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Pain assessment in cats undergoing ovariohysterectomy by midline or lateral celiotomy through use of a previously validated multidimensional composite pain scale
oleh: Jéssica Pecene Oliveira, Rodrigo Mencalha, Carlos Augusto dos Santos Sousa, Marcelo Abidu-Figueiredo, Síria da Fonseca Jorge
| Format: | Article |
|---|---|
| Diterbitkan: | Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2014-10-01 |
Deskripsi
<sec><title>PURPOSE:</title><p>To assess pain in the immediate postoperative period in cats submitted into two different celiotomy techniques for ovariohysterectomy.</p></sec><sec><title>METHODS:</title><p>Fourteen healthy female cats up to three years old with a mean weight 2.75kg, without breed specification, were used in this double blind experiment. The animals were randomly assigned to two treatments: I- ovariohysterectomy by lateral approach (LA) or II - by midline approach (MA). The anesthesia consisted of acepromazine (0.1 mg.kg<sup>-1)</sup> and midazolam (0.25mg.kg<sup>-1)</sup>followed isoflurane vaporization to induce and maintain hypnosis. A bolus of fentanyl (5μg.kg<sup>-1)</sup> was administered intravenously to provide intraoperative analgesia. After surgery, pain scores were assessed through a multidimensional composite pain scale at four different times.</p></sec><sec><title>RESULTS:</title><p> Generally all factors related to psychomotor changes and pain expression showed higher scores in cats neutered by LA, but only psychomotor changes and total pain score presented statistical differences (p<0.05). The animals that underwent lateral celiotomy showed higher pain scores, at 1, 4 and 6 hours after surgery.</p></sec><sec><title>CONCLUSIONS:</title><p> Multidimensional analgesic scales were highly reliable. There was a tendency for the cats neutered by lateral approach to suffer more postoperative pain, including requiring a large number of analgesic rescues.</p></sec>