The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy
Abstract Objectives The present study aimed to demonstrate the efficacy of splash block using lidocaine to provide additional analgesia during ovariectomy in bitches. To identify an acute intraoperative nociceptive response, three clinical parameters were used: increased blood pressure, heart rate a...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Veterinary Medicine and Science |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/vms3.637 |
| _version_ | 1798025143352557568 |
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| author | Vincenzo Cicirelli Giovanni M Lacalandra Giulio G Aiudi |
| author_facet | Vincenzo Cicirelli Giovanni M Lacalandra Giulio G Aiudi |
| author_sort | Vincenzo Cicirelli |
| collection | DOAJ |
| description | Abstract Objectives The present study aimed to demonstrate the efficacy of splash block using lidocaine to provide additional analgesia during ovariectomy in bitches. To identify an acute intraoperative nociceptive response, three clinical parameters were used: increased blood pressure, heart rate and respiratory rate. Material and Methods Forty healthy bitches were randomly assigned to receive 2% lidocaine (L group) topical application (splash block) on both ovaries (2 mg/kg each), or an equal volume of NaCl 0.9% at the same sites (C group). A fentanyl bolus (2 µg/kg) was administered intraoperatively in response to an increase in blood pressure, heart rate or respiratory rate during surgery (> 30% compared with the pre‐incisional values). Results Local lidocaine administration significantly reduced the need for supplementary fentanyl. Dogs in the L group showed greater intraoperative hemodynamic stability and lower surgical pain than those in the C group. In addition to the routine anaesthetic protocol, the local anaesthesia used in the present study was safe and caused no cardiopulmonary suppression. In addition, it significantly reduced the need for mandatory systemic or rescue analgesia. Clinical Significance Ovariectomy is a common surgical procedure in bitches. Analgesia during this procedure is important because intraoperative pain can cause negative effects that prevent patient recovery. This study aimed to demonstrate the analgesic efficacy of lidocaine splash block in video‐assisted ovariectomy in dogs. The results showed that splash block improved surgical analgesia during canine laparoscopic ovariectomy. Considering its relative simplicity, low cost, and safety, splash block could be used in daily clinical practice. |
| first_indexed | 2024-04-11T18:13:59Z |
| format | Article |
| id | doaj.art-32c6b500f8e0463a80f38c44ac49c995 |
| institution | Directory Open Access Journal |
| issn | 2053-1095 |
| language | English |
| last_indexed | 2024-04-11T18:13:59Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Veterinary Medicine and Science |
| spelling | doaj.art-32c6b500f8e0463a80f38c44ac49c9952022-12-22T04:09:59ZengWileyVeterinary Medicine and Science2053-10952022-01-018110410910.1002/vms3.637The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomyVincenzo Cicirelli0Giovanni M Lacalandra1Giulio G Aiudi2Department of Veterinary Medicine University of Bari "Aldo Moro" Bari ItalyDepartment of Veterinary Medicine University of Bari "Aldo Moro" Bari ItalyDepartment of Veterinary Medicine University of Bari "Aldo Moro" Bari ItalyAbstract Objectives The present study aimed to demonstrate the efficacy of splash block using lidocaine to provide additional analgesia during ovariectomy in bitches. To identify an acute intraoperative nociceptive response, three clinical parameters were used: increased blood pressure, heart rate and respiratory rate. Material and Methods Forty healthy bitches were randomly assigned to receive 2% lidocaine (L group) topical application (splash block) on both ovaries (2 mg/kg each), or an equal volume of NaCl 0.9% at the same sites (C group). A fentanyl bolus (2 µg/kg) was administered intraoperatively in response to an increase in blood pressure, heart rate or respiratory rate during surgery (> 30% compared with the pre‐incisional values). Results Local lidocaine administration significantly reduced the need for supplementary fentanyl. Dogs in the L group showed greater intraoperative hemodynamic stability and lower surgical pain than those in the C group. In addition to the routine anaesthetic protocol, the local anaesthesia used in the present study was safe and caused no cardiopulmonary suppression. In addition, it significantly reduced the need for mandatory systemic or rescue analgesia. Clinical Significance Ovariectomy is a common surgical procedure in bitches. Analgesia during this procedure is important because intraoperative pain can cause negative effects that prevent patient recovery. This study aimed to demonstrate the analgesic efficacy of lidocaine splash block in video‐assisted ovariectomy in dogs. The results showed that splash block improved surgical analgesia during canine laparoscopic ovariectomy. Considering its relative simplicity, low cost, and safety, splash block could be used in daily clinical practice.https://doi.org/10.1002/vms3.637laparoscopic ovariectomylidocaineovariectomy analgesiasplash block |
| spellingShingle | Vincenzo Cicirelli Giovanni M Lacalandra Giulio G Aiudi The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy Veterinary Medicine and Science laparoscopic ovariectomy lidocaine ovariectomy analgesia splash block |
| title | The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy |
| title_full | The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy |
| title_fullStr | The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy |
| title_full_unstemmed | The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy |
| title_short | The effect of splash block on the need for analgesia in dogs subjected to video‐assisted ovariectomy |
| title_sort | effect of splash block on the need for analgesia in dogs subjected to video assisted ovariectomy |
| topic | laparoscopic ovariectomy lidocaine ovariectomy analgesia splash block |
| url | https://doi.org/10.1002/vms3.637 |
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