Forty dogs undergoing a variety of orthopaedic surgical procedures were randomly assigned to one of two analgesic protocols, receiving either pethidine at 2 mg/kg pre-operatively and 3 mg/kg postoperatively, or carprofen, a new non-steroidal anti-inflammatory drug at 4 mg/kg pre-operatively. Analgesia and sedation were assessed after the operations under double blind conditions using a discontinuous scoring system and a visual analogue scale. There was good agreement between the two scoring systems, and a statistical analysis of the visual analogue scores showed that carprofen provided slightly better pain relief than pethidine and produced less sedation. Carprofen provided good analgesia during the 18 hours the dogs were in hospital and no adverse side effects were observed.
The aim of this study was to titrate the optimal dose of carprofen for single dose usage, for alleviating postoperative pain, under a double-blind and randomised protocol, using both negative and positive controls. Renal tolerance was assessed by screening plasma urea and creatinine. Pre- and postoperative assessment of pain and sedation was made using a dynamic and interactive visual analogue scoring system in 60 cats undergoing ovariohysterectomy. The cats were randomly assigned to one of six groups: (1) carprofen at 1.0 mg/kg subcutaneously (sc); (2) carprofen at 2.0 mg/kg sc; (3) carprofen at 4.0 mg/kg sc; (4) pethidine at 5.0 mg/kg intramuscularly (im), (5) pethidine at 10.0 mg/kg im: and (6) no analgesics (injection of saline). All injections were given postoperatively on tracheal extubation and administered in a double-blind manner. Assessments were made up to 20 hours post extubation. Prior to induction and at 20 hours post extubation, blood samples were taken for laboratory analysis of the urea and creatinine content to check for any adverse effect on renal function. Cats given pethidine did not appear more sedated than the groups receiving carprofen or saline. Cats receiving carprofen were in less pain postoperatively overall, with 4.0 mg/kg being the most effective dose rate (significantly better than the other doses of carprofen at four and eight hours post extubation). The highest dose of pethidine provided significantly better analgesia than the highest dose of carprofen up to two hours post extubation, but from two to 20 hours post extubation carprofen at 4.0 mg/kg provided significantly better analgesia than the pethidine. None of the analgesic regimens appeared to affect renal function adversely, as measured by urea and creatinine levels.
The clinical and radiological features of atlanto‐axial subluxation in the dog are described with reference to a series of 30 cases. Two methods of treatment were evaluated. In 13 dogs, a dorsal approach was used and the atlas and axis stabilised with a wire suture. Four cases had respiratory arrests during surgery; one of these and seven others made full recoveries after wiring. In 10 dogs treated by lag screw fixation of the ventral articular facets there were no complications during surgery and nine of these recovered within two months.
Atlanto‐axial subluxation was diagnosed in 30 dogs referred to the Department of Veterinary Surgery, University of Bristol between 1977 and 1986. The condition was encountered in six small breeds of dog and was seen most frequently in the Yorkshire
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