Electroacupuncture analgesia in dogs: is there a difference between uni- and bi-lateral stimulation?

Cassu, Renata Navarro; Luna, Stélio Pacca Loureiro; Clark, Ross; Kronka, S. N.

doi:10.1111/j.1467-2995.2007.00347.x

Cited by 32 publications

(28 citation statements)

References 37 publications

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“…Depois de concluída a instrumentação do animal, foi induzida a hipotensão arterial (PAM entre 40 a 45mmHg), mediante o incremento da concentração expirada de isofluorano (Valverde et al, 2006 (Cassu et al, 2008).…”

Section: Methodsunclassified

Eletroacupuntura para tratamento de hipotensão induzida por isofluorano em cavalos

Franco

Cassu

Diniz

et al. 2014

Arq. Bras. Med. Vet. Zootec.

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RESUMOObjetivou-se avaliar a eficiência do tratamento da hipotensão arterial com eletroacupuntura comparativamente à dobutamina em equinos. Foram avaliados seis cavalos adultos, saudáveis, mantidos em anestesia inalatória, com isofluorano, em ventilação mecânica. Após a estabilização da anestesia, foi induzida hipotensão arterial, através do incremento da concentração do isofluorano, iniciando-se um dos tratamentos: DOB: dobutamina (1,5µg kg -1 min -1 , infusão contínua intravenosa); EA: estímulo elétrico no acuponto pericárdio 6 (PC6), bilateralmente; SHAM: estímulo elétrico em ponto falso de acupuntura. Foram mensurados: frequência cardíaca (FC), pressão arterial média (PAM), temperatura retal (T), concentração final expirada de isofluorano (ET iso ), variáveis hemogasométricas, concentração sérica de aspartato aminotransferase (AST) e creatina fosfoquinase (CK), tempo e qualidade da recuperação pós-anestésica. Houve incremento na PAM de 50%, 36,6% e 7,5% nos tratamentos DOB, EA e SHAM, respectivamente. Não houve diferença entre os grupos nas variáveis hemogasométricas, FC, T, ET iso , CK, AST, tempo e qualidade de recuperação pós-anestésica. Conclui-se que o tratamento com dobutamina foi mais efetivo para o tratamento da hipotensão em cavalos sob anestesia inalatória quando comparado ao estímulo elétrico do acuponto PC6 ou ponto falso de acupuntura.Palavras-chave: equino, eletroacupuntura, dobutamina, hipotensão ABSTRACT This study aimed to evaluate the efficacy of electroacupuncture compared to the dobutamine treatment of hypotension in equines. Six adult horses were maintained in isoflurane anesthesia with mechanical ventilation. After anesthesia was established, the isoflurane concentration was raised until hypotension was achieved. After that the animals were treated with a constant rate of 1.5mg kg -1 min -1 intravenous dobutamine (DOB), electroacupunture to pericardium 6 (PC-6) acupoint (EA) and false point treatment (SHAM). Heart rate (HH), median arterial blood pressure (MAP), rectal temperature (T), isoflurane endtidal concentration, arterial blood gases, creatine kinase (CK), aspartate transaminase (AST), recovery time and quality of recovery were investigated. The MAP increased 50%, 36.5% and 7.5%% in DOB, EA and SHAM treatments, respectively. HH, T, arterial

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Section: Methodsunclassified

Eletroacupuntura para tratamento de hipotensão induzida por isofluorano em cavalos

Franco

Cassu

Diniz

et al. 2014

Arq. Bras. Med. Vet. Zootec.

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“…The point selection and the mode of stimulation are important for the outcome of AP for postoperative pain relief (CASSU et al, 2008;CHERNYAK;SESSLER, 2005, KOTANI et al, 2001. The acupoint selection in this study was based on previous successful reports of AP-induced analgesia (GAKIYA et al, 2011;LOPES et al, 1998;SOUSA et al, 2012;STILL, 1987;TEIXEIRA et al, 2013;WRIGHT;MCGRATH, 1981).…”

Section: Discussionmentioning

confidence: 99%

“…The acupoint selection in this study was based on previous successful reports of AP-induced analgesia (GAKIYA et al, 2011;LOPES et al, 1998;SOUSA et al, 2012;STILL, 1987;TEIXEIRA et al, 2013;WRIGHT;MCGRATH, 1981). Aquapuncture was performed bilaterally because the time to effect, the intensity and duration of analgesia is intensified when compared to unilateral stimulation (CASSU et al, 2008). In TCM, ST36 is the master point for the abdomen and gastrointestinal tract, SP6 is the master point for the caudal abdomen and genitourinary region, GB34 is the influential point for tendons and ligaments, and LIV3 is Shu-stream point (earth) and Yuan-source point, used to guarantee a smooth flow of Qi, a very commonly used point in painful conditions, gastrointestinal and urogenital disorders (XIE; VANESSA, 2002).…”

Section: Discussionmentioning

confidence: 99%

“…One of the most studied effect of AP is analgesia, produced by the stimulation of certain acupoints (CASSU et al, 2008;LUNA, 2002;TEIXEIRA et al, 2013). Several acupoint combinations can be used to produce analgesia.…”

Section: Introductionmentioning

confidence: 99%

“…Several acupoint combinations can be used to produce analgesia. The most important ones are Gall Bladder 34 (GB34), Spleen 6 (SP6), Stomach 36 (ST36) and Liver 3 (LIV3) (CASSU et al, 2008;TEIXEIRA et al, 2013;WRIGHT;MCGRATH, 1981).…”

Section: Introductionmentioning

confidence: 99%

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Effect of aquapuncture on postoperative analgesia after ovariohysterectomy in dogs

Luna¹,

Kelawala²,

Lima³

et al. 2015

Sem. Ci. Agr.

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Aquapuncture (AqP) consists of a water or saline solution injection into acupoints. This study aimed to evaluate the effect of aquapuncture on post-operative analgesia in bitches submitted to elective ovariohysterectomy (OHE). The study was prospective, randomised, and blinded for pain assessment. Sixteen dogs were randomly distributed in two groups of eight animals each. All animals were sedated with 0.05 mg kg -1 of acepromazine intramuscularly (IM), 30 minutes prior to induction of anaesthesia with propofol and maintenance with isoflurane. Eight animals underwent bilateral acupoint injection with 0.1 ml of 0.9% saline (AqP) at Gall Bladder 34, Stomach 36, Liver 3 and Spleen 6 acupoints 15 minutes after sedation. Pain score was investigated after 0.5, 1, 2, 5, 8 and 24 hours post-operatively and was compared with a control untreated group of eight animals. Morphine, at 0.5 mg kg -1 IM, was administered when the numerical rating scale was above 33% of the maximum value, in order to control post-operative pain in both groups. There were no differences in cardiorespiratory variables and pain and sedation scores between the groups. Seven (87.5%) animals from the control group required rescue analgesia at the first two postoperative hours and five (62.5%) animals treated with AqP required rescue analgesia, however, only one (12.5%) animal was treated at the first two hours and the remaining animals were treated from 5 hours after surgery. Aquapuncture produced residual analgesia up to 5 h after surgery and may be an option for post-operative analgesia in bitches undergoing OHE, providing that pain is assessed and rescue analgesia administered if necessary. Key words: Acupuncture, pain, surgery, morphine ResumoA aquapuntura (AqP) é uma técnica que consiste na injeção de solução fisiológica ou água destilada em pontos de acupuntura. Este estudo teve como objetivo avaliar o efeito da AqP na analgesia pós- operatória em cadelas submetidas à ovariohisterectomia eletiva (OHE). O estudo foi prospectivo, aleatório e "cego" para avaliação da dor. Dezesseis cadelas foram distribuídas aleatoriamente em dois grupos de oito animais cada. Todos os animais foram sedados com 0.05 mg kg -1 de acepromazina por via intramuscular (IM), 30 minutos antes da indução à anestesia com propofol e manutenção com isoflurano. Oito animais foram submetidos à injeção bilateral com 0,1 mL de solução salina 0,9% (AqP) nos acupontos Vesícula Biliar 34, Estômago 36, Fígado 3 e Baço 6, 15 minutos após a sedação. A dor foi avaliada 0,5, 1, 2, 5, 8 e 24 horas após a cirurgia e comparada com um grupo controle não tratado, de oito animais. O resgaste analgésico foi realizado com 0,5 mg kg -1 de morfina IM quando o escore de dor foi superior a 33% do valor máximo em ambos os grupos. Não houve diferenças nas variáveis cardiorrespiratórias e escores de dor e de sedação entre os grupos. Sete (87,5%) animais do grupo controle necessitaram analgesia de resgate nas duas primeiras horas de pós-operatório e cinco (62,5%) animais tratados com AqP necessitar...

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Analgesia

Whiteside¹

2014

Zoo Animal and Wildlife Immobilization and Anesthesia

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Electroacupuncture analgesia in dogs: is there a difference between uni- and bi-lateral stimulation?

Cited by 32 publications

References 37 publications

Eletroacupuntura para tratamento de hipotensão induzida por isofluorano em cavalos

Eletroacupuntura para tratamento de hipotensão induzida por isofluorano em cavalos

Effect of aquapuncture on postoperative analgesia after ovariohysterectomy in dogs

Analgesia

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