双侧乳房根治术与卵巢子宫切除术犬乳腺肿瘤术后镇痛的原位浸润与恒速输注比较

Hui-Ju Wang, Shih-Chieh Chang, Wei-Ming Lee, Kuan-Sheng Chen, Hsien-Chi Wang
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引用次数: 2

摘要

双侧乳房根治术等手术大面积切除区的镇痛在术后护理中起着重要作用。阿片类药物能有效缓解疼痛;然而,有时很难在大多数地方兽医医院获得它们。本研究的目的是比较(1)利多卡因布比卡因现场浸润镇痛(I组,n=6)和丁丙诺啡静脉注射(2)芬太尼氯胺酮等速输注(II组,n=6)对双侧乳房根治术和卵巢子宫切除术后犬乳腺肿瘤术后镇痛的效果。结果表明,利多卡因、布比卡因浸润联合静脉注射丁丙诺啡与芬太尼、氯胺酮联合使用的CRIs效果相同。利多卡因和布比卡因浸润性镇痛可能是双侧乳房切除术和卵巢子宫切除术犬的一种镇痛选择,并可能有助于减少纯μ-阿片类药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
COMPARISON OF ONSITE INFILTRATION AND CONSTANT RATE INFUSION FOR POSTOPERATIVE ANALGESIA IN DOGS WITH MAMMARY TUMORS UNDERGOING BILATERAL RADICAL MASTECTOMY AND OVARIOHYSTERECTOMY
Analgesia of the wide surgical excision region in surgeries such as bilateral radical mastectomy plays an important role in postoperative care. Opioids are effective in alleviating pain; however, they are sometimes difficult to obtain in most local veterinary hospitals. The objective of this research was to compare the efficacies of (1) onsite infiltration analgesia with lidocaine and bupivacaine (group I, n=6) and intravenous injection with buprenorphine and (2) constant rate infusions (CRIs) of fentanyl and ketamine (group II, n=6) for postoperative analgesia after bilateral radical mastectomy and ovariohysterectomy in dogs with mammary tumors. The results showed that a combination of infiltration with lidocaine and bupivacaine and intravenous injection with buprenorphine was as effective as CRIs of fentanyl and ketamine. Infiltration analgesia with lidocaine and bupivacaine may be an option for analgesia in dogs undergoing bilateral mastectomy and ovariohysterectomy and may help reducing pure μ-opioid ...
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