Yıl: 2021 Cilt: 68 Sayı: 1 Sayfa Aralığı: 27 - 32 Metin Dili: İngilizce DOI: 10.33988/auvfd.680443 İndeks Tarihi: 28-06-2021

Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs

Öz:
The aim of this study was to compare the postoperative analgesic effects of epidural bupivacaine, bupivacaine-butorphanoland bupivacaine-morphine in hind limb and pelvic orthopedic operations in dogs. Three groups each containing 10 dogs were formed. Through the lumbosacral space, group B was administered bupivacaine, 1 mg kg-1; group BB was administered bupivacaine, 1 mg kg-1and butorphanol, 0.25 mg kg-1; and group BM was administered bupivacaine, 1 mg kg-1and morphine, 0.1 mg kg-1. Anaesthesia was induced with diazepam (0.2 mg kg-1) and propofol (5 mg kg-1) and maintenance with isoflurane in oxygen.Pain assessment was performed with the University of Melbourne Pain Scale (UMPS) by a blinded observer. Plasma cortisol levels were measured preoperatively and postoperatively. Postoperative pain scores were significantly lower at 2 hours in the group BM,and at 8 and 12 hoursin the groups BB and BM compared to the group B (P=0.007). Group BM had a lower plasma cortisol level than the group B at 2 hours (P=0.002). Bupivacaine-butorphanol and bupivacaine-morphine use were shown to provide longer analgesia in the postoperative period; and the epidural administration of bupivacaine-butorphanol and bupivacaine-morphine was considered to be potentially useful in clinical practice.
Anahtar Kelime:

Köpeklerde arka ekstremite ve pelvisin ortopedik operasyonlarında epidural bupivakain, bupivakain-butorfanol ve bupivakain-morfin uygulamasının postoperatif analjezi üzerine etkisi

Öz:
Bu çalışmanın amacı, köpeklerde arka ekstremite ve pelvisin ortopedik operasyonlarında epidural bupivakain, bupivakain-butorfanol ve bupivakain-morfin uygulamasının postoperatifanaljezik etkilerinin karşılaştırılmasıdır. Her grupta 10 köpek olacak şekilde 3 farklı çalışma grubu oluşturuldu. Lumbosakral aralıktan grup B’ye bupivakain 1 mg kg-1; grup BB’ye bupivakain 1 mg kg-1ve butorfanol 0,25 mg kg-1; grup BM’ye ise bupivakain 1 mg kg-1ve morfin 0,1 mg kg-1uygulaması yapıldı. Anestezi indüksiyonu diazepam (0,2 mg kg-1)ve propofol (5 mg kg-1) ile yapıldıktan sonra idame izofloran ile sağlandı. Ağrının değerlendirilmesi kör gözlemci tarafından Melbourne Üniversitesi ağrı skalası (UMPS) kullanılarak yapılmıştır. Preoperatif ve postoperatif plazma kortizol seviyeleri ölçüldü. BM grubunun postoperatif 2. saatte plazma kortizol seviyesi B grubuna göre daha azolarak tespit edildi (P=0,002). Postoperatif ağrı skorları 2. saatte BM grubunda,8. ve 12. saatte BB ve BM grubunda B grubuna göre daha az olarak tespit edildi (P=0,007). Çalışma sonucunda bupivakain-butorfanol ve bupivakain-morfin kullanımının postoperatif dönemde sadece bupivakain kullanımına göre daha uzun süreli analjezi sağladığı ve bupivakain-morfine göre daha düşük yan etkiye sahip olan bupivakain-butorfanolun epidural uygulamasının pratikte kullanılmasının faydalı olabileceği düşünülmüştür.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Gaynor JS, Muir WW (2009): Handbook of Veterinary Pain Managmement (2nd ed). Mosby, USA.
  • 2. Grisneaux E, Pibarot P, Dupuis J, et al (1999): Comparison of ketoprofen and carprofen administered prior to orthopedic surgery for control of postoperative pain in dogs. J Am Vet Med Assoc, 215, 1105-1110.
  • 3. Holton LL, Scott EM, Nolan AM, et al (1998): Relationship between physiological factors and clinical pain in dogs scored using s numeric rating scale. J Small Anim Pract, 39, 469-474.
  • 4. Kar P (2016): A comparative study between epidural butorphanol with bupivacaine and bupivacaine alone for intra-operative and post-operative analgesia in lower limb orthopaedic surgeries. Int J Res Med Sci, 4, 4251-4255.
  • 5. Kona-Boun JJ, Cuvelliez S, Troncy E (2006): Evaluation of epidural administration of morphine or morphine and bupivacaine for postoperative analgesia after premedication with an opioid analgesic and orthopedic surgery in dogs. J Am Vet Med Assoc, 229, 1103-1112.
  • 6. Mathews KA (2000): Pain assessment and general approach to management. Vet Clin North Am Small Anim Pract, 30, 729-755.
  • 7. McMurphy R (1993): Postoperative epidural analgesia. Vet Clin North Am Small Anim Pract, 23,703-716.
  • 8. Mich PM, Hellyer PW (2008): Objective, Categoric Methods for Assessing Pain and Analgesia. 78-109. In: JS Gaynor, WW Muir (Eds), Handbook of Veterinary Pain Management (2nd ed). Mosby, St. Louis.
  • 9. Odette O, Smith LJ (2013): A comparison of epidural analgesia provided by bupivacaine alone, bupivacaine + morphine, or bupivacaine + dexmedetomidine for pelvic orthopedic surgery in dogs. Vet Anaesth Analg, 40, 527- 536.
  • 10. Pekcan Z, Koc B (2010): The post-operative analgesic effects of epidurally administered morphine and transdermal fentanyl patch after ovariohysterectomy in dogs. Vet Anaesth Analg, 37, 557-565.
  • 11. Plumb DC (2002): Butorphanol tartrate. 116-119. In: DC. Plumb (Ed), Veterinary Drug Handbook (4th ed). Iowa State Press, USA.
  • 12. Rijnberk A, Kooistra HS (2010): Adrenals. 61-93. In: A Rijnberk, (Ed), Clinical Endocrinology of Dogs and Cats: An Illustrated Text (2nd Ed). Schlütersche, Hannover.
  • 13. Smith LJ (2015): Normal Values for Anesthetized Patients. 119-122. In: LJ Smith (Ed), Questions and Answers in Small Animal Anaesthesia (1st ed). Wiley Blackwell, UK.
  • 14. Smith N (2008): Butorphanol: a double-blind evaluation in postoperative patients with moderate or severe pain. Can J Anaesth, 21, 600-610.
  • 15. Trim CM (1983): Cardiopulmonary effects of butorphanol tartrate in dogs. Am J Vet Res, 44,329-331
  • 16. Troncy E, Besner GJ, Charbonneau R, et al (1996): Pharmacokinetics of epidural butorphanol in isoflurane anaesthetized dogs. J Vet Pharmacol Therap, 19, 268-273.
  • 17. Troncy E, Junot S, Keroack S, et al (2002): Resuts of preemptive epidural administration of morphine with or without bupivacaine in dogs and cats undergoing surgery: 265 cases (1997-1999). J Am Vet Med Assoc, 221, 666- 672.
  • 18. Valverde A (2008): Epidural analgesia and anaesthesia in dogs and cats. Vet Clin North Am Small Anim Pract, 38, 1205-1230.
  • 19. Wheeler M, Oderda GM, Ashburn MA, et al (2002): Adverse events associated with postoperative opioid analgesia: a systematic review. J Pain. 3, 159-180.
APA KARSLI B, Pekcan Z, KUMANDAS A, KÜRÜM B, Cinar M (2021). Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. , 27 - 32. 10.33988/auvfd.680443
Chicago KARSLI BIRKAN,Pekcan Zeynep,KUMANDAS ALI,KÜRÜM BARIS,Cinar Miyase Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. (2021): 27 - 32. 10.33988/auvfd.680443
MLA KARSLI BIRKAN,Pekcan Zeynep,KUMANDAS ALI,KÜRÜM BARIS,Cinar Miyase Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. , 2021, ss.27 - 32. 10.33988/auvfd.680443
AMA KARSLI B,Pekcan Z,KUMANDAS A,KÜRÜM B,Cinar M Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. . 2021; 27 - 32. 10.33988/auvfd.680443
Vancouver KARSLI B,Pekcan Z,KUMANDAS A,KÜRÜM B,Cinar M Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. . 2021; 27 - 32. 10.33988/auvfd.680443
IEEE KARSLI B,Pekcan Z,KUMANDAS A,KÜRÜM B,Cinar M "Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs." , ss.27 - 32, 2021. 10.33988/auvfd.680443
ISNAD KARSLI, BIRKAN vd. "Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs". (2021), 27-32. https://doi.org/10.33988/auvfd.680443
APA KARSLI B, Pekcan Z, KUMANDAS A, KÜRÜM B, Cinar M (2021). Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. Ankara Üniversitesi Veteriner Fakültesi Dergisi, 68(1), 27 - 32. 10.33988/auvfd.680443
Chicago KARSLI BIRKAN,Pekcan Zeynep,KUMANDAS ALI,KÜRÜM BARIS,Cinar Miyase Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. Ankara Üniversitesi Veteriner Fakültesi Dergisi 68, no.1 (2021): 27 - 32. 10.33988/auvfd.680443
MLA KARSLI BIRKAN,Pekcan Zeynep,KUMANDAS ALI,KÜRÜM BARIS,Cinar Miyase Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. Ankara Üniversitesi Veteriner Fakültesi Dergisi, vol.68, no.1, 2021, ss.27 - 32. 10.33988/auvfd.680443
AMA KARSLI B,Pekcan Z,KUMANDAS A,KÜRÜM B,Cinar M Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. Ankara Üniversitesi Veteriner Fakültesi Dergisi. 2021; 68(1): 27 - 32. 10.33988/auvfd.680443
Vancouver KARSLI B,Pekcan Z,KUMANDAS A,KÜRÜM B,Cinar M Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs. Ankara Üniversitesi Veteriner Fakültesi Dergisi. 2021; 68(1): 27 - 32. 10.33988/auvfd.680443
IEEE KARSLI B,Pekcan Z,KUMANDAS A,KÜRÜM B,Cinar M "Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs." Ankara Üniversitesi Veteriner Fakültesi Dergisi, 68, ss.27 - 32, 2021. 10.33988/auvfd.680443
ISNAD KARSLI, BIRKAN vd. "Effects of epidural bupivacaine, bupivacaine-butorphanol and bupivacaine-morphine on postoperative analgesia for hind limb and pelvic orthopedic operations in dogs". Ankara Üniversitesi Veteriner Fakültesi Dergisi 68/1 (2021), 27-32. https://doi.org/10.33988/auvfd.680443