Thoracic Epidural Anesthesia in Cats: A Retrospective Case Series

Thoracic epidural anesthesia (TEA) is widely used in human medicine to provide effective perioperative analgesia, yet its application in veterinary species-particularly cats-remains underexplored. This retrospective case study describes the use of TEA in nine client-owned cats undergoing major surgeries. All cats received a single epidural injection of 0.2 mL/kg of 0.5% ropivacaine combined with 0.1 mg/kg morphine at the T12-T13 interspace using a 25 G × 25 mm Quincke needle. Intraoperative physiological parameters were continuously monitored, and postoperative analgesia was assessed using a validated pain scale. Only one cat exhibited inadequate analgesic coverage, likely due to TEA failure. Of the nine cats, seven required minimal to no intraoperative rescue analgesia, while five received postoperative opioids on the day following surgery. Hemodynamic stability was observed in most cases, with no significant complications reported. These findings suggest that TEA is a feasible and effective technique for perioperative pain management in cats undergoing major surgery. Further prospective studies are warranted to confirm these initial findings and investigate the safety of the technique in a larger population.