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在接受骨平整骨切术的狗中进行术后无阿片类药物止痛:一项可行性研究

Caroline Didier¹, Sarah Faucher¹, Marti Sarra Ferrer¹

¹Department of Clinical Sciences, National Veterinary School of Toulouse, University of Toulouse, Toulouse, France.

Frontiers in veterinary science

|July 22, 2024

概括

无阿片类药物麻醉在55%的狗中是可行的,这些狗接受了骨平整骨切除术 (TPLO),所有狗都实现了无阿片类药物术后止痛和充分恢复. 在45%的病例中,需要单次的手术内芬太尼剂量.

科学领域:

兽医麻醉学兽医麻醉学
狗整形外科手术狗整形外科手术
疼痛管理疼痛管理

背景情况:

骨平衡骨切除术 (TPLO) 是狗的常见骨科手术.
有效的术后疼痛管理对于TPLO后的最佳恢复至关重要.
目前正在探索无阿片类麻醉方案,以尽量减少与阿片类药物相关的副作用.

研究的目的:

预期评估在接受TPLO的狗中使用无阿片类麻醉方案的可行性.
描述这些狗的康复质量和术后止痛管理.
评估需要进行手术内或术后的阿片类药物救援止痛.

主要方法:

这项研究包括20只接受TPLO治疗的狗.
麻醉涉及梅德托米丁,米达佐拉姆,胺,普罗波和异氨酸,与使用布皮瓦卡因的坐骨神经和股骨神经阻塞.
如果需要,在手术期间给予芬太尼作为救援止痛药;使用验证的秤量评估术后疼痛.

主要成果:

在20只狗中的11只 (55%) 中,无阿片类药物麻醉是可行的.
在关节切除过程中,9只狗 (45%) 接受了单次手术内剂量的芬太尼.
术后不需要阿片类救援止痛;所有狗都得到了充分的恢复,并在24小时内出院.

结论:

在所有狗中都实现了完全无阿片类药物的术后止痛.
虽然在大多数情况下,无阿片类麻醉是可行的,但对于一些人来说,单一的手术内阿片类药物剂量是必要的.
该协议证明了可行性,并导致TPLO后的充分恢复和疼痛管理.

关键词:

这就是TpLO的意思.止痛药止痛药止痛药是一种止痛药.狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗狗地方区域地方区域.没有阿片类药物的麻醉.术后疼痛术后疼痛术后疼痛福利服务福利服务

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