Use of lidocaine-bupivacaine-infused absorbable gelatin hemostatic sponges versus lidocaine-bupivacaine retrobulbar injections for postoperative analgesia following eye enucleation in dogs

Journal of the American Veterinary Medical Association
Christina L PloogMark A Mitchell

Abstract

To compare use of lidocaine-bupivacaine-infused absorbable gelatin hemostatic sponges versus lidocaine-bupivacaine retrobulbar injections for postoperative analgesia in dogs following eye enucleation. Randomized case-control study. 19 dogs that underwent eye enucleation. 19 client-owned dogs admitted to a referral hospital for routine eye enucleation were enrolled with owner consent and randomly assigned to receive an orbital absorbable gelatin hemostatic sponge infused with lidocaine and bupivacaine after globe removal (n = 8) or retrobulbar injection of lidocaine and bupivacaine before globe removal (11). Baseline pain scores were recorded on the basis of an ordinal pain scale. Anesthetic premedication consisted of hydromorphone, midazolam, and glycopyrrolate. Propofol was used for anesthetic induction and isoflurane for maintenance. A transpalpebral eye enucleation was performed by a board-certified ophthalmologist. Pain scores and heart rate were again recorded 15 and 30 minutes and 1, 2, 4, 6, 8, and 24 hours after extubation by trained observers masked to treatment groups. Dogs were given hydromorphone as rescue analgesia if the total pain score was ≥ 9 of 18 or any categorical pain score was ≥ 3 (on a scale from 0 to 3 o...Continue Reading

References

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Citations

Sep 8, 2015·The Veterinary Clinics of North America. Small Animal Practice·Federica Maggio, Dineli Bras
Feb 14, 2015·Veterinary Ophthalmology·Derek W Y ChowHans D Westermeyer
May 16, 2018·Veterinary Ophthalmology·Yael Shilo-BenjaminiErik R Wisner
Jul 13, 2020·Veterinary Anaesthesia and Analgesia·Kyle J BartholomewMichael R Lasarev
Jun 20, 2021·Veterinary Anaesthesia and Analgesia·Erin M ScottBradley T Simon
Aug 16, 2021·Veterinary Anaesthesia and Analgesia·Adelaide GrecoLeonardo Meomartino
Jul 19, 2017·Veterinary Anaesthesia and Analgesia·Yael Shilo-BenjaminiDavid J Maggs

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