Svania P. DVM, MSc student of Surgery, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Tzortzi I. DVM, MSc student in the field of Anesthesia and Intensive Unit Care, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Ververidis C. DVM, PhD, Assistant Professor of Obstetrics and Physiopathology of Reproduction of Companion Animals, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Anagnostou T. DVM, PhD, Dipl.ECVAA, Αssociate Professor of Anesthesia and Intensive Unit Care, Companion Animal Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece
Introduction
The aim of this study was to investigate the effectiveness of lidocaine splash in laparoscopic ovariectomies. Ovarian bursa was splashed with lidocaine 7 mg/kg total dose intraoperatively guided by endoscopy. Pain was evaluated post-operatively with the use of an algometer and the Glasgow Pain Scale.
Clinical cases
Eight healthy, young (7 months to 6 years age) non-pregnant bitches with no underlying conditions were included in this study. Pethidine 3.3 mg/kg IM, acetylpromazine 0.025 mg/kg IM, and meloxicam 0.1 mg/ kg IV were used in all cases as pre-anesthetic medication. Cases were allocated into the lidocaine group (group L, n=4) or the normal saline group (group C, n=4) according to the treatment used, which was administered “blindly”. Pain measurements were performed “blindly” at T0 (max 30’ after extubation), at T1=1h, T2=2h, and T3=4h after the extubation.
Results
Pain assessments revealed lower pain scores (Glascow Pain Scale) and higher pain thresholds (algometer) for animals in group L compared to animals in group C.
Conclusions
The lidocaine splash, as used in the present study, reduced postoperative pain and may be used as a part of multimodal analgesia in laparoscopic ovariectomies in bitches.
References
- Giovanni Cassata, Vincenzo Davide Palumbo, Luca Cicero, Giuseppe Damiano, Antonio Maenza, Aldo Migliazzo, Gioacchino Di Paola, Domenico Vicari, Salvatore.
- Fazzotta, Attilio Ignazio Lo Monte (2016) Laparotomic vs laparoscopic ovariectomy: comparing the two methods. The ovariectomy in the bitch in laparoscopic era.
- Acta Biomed 87(3):271-274.
- Entaz Bahar, Hyonok Yoon (2021) Lidocaine: A Local Anesthetic, Its Adverse Effects and Management. Medicina (Kaunas) 57(8):782.
- Young K Kim, Scott S Lee, Euy H Suh, Lyon Lee, Hee C Lee, Hyo J Lee, Seong C Yeon (2012) Sprayed intraperitoneal bupivacaine reduces early postoperative pain behavior and biochemical stress response after laparoscopic ovariohysterectomy in dogs. Vet J. 191(2):188-92.