Postoperative pain assessment with concurrent administration of intraperitoneal tramadol and incisional lidocaine following ovariohysterectomy in dogs


Published: Apr 29, 2022
Keywords:
dog intraperitoneal tramadol incisional lidocaine ovariohysterectomy.
Mohsen Peysokhan
https://orcid.org/0000-0003-4151-0923
Soroush Sabiza
https://orcid.org/0000-0003-3452-9933
Ali Ronagh
https://orcid.org/0000-0003-0985-040X
Mohammad Razi Jalali
https://orcid.org/0000-0003-2092-5652
Abstract

This study aimed to assess postoperative pain with concurrent administration of intraperitoneal tramadol and incisional lidocaine following ovariohysterectomy in dogs. A group of twenty mixed breed female dogs, aged 1–2 years, weighing 19.5 ± 0.8 kg were used. Initially, dogs were sedated with intramuscular administration of acepromazine 1%. Anaesthesia was induced with diazepam (0.5 mg/kg) and ketamine (10 mg/kg) and maintained with 1.5% Isoflurane. Ketoprofen (2 mg/kg) was administered intravenously immediately before surgery. Five minutes before midline incision, saline (0.2 ml/kg) was administered to the muscles and subcutaneous space around the incision in the tramadol-saline (TS) group. Also, in the tramadol-lidocaine (TL) group, lidocaine 2% with epinephrine (1.5 mg/Kg) was administered. Ovariohysterectomy was performed and before closing the linea alba, tramadol (4 mg/kg) was splashed on the abdominal viscera in both groups. Cortisol, vital signs and pain scoring systems were evaluated at different time points. Heart rate, respiratory rate and rectal temperature changes were not significant between groups. Cortisol level showed a significant difference between groups at 1, 3 and 6 hours after surgery (p≤0.05). Both UMPS and CMPS-SF pain scores in the TL group were significantly lower than the TS group at 30 minutes, 1, 3 and 6 hours after surgery (p≤0.05) and also at 12 hours after surgery (p≤0.05). It seems that intraperitoneal administration of tramadol (4 mg/kg) along with administration of incisional lidocaine with epinephrine (1.5 mg/kg) is recommended following ovariohysterectomy in dogs.

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Author Biographies
Mohsen Peysokhan, DVM student, Department of clinical sciences, Faculty of veterinary medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
DVM student, Department of clinical sciences, Faculty of veterinary medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.
Soroush Sabiza, Department of clinical sciences, Faculty of veterinary medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

Assistant Professor, Department of clinical sciences, Faculty of veterinary medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran.

Ali Ronagh, Assistant prof of veterinary surgery, Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran
Assistant prof of veterinary surgery, Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran
Mohammad Razi Jalali, Professor of veterinary surgery, Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran
Professor of veterinary surgery, Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran
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