Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações do UFSM |
Texto Completo: | http://repositorio.ufsm.br/handle/1/16952 |
Resumo: | In cats, the recognition of pain is a marked challenge for the evaluators, and the same has been described as a cause of pain sub – treatment in this species. One of the most efficient ways to control pain during and after surgery is by infiltration of local anesthetic agents that block afferent nerve impulses. Lidocaine is the most versatile and widely used local anesthetic in veterinary medicine due to its short latency, duration of effect and moderate toxicity. The aim of this work was to compare three techniques of local blockade, as part of a multimodal protocol in cats submitted to elective laparoscopic ovariectomy. This prospective, controlled, randomized, blind study included 38 cats, assigned to four groups (GC, n = 10, GInc, n = 10, GIP, n = 9 and GCAVO, n = 9). They were evaluated subjectively and objectively using EVA, EUNESP and CMPS-F, prior to surgery, one, two, three and six hours after extubating, as well as the hemodynamic and trans-surgical hemogasometric parameters. A significant increase in HR during hemostasis of the first and second ovary was observed compared to the beginning and end of surgery (p = 0.000; p = 0.000) in all groups. MAP was significantly higher during hemostasis of the first (p = 0.05) and second ovary (p = 0.01), compared to the end of surgery in all groups. There was statistical difference between T0 and T1 by the VAS (p = 0.040); as well as in T1 and T2 compared to T0 through EUNESP (p = 0.025 and p = 0.027, respectively). Significantly higher values were observed two hours after extubating (T2) in contrast to the sixth hour (T6) both by EUNESP (p = 0.005) and CMPS-F scale (p = 0.017). In T3, the pain scores achieved by GIP were significantly higher than the GCAVO (p = 0.041). 15.8% of the cats received transoperative analgesic rescue due to the increase in HR, MAP and/or f, 66% belonged to GInc, 17% to GIP and 17% to GCAVO. In the postoperative period, 13.5% (5/38) received analgesic rescue. Of these, 60% belonged to GIP, 20% to GCAVO and 20% to GC. Intraperitoneal administration of lidocaine may be a useful technique to reduce trans-surgical pain, while the use of incisional infiltration with this medication improves early postoperative pain in laparoscopic catheterization. |
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2019-06-11T18:40:43Z2019-06-11T18:40:43Z2019-02-18http://repositorio.ufsm.br/handle/1/16952In cats, the recognition of pain is a marked challenge for the evaluators, and the same has been described as a cause of pain sub – treatment in this species. One of the most efficient ways to control pain during and after surgery is by infiltration of local anesthetic agents that block afferent nerve impulses. Lidocaine is the most versatile and widely used local anesthetic in veterinary medicine due to its short latency, duration of effect and moderate toxicity. The aim of this work was to compare three techniques of local blockade, as part of a multimodal protocol in cats submitted to elective laparoscopic ovariectomy. This prospective, controlled, randomized, blind study included 38 cats, assigned to four groups (GC, n = 10, GInc, n = 10, GIP, n = 9 and GCAVO, n = 9). They were evaluated subjectively and objectively using EVA, EUNESP and CMPS-F, prior to surgery, one, two, three and six hours after extubating, as well as the hemodynamic and trans-surgical hemogasometric parameters. A significant increase in HR during hemostasis of the first and second ovary was observed compared to the beginning and end of surgery (p = 0.000; p = 0.000) in all groups. MAP was significantly higher during hemostasis of the first (p = 0.05) and second ovary (p = 0.01), compared to the end of surgery in all groups. There was statistical difference between T0 and T1 by the VAS (p = 0.040); as well as in T1 and T2 compared to T0 through EUNESP (p = 0.025 and p = 0.027, respectively). Significantly higher values were observed two hours after extubating (T2) in contrast to the sixth hour (T6) both by EUNESP (p = 0.005) and CMPS-F scale (p = 0.017). In T3, the pain scores achieved by GIP were significantly higher than the GCAVO (p = 0.041). 15.8% of the cats received transoperative analgesic rescue due to the increase in HR, MAP and/or f, 66% belonged to GInc, 17% to GIP and 17% to GCAVO. In the postoperative period, 13.5% (5/38) received analgesic rescue. Of these, 60% belonged to GIP, 20% to GCAVO and 20% to GC. Intraperitoneal administration of lidocaine may be a useful technique to reduce trans-surgical pain, while the use of incisional infiltration with this medication improves early postoperative pain in laparoscopic catheterization.Nos gatos, o reconhecimento da dor é um evidente desafio para os avaliadores, e o mesmo tem sido descrito como uma causa de sub – tratamento da dor nesta espécie. Uma das formas mais eficiente de controlar a dor durante e após a cirurgia se dá por infiltração de agentes anestésicos locais que bloqueiam impulsos nervosos aferentes. A lidocaína é o anestésico local mais versátil e amplamente utilizado em medicina veterinária, devido a sua curta latência, duração do efeito e toxicidade moderada. O objetivo deste estudo foi comparar três técnicas de bloqueio local, como parte de um protocolo multimodal, em gatas submetidas a ovariectomia laparoscópica eletiva. Este estudo experimental, prospectivo, controlado, aleatório e cego incluiu 38 gatas, assignadas aleatoriamente em quatro grupos (GC, n = 10; GInc, n = 10; GIP, n = 9; e GCAVO, n = 9). A dor foi avaliada utilizando a EVA, EUNESP e EGLASGOW, prévio à cirurgia, uma, duas, três e seis horas após a extubação, assim como os parâmetros hemodinâmicos e hemogasométricos transcirúrgicos. Observou-se aumentou significativo da FC durante a hemostasia do primeiro e segundo ovário comparado ao início e final da cirurgia (p=0,000; p = 0,000) em todos os grupos. A PAM mostrou-se significativamente maior na hemostasia do primeiro (p = 0,05) e segundo ovário (p = 0,01), em comparação ao fim da cirurgia em todos os grupos. Houve diferença estatística entre o momento T0 e T1 pela EVA (p=0,040); assim como em T1 e T2 comparado ao T0 pela EUNESP (p = 0,025 e p = 0,027, respectivamente). Observaram-se valores significativamente maiores duas horas após a extubação (T2) em contraste com a sexta hora (T6), tanto pela EUNESP (p = 0,005), como pela escala CMPS-F (p = 0,017). No T3, os escores de dor atingidos pelo GIP foram significativamente maiores que o GCAVO (p = 0,041). 15,8 % das gatas receberam resgate analgésico no transoperatório devido ao aumento da FC, PAM e/ou FR, 66% pertenciam ao GInc, 17% ao GIP e 17% ao GCAVO. No pós-cirúrgico, 13,5% (5/38) receberam resgate analgésico. Destas, 60% pertenciam ao GIP, 20% ao GCAVO e 20% ao GC. A administração intraperitoneal de lidocaína pode ser uma técnica útil para reduzir a dor trans-cirúrgica, enquanto que, o uso de infiltração incisional com essa medicação, melhora a dor pós-operatória precoce em laparoscopias de gatas.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESporUniversidade Federal de Santa MariaCentro de Ciências RuraisPrograma de Pós-Graduação em Medicina VeterináriaUFSMBrasilMedicina VeterináriaAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAnalgesiaOvariectomiaGatosDorOvariectomyCatsPainCNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIAComparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópicaComparison of three methods of local blockade with lidocaine in cats submitted to laparoscopic ovariectomyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisMüller, Daniel Curvello de Mendonçahttp://lattes.cnpq.br/9457849435452537Basso, Paula Cristinahttp://lattes.cnpq.br/2412593761057734Aiello, Gracianehttp://lattes.cnpq.br/2350002573405660http://lattes.cnpq.br/2789237300481831Silva, Álvaro José Chávez50050000000760084e9758f-b260-4ee0-9782-876b731a7f9a31fd8ca5-8382-4431-8ebf-0d134fda3a46bb502a96-32e4-4c0e-961e-3fb7c1371d4b778ce24b-c9f8-4877-924f-3bcebe127822reponame:Biblioteca Digital de Teses e Dissertações do UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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dc.title.por.fl_str_mv |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
dc.title.alternative.eng.fl_str_mv |
Comparison of three methods of local blockade with lidocaine in cats submitted to laparoscopic ovariectomy |
title |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
spellingShingle |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica Silva, Álvaro José Chávez Analgesia Ovariectomia Gatos Dor Ovariectomy Cats Pain CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
title_short |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
title_full |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
title_fullStr |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
title_full_unstemmed |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
title_sort |
Comparação de três métodos de bloqueio local com lidocaína em gatas submetidas à ovariectomia laparoscópica |
author |
Silva, Álvaro José Chávez |
author_facet |
Silva, Álvaro José Chávez |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Müller, Daniel Curvello de Mendonça |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/9457849435452537 |
dc.contributor.referee1.fl_str_mv |
Basso, Paula Cristina |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2412593761057734 |
dc.contributor.referee2.fl_str_mv |
Aiello, Graciane |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/2350002573405660 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/2789237300481831 |
dc.contributor.author.fl_str_mv |
Silva, Álvaro José Chávez |
contributor_str_mv |
Müller, Daniel Curvello de Mendonça Basso, Paula Cristina Aiello, Graciane |
dc.subject.por.fl_str_mv |
Analgesia Ovariectomia Gatos Dor |
topic |
Analgesia Ovariectomia Gatos Dor Ovariectomy Cats Pain CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
dc.subject.eng.fl_str_mv |
Ovariectomy Cats Pain |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS AGRARIAS::MEDICINA VETERINARIA |
description |
In cats, the recognition of pain is a marked challenge for the evaluators, and the same has been described as a cause of pain sub – treatment in this species. One of the most efficient ways to control pain during and after surgery is by infiltration of local anesthetic agents that block afferent nerve impulses. Lidocaine is the most versatile and widely used local anesthetic in veterinary medicine due to its short latency, duration of effect and moderate toxicity. The aim of this work was to compare three techniques of local blockade, as part of a multimodal protocol in cats submitted to elective laparoscopic ovariectomy. This prospective, controlled, randomized, blind study included 38 cats, assigned to four groups (GC, n = 10, GInc, n = 10, GIP, n = 9 and GCAVO, n = 9). They were evaluated subjectively and objectively using EVA, EUNESP and CMPS-F, prior to surgery, one, two, three and six hours after extubating, as well as the hemodynamic and trans-surgical hemogasometric parameters. A significant increase in HR during hemostasis of the first and second ovary was observed compared to the beginning and end of surgery (p = 0.000; p = 0.000) in all groups. MAP was significantly higher during hemostasis of the first (p = 0.05) and second ovary (p = 0.01), compared to the end of surgery in all groups. There was statistical difference between T0 and T1 by the VAS (p = 0.040); as well as in T1 and T2 compared to T0 through EUNESP (p = 0.025 and p = 0.027, respectively). Significantly higher values were observed two hours after extubating (T2) in contrast to the sixth hour (T6) both by EUNESP (p = 0.005) and CMPS-F scale (p = 0.017). In T3, the pain scores achieved by GIP were significantly higher than the GCAVO (p = 0.041). 15.8% of the cats received transoperative analgesic rescue due to the increase in HR, MAP and/or f, 66% belonged to GInc, 17% to GIP and 17% to GCAVO. In the postoperative period, 13.5% (5/38) received analgesic rescue. Of these, 60% belonged to GIP, 20% to GCAVO and 20% to GC. Intraperitoneal administration of lidocaine may be a useful technique to reduce trans-surgical pain, while the use of incisional infiltration with this medication improves early postoperative pain in laparoscopic catheterization. |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-06-11T18:40:43Z |
dc.date.available.fl_str_mv |
2019-06-11T18:40:43Z |
dc.date.issued.fl_str_mv |
2019-02-18 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufsm.br/handle/1/16952 |
url |
http://repositorio.ufsm.br/handle/1/16952 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.cnpq.fl_str_mv |
500500000007 |
dc.relation.confidence.fl_str_mv |
600 |
dc.relation.authority.fl_str_mv |
84e9758f-b260-4ee0-9782-876b731a7f9a 31fd8ca5-8382-4431-8ebf-0d134fda3a46 bb502a96-32e4-4c0e-961e-3fb7c1371d4b 778ce24b-c9f8-4877-924f-3bcebe127822 |
dc.rights.driver.fl_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências Rurais |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Medicina Veterinária |
dc.publisher.initials.fl_str_mv |
UFSM |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Medicina Veterinária |
publisher.none.fl_str_mv |
Universidade Federal de Santa Maria Centro de Ciências Rurais |
dc.source.none.fl_str_mv |
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