The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs

PICO question Is there an effect on analgesia following coeliotomy in dogs after a block with local anaesthetics?   Clinical bottom line Category of research question Treatment The number and type of study designs reviewed All the available evidence for this PICO question comes...

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Main Authors: Kiriaki Pavlidou, Lysimachos G Papazoglou
Format: Article
Language:English
Published: RCVS Knowledge 2021-03-01
Series:Veterinary Evidence
Subjects:
Online Access:https://veterinaryevidence.org/index.php/ve/article/view/325
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author Kiriaki Pavlidou
Lysimachos G Papazoglou
author_facet Kiriaki Pavlidou
Lysimachos G Papazoglou
author_sort Kiriaki Pavlidou
collection DOAJ
description PICO question Is there an effect on analgesia following coeliotomy in dogs after a block with local anaesthetics?   Clinical bottom line Category of research question Treatment The number and type of study designs reviewed All the available evidence for this PICO question comes from clinical trials and one experimental/pharmacology study. All the studies were randomised; 5/7 were blinded clinical studies and 4/7 studies were prospective Strength of evidence Moderate Outcomes reported It is not clear if the use of a local anaesthetic including bupivacaine or lidocaine as incisional blocks minimises the postoperative pain especially in the first 24 hours, as the results are not statistically significant between the groups Conclusion In conclusion, bupivacaine or lidocaine can minimise the postoperative pain but more clinical trials are needed   How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.
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spelling doaj.art-0c74327b50b94c12b9a8809bcf3a58432022-12-21T21:30:07ZengRCVS KnowledgeVeterinary Evidence2396-97762021-03-016110.18849/ve.v6i1.325325The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogsKiriaki Pavlidou0Lysimachos G PapazoglouAnaesthesia and Intensive Care Unit, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, 11th Stavrou Voutyra, 55236, Thessaloniki, GreecePICO question Is there an effect on analgesia following coeliotomy in dogs after a block with local anaesthetics?   Clinical bottom line Category of research question Treatment The number and type of study designs reviewed All the available evidence for this PICO question comes from clinical trials and one experimental/pharmacology study. All the studies were randomised; 5/7 were blinded clinical studies and 4/7 studies were prospective Strength of evidence Moderate Outcomes reported It is not clear if the use of a local anaesthetic including bupivacaine or lidocaine as incisional blocks minimises the postoperative pain especially in the first 24 hours, as the results are not statistically significant between the groups Conclusion In conclusion, bupivacaine or lidocaine can minimise the postoperative pain but more clinical trials are needed   How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.https://veterinaryevidence.org/index.php/ve/article/view/325analgesiabupivacainecoeliotomydoglidocaineline block
spellingShingle Kiriaki Pavlidou
Lysimachos G Papazoglou
The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
Veterinary Evidence
analgesia
bupivacaine
coeliotomy
dog
lidocaine
line block
title The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
title_full The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
title_fullStr The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
title_full_unstemmed The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
title_short The effect of pre-emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
title_sort effect of pre emptive incisional bupivacaine block on postoperative pain after coeliotomy in dogs
topic analgesia
bupivacaine
coeliotomy
dog
lidocaine
line block
url https://veterinaryevidence.org/index.php/ve/article/view/325
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AT kiriakipavlidou effectofpreemptiveincisionalbupivacaineblockonpostoperativepainaftercoeliotomyindogs
AT lysimachosgpapazoglou effectofpreemptiveincisionalbupivacaineblockonpostoperativepainaftercoeliotomyindogs