to perioperative pain management in dogs undergoing soft tissue surgery.
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spelling pubmed-75595662020-10-26 Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy Tomacheuski, Rubia M. Taffarel, Marilda O. Cardoso, Guilherme S. Derussi, Ana A. P. Ferrante, Marcos Volpato, Rodrigo Luna, Stelio P. L. Vet Sci Article Background: This prospective, randomised and blind study investigated the efficacy of laserpuncture for postoperative pain management in dogs. Method: Sixteen bitches were sedated with acepromazine and randomly treated before ovariohysterectomy with meloxicam 0.2 mg·kg(−1) intramuscular or laserpuncture (wavelength 904 mm, frequency 124 Hz, potency 10 Joules, 100 s in each acupoint). Anaesthesia was performed with propofol, isoflurane/O(2), and fentanyl. The Glasgow Composite Measure Pain Scale (GCMPS) and Dynamic Interactive Visual Analog Scale (DIVAS) were used to evaluate postoperative pain before and for 24 h after surgery. Morphine was administrated as rescue analgesia when pain scores were ≥3.33 (GCMPS). Differences between treatments, time points, and amount of rescue analgesia between groups were investigated by the Mann–Whitney test and the area under the curve (AUC) for GCMPS, Friedman, and Chi-squared tests, respectively (p < 0.05). Results: Dogs treated with laserpuncture presented lower GCMPS AUC for 24 h and lower GCMPS scores at 2 and 4 h postoperatively (p = 0.04). Three dogs treated with meloxicam required postoperatively rescue analgesia against none treated with laserpuncture. Conclusions: In this preliminary study, laserpuncture mitigated postoperative pain in dogs following ovariohysterectomy, and the technique is a promising adjunct to perioperative pain management in dogs undergoing soft tissue surgery. MDPI 2020-07-21 /pmc/articles/PMC7559566/ /pubmed/32708066 http://dx.doi.org/10.3390/vetsci7030094 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tomacheuski, Rubia M.
Taffarel, Marilda O.
Cardoso, Guilherme S.
Derussi, Ana A. P.
Ferrante, Marcos
Volpato, Rodrigo
Luna, Stelio P. L.
Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy
title Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy
title_full Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy
title_fullStr Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy
title_full_unstemmed Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy
title_short Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy
title_sort postoperative analgesic effects of laserpuncture and meloxicam in bitches submitted to ovariohysterectomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559566/
https://www.ncbi.nlm.nih.gov/pubmed/32708066
http://dx.doi.org/10.3390/vetsci7030094
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