Background Ovariohysterectomy (OH) is one of the most frequent elective surgical procedures in routine veterinary practice. Arnica montana is a well-known medicine in phytotherapy, with proven analgesic, anti-inflammatory, antiseptic, healing, antioxidant and immunomodulatory activity. However, there is still a shortage of studies on the action and effects of the homeopathic formulation of the medicine on animals. The aim of this study was to evaluate analgesia with Arnica montana 30cH during the postoperative period after elective OH. Methods Thirty healthy female dogs, aged 1 to 3 years, weighing 7 to 14 kg, were selected at the Veterinary Hospital in Campo Mourão, Paraná, Brazil. The dogs underwent the surgical procedure with an anaesthetic protocol and analgesia that had the aim of maintaining the patient's wellbeing. After the procedure, they were randomly divided into three groups of 10. One group received Arnica montana 30cH; another received 5% hydroalcoholic solution; and the third group, 0.9% NaCl saline solution. All animals received four drops of the respective solution sublingually and under blinded conditions, every 10 minutes for 1 hour, after the inhalational anaesthetic had been withdrawn. The Glasgow Composite Measure Pain Scale was used to analyse the effect of therapy. Analysis of variance (ANOVA) followed by the Tukey test was used to evaluate the test data. Statistical differences were deemed significant when p ≤0.05. Results The Arnica montana 30cH group maintained analgesia on average for 17.8 ± 3.6 hours, whilst the hydroalcoholic solution group did so for 5.1 ± 1.2 hours and the saline solution group for 4.1 ± 0.9 hours (p ≤0.05). Conclusion These data demonstrate that Arnica montana 30cH presented a more significant analgesic effect than the control groups, thus indicating its potential for postoperative analgesia in dogs undergoing OH.
Background: Hemimelia is a rare anomaly in which one of paired bone is congenital or partially absent. The etiology may be related to genetic and/or environmental factors. Clinically is observed the angulation of the affected limb, resulting in functional limitations as angular deformity, lameness and decreased range of motion. The diagnosis is based on clinical fndings and radiographic examination that detects the complete or partial absence of the affected bone and angular deviations. We aim to report a case of a partial unilateral radial hemimelia in a feline diagnosed at the Veterinary Hospital of the Federal University of Mato Grosso (HOVET-UFMT).Case: We attended at the HOVET-UFMT a two years old, feline, female, domestic short hair, presenting as a complaint the presence of a friable mass in the oral cavity for a year and a deformity in the left forelimb since birth, showing swallowing diffculties, lameness and diffculty support. On clinical examination, we obeserved the left forelimb flexed and deviation inthe medial direction, shortening of the limb, no crepitation during handling and evident lameness. Radiographic examination in the craniocaudal and mediolateral projections of the thoracic limbs revealed the partial absence of the radius with just a trace of the proximal radial epiphysis, shortening and a marked ulnar curvature, producing a signifcant deviation of the limb in the cranial direction. To perform incisional biopsy of the mass in the oral cavity, the patient underwent general anesthesia, but died after the procedure. The animal was sent to the Veterinary Pathology department to perform the necropsy that confrmed the diagnosis of Gingivitis-Stomatitis-Pharyngitis Complex, evidencing a hyperplasia of the gingival epithelium and tongue, diffuse and severe lymphoplasmacytic inflammation of the lamina propria, multifocal hydropic degeneration of the basal layer with presence of necrotic acanthocytes and even multiple areas of ulceration. After routine necropsy, the dissection of the left forelimb was carried out in order to be observed macroscopically the anomaly and its presentation, confrming the radiographic fndings.Discussion: In this case, we could not determine the origin of the hemimelia because both environmental and genetic factors can influence the embryonic development of the limb, particularly in the period between the 16th and the 28th day after fertilization. The radial hemimelia is a serious congenital pathology and when presented bilaterally is often associated with other malformations. In this case, the malformation was presented in a partial way (the absence of a segment) only in the left forelimb. Macroscopically there were not any other abnormalities. The conservative treatment was instituted with the maintenance of the animal in smooth and soft surface to avoid the occurrence of ulcerations on the contact areas with the ground. It is concluded that the history and physical examination associated with radiological fndings were able to establish the defnitive diagnosis of the partial unilateral hemimelia of the left radius.Keywords: anomaly, absence, cat, limb.
RESUMO.-[Comparação da infusão continua intravenosa de tramadol e de tramadol-lidocaína-cetamina no requerimento de sevofluorano em cães.] O objetivodeste estudo foi comparar a influência da infusão contínua intravenosa do tramadol isolado e associado com lidocaína e cetamina, na concentração alveolar mínima de sevofluorano (CAMsevo) em cadelas submetidas à ovariosalpingohisterectomia. Foram utilizados 28 animais saudáveis de várias raças e idades, divididos aleatoriamente em dois grupos de acordo com a infusão adminstrada: TRA (tramadol) ou TLK (tramadol, lidocaína e cetamina). A medicação pré-anestésica foi realizada com acepromazina e midazolam, em seguida, a anestesia foi induzida com propofol e mantida com sevofluorano. Quinze minutos após a indução, os pacientes receberam um bolus do tratamento, com a infusão continua iniciada logo em seguida, sendo 1,3mg/kg/ hora de tramadol, associado ou não a 3mg/kg/hora de lidocaína e 0,6mg/kg/hora de cetamina, diluidos em uma bolsa The objective of this study was to compare the influence of continuous intravenous infusion of tramadol alone, or tramadol combined with lidocaine and ketamine, on minimum alveolar concentration of sevoflurane (MACsevo) of dogs undergoing an ovariohysterectomy (OHE). We used 28 healthy dogs of various breeds and age, randomly divided into two groups according to the infusion given: TRA (tramadol alone) or TLK (tramadol, lidocaine and ketamine). The patients were premedicated with acepromazine and midazolam, and then anesthesia was induced with propofol and maintained with sevoflurane. Fifteen minutes after induction, the patients received their loading dose of treatment. Then, the continuous infusion was then set to 1.3mg/kg/hour of tramadol with or without 3mg/kg/ hour of lidocaine and 0.6mg/kg/hour of ketamine, diluted in a 500mL bag of saline solution at an infusion rate of 10mL/kg/hour. The Dixon method was chosen to determine the MACsevo and a skin incision was used as a noxious stimulus. An unpaired Student's t-test was used to identify statistically significant differences between the treatments. These differences were considered significant when p<0.05. The MACsevo of the TRA group was 1.22±0.15 vol% and the MACsevo of the TLK group was 0.85±0.22 vol%. We conclude that TLK infusion decreased the MACsevo by 30.22% compared to tramadol alone, demonstrating that the combination of drugs was effective in reducing MACsevo in dogs.INDEX TERMS: Tramadol, tramadol-lidocaine-ketamine, sevoflurane, dogs, analgesia, anesthesia, inhalant, MAC.
ability to wake up from anesthesia and get up because they are less heavy. The anesthetic / surgical procedure lasted almost 3 hours and the patient remained stable all the time, with no changes in vital parameters, and in the immediate postoperative period, the animal was already standing and eating. Animal was kept in a superficial plane during anesthesia, with eyelid reflex present and rotated eyeball. As a universal vaporizer was used, the minimum alveolar concentration at which anesthesia was maintained was not recorded. The pre-iliac approach to the femoral nerve and the parasacral approach to the lumbosacral trunk is a technique of regional anesthesia with efficient analgesics and easy to perform as long as guided by a peripheral nerve locator. It is a technique that reduces volume and consequently anesthetic cost, can be used when general anesthesia is not possible, reduces the need for general anesthetic, does not have the risks of epidural anesthesia, being a great choice in the contraindication or error in the epidural technique.
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