Localised cutaneous reaction after epidural administration of preservative free morphine and ropivacaine?

Threlfall, Anna; Viscasillas, Jaime; Volk, Andrea V.

doi:10.1111/j.1467-2995.2012.00748.x

Cited by 3 publications

(4 citation statements)

References 6 publications

(15 reference statements)

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“…, Threlfall et al. ). Localised cutaneous reactions following epidural administration of preservative free morphine and ropivacaine have been observed, although no definitive causes were identified (Threlfall et al.…”

Section: Discussionmentioning

confidence: 99%

“…Localised cutaneous reactions following epidural administration of preservative free morphine and ropivacaine have been observed, although no definitive causes were identified (Threlfall et al. ). Absolute contraindications to performing an epidural include infection, hypovolaemia and bleeding tendencies (Skarda & Tranquilli ).…”

Section: Discussionmentioning

confidence: 99%

“…Use of an epidural alone has been advocated for use in patients for caesarean section, or when general anaesthesia was considered a risk (Skarda & Tranquilli 2007). Reported side effects of epidurals in veterinary patients include incomplete blockade, hypoventilation, insufficient analgesia, bleeding, pruritus, accidental intravascular administration, and hypotension (Skarda & Tranquilli 2007, Bauquier 2012, Hermanides et al 2012, Threlfall et al 2012. Localised cutaneous reactions following epidural administration of preservative free morphine and ropivacaine have been observed, although no definitive causes were identified (Threlfall et al 2012).…”

Section: Pre-anaesthetic Preparation and Anaesthetic Managementmentioning

confidence: 99%

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Use of sedation and ropivacaine‐morphine epidural for femoral head and neck ostectomy in a dog

Aarnes

Hubbell

Hildreth

2014

J of Small Animal Practice

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A five-year-old male German shepherd dog presented with traumatic craniodorsal luxation of the right coxofemoral joint with pre-existing moderate hip dysplasia. A femoral head and neck ostectomy was performed. The patient was sedated with acepromazine and morphine administered intramuscularly. A lumbosacral epidural was performed using a combination of morphine and ropivacaine. Intraoperatively, an infusion of medetomidine, morphine, lidocaine, and ketamine was administered intravenously, and oxygen was administered via facemask. Heart rate, respiratory rate and oscillometric arterial blood pressures were monitored. Postoperatively, carprofen was administered once subcutaneously. On the day of hospital discharge, carprofen and tramadol were administered orally every 12 hours. Twenty-one days later, the dog was doing well and the surgical staples were removed. Sedation with acepromazine and morphine, administration of an epidural containing morphine and ropivacaine, and intraoperative sedation with medetomidine, morphine, lidocaine and ketamine were suitable for femoral head and neck ostectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Pre-anaesthetic Preparation and Anaesthetic Managementmentioning

confidence: 99%

See 1 more Smart Citation

Use of sedation and ropivacaine‐morphine epidural for femoral head and neck ostectomy in a dog

Aarnes

Hubbell

Hildreth

2014

J of Small Animal Practice

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“…https://doi.org/10.11606/ issn. 1678-4456.bjvras.2021.180388 The known adverse cutaneous effects associated with epidural administration of opioids with or without local anesthetics are delayed hair growth, inflammatory skin reaction, and pruritus (Garcia-Pereira, 2018;Threlfall et al, 2012). The authors describe a clinical case in a Siamese cat in which a selective change in skin and hair color occurred after trichotomy of the sacrococcygeal region, with uneventful changes after the abdomen trichotomy.…”

mentioning

confidence: 99%

Transient skin and fur color change after trichotomy of the sacrococcygeal region for epidural anesthesia in a domestic cat (Felis catus)

Dourado

Cordero²,

Gomes

et al. 2021

Braz. J. Vet. Res. Anim. Sci.

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A clinical case in which skin and hair color change occurred after sacrococcygeal epidural anesthesia in a nine-month-old Siamese cross queen undergoing ovariohysterectomy (OHE) is described. Six weeks after surgery, during a re-check, it was noted that in the sacrococcygeal region the color of the skin and new hair growth was dark with a color comparable to the color present on the body extremities (muzzle, pinnae, legs, and tail). The skin and new hair growth of the shaved abdomen presented a standard color. The key enzyme of the melanogenic pathway in mammals is tyrosinase (TYR), and the Siamese temperature-sensitive phenotype is the result of genetic mutations that makes TYR function thermolabile. The activity of TYR in these cats is limited to the extremities where the temperature is lower while pigment production is impaired in the other body areas. The trichotomy of the sacrococcygeal region performed during wintertime in an outdoor cat was probably the trigger for increased activity of TYR in this area promoting pigment production. The absence of the same alterations in the abdominal area may be justified by less exposure of that region to the external environment, as well as to the feline habits of sedentarism, that avoid significant cooling in these regions. This report highlights the importance of taking this type of occurrence into account when performing an epidural in the Siamese cat breed. Also, to avoid skin color change in this breed, the authors recommend a midline abdominal instead of a flank approach to perform OHE.

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Epidural anesthesia and analgesia in small animal practice: An update

Garcia‐Pereira

2018

The Veterinary Journal

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Localised cutaneous reaction after epidural administration of preservative free morphine and ropivacaine?

Cited by 3 publications

References 6 publications

Use of sedation and ropivacaine‐morphine epidural for femoral head and neck ostectomy in a dog

Use of sedation and ropivacaine‐morphine epidural for femoral head and neck ostectomy in a dog

Transient skin and fur color change after trichotomy of the sacrococcygeal region for epidural anesthesia in a domestic cat (Felis catus)

Epidural anesthesia and analgesia in small animal practice: An update

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