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Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy

OBJECTIVES: The aim of this study was to compare the analgesic efficacy of topical irrigation versus injection of lidocaine on the ovarian pedicle to provide analgesia in bitches ovariectomy. In the current study were monitored: increased blood pressure, heart rate and respiratory rate to identify a...

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Autores principales: Cicirelli, Vincenzo, Lacalandra, Giovanni Michele, Cseh, Sandor, Mrenoshki, Daniela, Lillo, Edoardo, Bianchi, Francesco Paolo, Aiudi, Giulio Guido
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9514456/
https://www.ncbi.nlm.nih.gov/pubmed/35611806
http://dx.doi.org/10.1002/vms3.843
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author Cicirelli, Vincenzo
Lacalandra, Giovanni Michele
Cseh, Sandor
Mrenoshki, Daniela
Lillo, Edoardo
Bianchi, Francesco Paolo
Aiudi, Giulio Guido
author_facet Cicirelli, Vincenzo
Lacalandra, Giovanni Michele
Cseh, Sandor
Mrenoshki, Daniela
Lillo, Edoardo
Bianchi, Francesco Paolo
Aiudi, Giulio Guido
author_sort Cicirelli, Vincenzo
collection PubMed
description OBJECTIVES: The aim of this study was to compare the analgesic efficacy of topical irrigation versus injection of lidocaine on the ovarian pedicle to provide analgesia in bitches ovariectomy. In the current study were monitored: increased blood pressure, heart rate and respiratory rate to identify an acute intraoperative nociceptive response. These parameters were registered at six times during the surgical procedure: grasping of the ovary (time 1), dissection of the mesosalpinx (time 2), tightening of the first loop ligature (time 3), tightening of the second loop ligature (time 4), transection of the ovarian pedicle (time 5) and release of the ovary (time 6). MATERIAL AND METHODS: Forty healthy bitches were randomly assigned in two groups (n = 20) to receive topical irrigation (splash block) of 2% lidocaine (C group) on both ovarian pedicle (2 mg/kg each), or an equal volume of lidocaine was injected at the same sites (R group). RESULTS: The results of the present study suggest that splash block may provide intraoperative analgesic effects equivalent to injection in the ovarian pedicle in dogs that have undergone ovariectomy. The lidocaine improved surgical analgesia during canine ovariectomy in both groups, and this action is not affected by the inoculation technique. CLINICAL SIGNIFICANCE: Pain management in veterinary patients is a crucial component of appropriate patient care. Therefore, the need for achieving safer anaesthesia for surgical intervention is gaining much attention. Ovariectomy is a common surgical procedure in bitches with medium level of pain. This study concluded that considering its relative simplicity, low cost, and safety, both techniques could be used in daily clinical practice.
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spelling pubmed-95144562022-09-30 Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy Cicirelli, Vincenzo Lacalandra, Giovanni Michele Cseh, Sandor Mrenoshki, Daniela Lillo, Edoardo Bianchi, Francesco Paolo Aiudi, Giulio Guido Vet Med Sci DOGS OBJECTIVES: The aim of this study was to compare the analgesic efficacy of topical irrigation versus injection of lidocaine on the ovarian pedicle to provide analgesia in bitches ovariectomy. In the current study were monitored: increased blood pressure, heart rate and respiratory rate to identify an acute intraoperative nociceptive response. These parameters were registered at six times during the surgical procedure: grasping of the ovary (time 1), dissection of the mesosalpinx (time 2), tightening of the first loop ligature (time 3), tightening of the second loop ligature (time 4), transection of the ovarian pedicle (time 5) and release of the ovary (time 6). MATERIAL AND METHODS: Forty healthy bitches were randomly assigned in two groups (n = 20) to receive topical irrigation (splash block) of 2% lidocaine (C group) on both ovarian pedicle (2 mg/kg each), or an equal volume of lidocaine was injected at the same sites (R group). RESULTS: The results of the present study suggest that splash block may provide intraoperative analgesic effects equivalent to injection in the ovarian pedicle in dogs that have undergone ovariectomy. The lidocaine improved surgical analgesia during canine ovariectomy in both groups, and this action is not affected by the inoculation technique. CLINICAL SIGNIFICANCE: Pain management in veterinary patients is a crucial component of appropriate patient care. Therefore, the need for achieving safer anaesthesia for surgical intervention is gaining much attention. Ovariectomy is a common surgical procedure in bitches with medium level of pain. This study concluded that considering its relative simplicity, low cost, and safety, both techniques could be used in daily clinical practice. John Wiley and Sons Inc. 2022-05-25 /pmc/articles/PMC9514456/ /pubmed/35611806 http://dx.doi.org/10.1002/vms3.843 Text en © 2022 The Authors. Veterinary Medicine and Science published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle DOGS
Cicirelli, Vincenzo
Lacalandra, Giovanni Michele
Cseh, Sandor
Mrenoshki, Daniela
Lillo, Edoardo
Bianchi, Francesco Paolo
Aiudi, Giulio Guido
Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
title Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
title_full Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
title_fullStr Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
title_full_unstemmed Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
title_short Analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
title_sort analgesic comparison between topical irrigation (splash block) versus injection of lidocaine on the ovarian pedicle in canine ovariectomy
topic DOGS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9514456/
https://www.ncbi.nlm.nih.gov/pubmed/35611806
http://dx.doi.org/10.1002/vms3.843
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