Objective
To investigate the efficacy and safety of the caudal epidural technique in cats with urethral obstruction (UO).
Design
Prospective, double‐blinded, randomized, sham‐controlled study.
Animals
Eighty‐eight male cats with UO.
Interventions
Thirty cats randomized to bupivacaine epidural (BUP), 28 cats to bupivacaine‐morphine epidural (BUP/MOR), and 30 cats to sham epidural (SHAM).
Measurements and Main Results
Time to perform the epidural and efficacy of the epidural was assessed by evaluation of tail and perineal responses. The amount of propofol for urinary catheterization and time to administration of rescue analgesia (buprenorphine) was recorded. Cats were monitored for epidural complications. The median time to perform the epidural was 2 min (range, 0.2‐13 min and range, 0.5‐13 min), with an epidural success rate of 70%. The median amount of propofol administered for urinary catheterization was significantly less in the BUP (2.1 mg/kg; range, 0‐7.5 mg/kg) and MOR/BUP cats (1.85 mg/kg; range, 0‐8.6 mg/kg) as compared to SHAM cats (4 mg/kg; range, 0‐12.7 mg/kg) (P = 0.006, P = 0.0008, respectively). The median time to administration of rescue analgesia was also significantly longer in the BUP (10 h; range, 2‐32 h) and MOR/BUP cats (10 h; range, 4‐45 h) as compared to SHAM cats (4 h; range, 2‐36 h) (P = 0.0026, P = 0.0004, respectively). There were no recognized complications related to the epidural.
Conclusion
Caudal epidural appears to be safe, may reduce the amount of IV anesthesia needed to facilitate urinary catheterization, and can be used to provide long‐term analgesia in the hospital.
The bifunctional alkylating agent 1,2,3,4-diepoxybutane (DEB) is thought to be a major contributor to the carcinogenicity of 1,3-butadiene, from which it is derived in vivo. DEB forms DNA interstrand cross-links primarily between distal deoxyguanosine residues at the duplex sequence 5’-GNC. In order for the short butanediol tether to span this distance, distortion of the DNA target has been postulated. We determined that the electrophoretic mobility of ligated DNA oligomers containing DEB cross-links was retarded in comparison with control, uncross-linked DNA. Our data are consistent with DNA bending of ~34° per lesion towards the major groove.
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