Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy
Abstract Background The effects of epidural anesthesia in dogs undergoing cystoscopy are unknown. Objective To investigate the effect of epidural analgesia on postcystoscopy pain in dogs. Animals Twenty‐six dogs undergoing routine cystoscopy for lower urinary tract disease. Methods Prospective, rand...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-03-01
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| Series: | Journal of Veterinary Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/jvim.16055 |
| _version_ | 1828204824868421632 |
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| author | Laura H. Rayhel Laura M. Harjes Turi K. Aarnes Laurie B. Cook Dennis J. Chew Jessica M. Quimby Kayla Fields Valerie J. Parker Catherine Langston Philip Lerche Julie K. Byron Adam J. Rudinsky |
| author_facet | Laura H. Rayhel Laura M. Harjes Turi K. Aarnes Laurie B. Cook Dennis J. Chew Jessica M. Quimby Kayla Fields Valerie J. Parker Catherine Langston Philip Lerche Julie K. Byron Adam J. Rudinsky |
| author_sort | Laura H. Rayhel |
| collection | DOAJ |
| description | Abstract Background The effects of epidural anesthesia in dogs undergoing cystoscopy are unknown. Objective To investigate the effect of epidural analgesia on postcystoscopy pain in dogs. Animals Twenty‐six dogs undergoing routine cystoscopy for lower urinary tract disease. Methods Prospective, randomized, blinded observational study. Dogs were assigned either to a treatment group that received epidural anesthesia (preservative free morphine sulfate, 0.09 mg/kg; 1% ropivacaine, 0.2 mg/kg; total volume delivered, 1 mL/4.5 kg of body weight to a maximum of 10 mL; n = 9) or to a nonepidural control group (n = 13). Vital signs were monitored for 24 hours, and sedation and pain scores, behavioral assessments, and presence or absence of complications was evaluated for 5 days postprocedure. Results All dogs tolerated the epidural without complications. Four dogs were removed from the study because of status unblinding, lack of patient cooperation, or incomplete follow‐up. No significant differences were noted in postprocedural pain scores in dogs that received epidural analgesia. Significant differences in postprocedural pain scores were noted in the nonepidural control group. No significant differences were noted in vital signs, behavioral assessments, or the proportion of dogs with a 50% increase in pain scores between the epidural and nonepidural groups. Conclusions and Clinical Importance Epidural anesthesia was well‐tolerated. Dogs not receiving the epidural had poor postprocedural pain control. A consistent benefit for the epidural vs nonepidural group could not be identified. Additional studies are required to better assess the impact and efficacy of epidural anesthesia for cystoscopic procedures. |
| first_indexed | 2024-04-12T12:30:04Z |
| format | Article |
| id | doaj.art-b32de11595d7437fb2c1f8873cf48612 |
| institution | Directory Open Access Journal |
| issn | 0891-6640 1939-1676 |
| language | English |
| last_indexed | 2024-04-12T12:30:04Z |
| publishDate | 2021-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj.art-b32de11595d7437fb2c1f8873cf486122022-12-22T03:33:03ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762021-03-0135298098610.1111/jvim.16055Short‐term efficacy of epidural pain management in dogs undergoing cystoscopyLaura H. Rayhel0Laura M. Harjes1Turi K. Aarnes2Laurie B. Cook3Dennis J. Chew4Jessica M. Quimby5Kayla Fields6Valerie J. Parker7Catherine Langston8Philip Lerche9Julie K. Byron10Adam J. Rudinsky11Department of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USADepartment of Veterinary Clinical Sciences College of Veterinary Medicine, The Ohio State University Columbus Ohio USAAbstract Background The effects of epidural anesthesia in dogs undergoing cystoscopy are unknown. Objective To investigate the effect of epidural analgesia on postcystoscopy pain in dogs. Animals Twenty‐six dogs undergoing routine cystoscopy for lower urinary tract disease. Methods Prospective, randomized, blinded observational study. Dogs were assigned either to a treatment group that received epidural anesthesia (preservative free morphine sulfate, 0.09 mg/kg; 1% ropivacaine, 0.2 mg/kg; total volume delivered, 1 mL/4.5 kg of body weight to a maximum of 10 mL; n = 9) or to a nonepidural control group (n = 13). Vital signs were monitored for 24 hours, and sedation and pain scores, behavioral assessments, and presence or absence of complications was evaluated for 5 days postprocedure. Results All dogs tolerated the epidural without complications. Four dogs were removed from the study because of status unblinding, lack of patient cooperation, or incomplete follow‐up. No significant differences were noted in postprocedural pain scores in dogs that received epidural analgesia. Significant differences in postprocedural pain scores were noted in the nonepidural control group. No significant differences were noted in vital signs, behavioral assessments, or the proportion of dogs with a 50% increase in pain scores between the epidural and nonepidural groups. Conclusions and Clinical Importance Epidural anesthesia was well‐tolerated. Dogs not receiving the epidural had poor postprocedural pain control. A consistent benefit for the epidural vs nonepidural group could not be identified. Additional studies are required to better assess the impact and efficacy of epidural anesthesia for cystoscopic procedures.https://doi.org/10.1111/jvim.16055caninepainurinary tracturology |
| spellingShingle | Laura H. Rayhel Laura M. Harjes Turi K. Aarnes Laurie B. Cook Dennis J. Chew Jessica M. Quimby Kayla Fields Valerie J. Parker Catherine Langston Philip Lerche Julie K. Byron Adam J. Rudinsky Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy Journal of Veterinary Internal Medicine canine pain urinary tract urology |
| title | Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy |
| title_full | Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy |
| title_fullStr | Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy |
| title_full_unstemmed | Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy |
| title_short | Short‐term efficacy of epidural pain management in dogs undergoing cystoscopy |
| title_sort | short term efficacy of epidural pain management in dogs undergoing cystoscopy |
| topic | canine pain urinary tract urology |
| url | https://doi.org/10.1111/jvim.16055 |
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