Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital

This study compared four methods to provide intraoperative analgesia during canine ovariohysterectomy in a veterinary teaching hospital. A retrospective study was designed to assess the nociceptive response, cardiorespiratory stability, quality of recovery and complications of four analgesic protoco...

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Main Authors: Jaime Viscasillas, Ariel Cañón, Eva Hernández, Agustín Martínez, Reyes Marti-Scharfhausen, Pilar Lafuente, José Ignacio Redondo
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Animals
Subjects:
Online Access:https://www.mdpi.com/2076-2615/12/15/1939
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author Jaime Viscasillas
Ariel Cañón
Eva Hernández
Agustín Martínez
Reyes Marti-Scharfhausen
Pilar Lafuente
José Ignacio Redondo
author_facet Jaime Viscasillas
Ariel Cañón
Eva Hernández
Agustín Martínez
Reyes Marti-Scharfhausen
Pilar Lafuente
José Ignacio Redondo
author_sort Jaime Viscasillas
collection DOAJ
description This study compared four methods to provide intraoperative analgesia during canine ovariohysterectomy in a veterinary teaching hospital. A retrospective study was designed to assess the nociceptive response, cardiorespiratory stability, quality of recovery and complications of four analgesic protocols: epidural analgesia (EPIDURAL group), Quadratus Lumborum block (QLB group), Transversus Abdominis Plane block (TAP group), and just systemic analgesia (GENERAL group). Undergraduate students carried out all the loco-regional techniques under the direct supervision of a qualified anaesthetist. A total of 120 cases met the inclusion criteria and were included in the study and were distributed as follows: 22, 27, 32 and 39 cases with EPIDURAL, GENERAL, QLB and TAP groups, respectively. Data were analysed with statistical software R using different statistical methods. Significant differences among groups were defined as <i>p</i> < 0.05. Based on our results, all the groups needed the same number of rescue analgesia during the intra-operative period. The use of loco-regional techniques anticipated a better quality of recovery compared with the general group. The EPIDURAL group showed a statistically lower expired fraction of sevoflurane. No differences were found regarding complications. In conclusion, these four analgesic methods are suitable and safe to be performed for canine ovariohysterectomy, although loco-regional techniques might have some advantages.
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spelling doaj.art-5cdf6ee6bf0d4413be58c0286868dbd72023-12-03T12:25:58ZengMDPI AGAnimals2076-26152022-07-011215193910.3390/ani12151939Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching HospitalJaime Viscasillas0Ariel Cañón1Eva Hernández2Agustín Martínez3Reyes Marti-Scharfhausen4Pilar Lafuente5José Ignacio Redondo6Departamento Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainDepartamento Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainDepartamento Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainDepartamento Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainDepartamento Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainCiencias de la Salud, UNIR-Universidad Intenacional de La Rioja, 26006 Logroño, SpainDepartamento Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, SpainThis study compared four methods to provide intraoperative analgesia during canine ovariohysterectomy in a veterinary teaching hospital. A retrospective study was designed to assess the nociceptive response, cardiorespiratory stability, quality of recovery and complications of four analgesic protocols: epidural analgesia (EPIDURAL group), Quadratus Lumborum block (QLB group), Transversus Abdominis Plane block (TAP group), and just systemic analgesia (GENERAL group). Undergraduate students carried out all the loco-regional techniques under the direct supervision of a qualified anaesthetist. A total of 120 cases met the inclusion criteria and were included in the study and were distributed as follows: 22, 27, 32 and 39 cases with EPIDURAL, GENERAL, QLB and TAP groups, respectively. Data were analysed with statistical software R using different statistical methods. Significant differences among groups were defined as <i>p</i> < 0.05. Based on our results, all the groups needed the same number of rescue analgesia during the intra-operative period. The use of loco-regional techniques anticipated a better quality of recovery compared with the general group. The EPIDURAL group showed a statistically lower expired fraction of sevoflurane. No differences were found regarding complications. In conclusion, these four analgesic methods are suitable and safe to be performed for canine ovariohysterectomy, although loco-regional techniques might have some advantages.https://www.mdpi.com/2076-2615/12/15/1939quadratus lumborum blockTAP blockepiduralanalgesiaovariohysterectomy
spellingShingle Jaime Viscasillas
Ariel Cañón
Eva Hernández
Agustín Martínez
Reyes Marti-Scharfhausen
Pilar Lafuente
José Ignacio Redondo
Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital
Animals
quadratus lumborum block
TAP block
epidural
analgesia
ovariohysterectomy
title Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital
title_full Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital
title_fullStr Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital
title_full_unstemmed Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital
title_short Clinical Assessment of Introducing Locoregional Anaesthesia Techniques as Part as the Intraoperative Analgesia Management for Canine Ovariohysterectomy in a Veterinary Teaching Hospital
title_sort clinical assessment of introducing locoregional anaesthesia techniques as part as the intraoperative analgesia management for canine ovariohysterectomy in a veterinary teaching hospital
topic quadratus lumborum block
TAP block
epidural
analgesia
ovariohysterectomy
url https://www.mdpi.com/2076-2615/12/15/1939
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