Efficacy of tolfenamic acid and meloxicam in the control of postoperative pain following ovariohysterectomy in the cat.

作者: B Duncan X Lascelles , Paloma García-Fernández , Milagros Freire , Ignacio A Gómez de Segura , Javier Benito-de-la-Víbora

DOI: 10.1111/J.1467-2995.2008.00407.X

关键词:

摘要: Summary Objective The hypothesis was that Visual Analog Scale (VAS) scores would be lower, and mechanical wound thresholds (MWT) higher, in cats receiving tolfenamic acid compared to those placebo the postoperative period following elective ovariohysterectomy. Animals Sixty-nine client-owned cats. Methods A prospective, randomized, blinded placebo-controlled study performed which underwent ovariohysterectomy preoperative acid, meloxicam, or placebo. second dose of same analgesic administered 24 hours postoperatively. Assessments were made 1-hour before induction 1, 2, 4, 6, 22, 25 Pain assessed by a observer using Numerical Rating (NRS) VAS scales. MWT measured force-measuring device. Group comparison one-way anova chi-squared test for qualitative quantitative data, respectively, mixed model repeated measurements (p Results Sixty-five included study. There no differences between groups at baseline. treatment effect on NRS 22 hours. meloxicam group less painful than controls 6 hours; both pain sedation. number animals rescue analgesia did not differ groups. MWT; significantly higher observed all time points. Conclusions Preoperative reduced sensitivity cat. Clinical relevance Tolfenamic preoperatively provided similar lasting Mechanical may better way evaluating nonsteroidal anti-inflammatory drugs

参考文章(36)
Ian R. Dohoo, Susan E. Dohoo, Postoperative use of analgesics in dogs and cats by Canadian veterinarians. Canadian Veterinary Journal-revue Veterinaire Canadienne. ,vol. 37, pp. 546- 551 ,(1996)
K A Mathews, Nonsteroidal anti-inflammatory analgesics in pain management in dogs and cats. Canadian Veterinary Journal-revue Veterinaire Canadienne. ,vol. 37, pp. 539- 545 ,(1996)
K. Wegner, S. A. Robertson, C. Kollias-Baker, R. A. Sams, W. W. Muir, Pharmacokinetic and pharmacodynamic evaluation of intravenous hydromorphone in cats Journal of Veterinary Pharmacology and Therapeutics. ,vol. 27, pp. 329- 336 ,(2004) , 10.1111/J.1365-2885.2004.00593.X
Marine Hugonnard, Agnès Leblond, Stéphanie Keroack, Jean‐Luc Cadoré, Eric Troncy, Attitudes and concerns of French veterinarians towards pain and analgesia in dogs and cats Veterinary Anaesthesia and Analgesia. ,vol. 31, pp. 154- 163 ,(2004) , 10.1111/J.1467-2987.2004.00175.X
Joel E. Wilson, Naduviladath V. Chandrasekharan, Kenneth D. Westover, Kendra B. Eager, Daniel L. Simmons, Determination of expression of cyclooxygenase-1 and -2 isozymes in canine tissues and their differential sensitivity to nonsteroidal anti-inflammatory drugs. American Journal of Veterinary Research. ,vol. 65, pp. 810- 818 ,(2004) , 10.2460/AJVR.2004.65.810
L. S. Slingsby, A. E. Waterman-Pearson, Postoperative analgesia in the cat after ovariohysterectomy by use of carprofen, ketoprofen, meloxicam or tolfenamic acid Journal of Small Animal Practice. ,vol. 41, pp. 447- 450 ,(2000) , 10.1111/J.1748-5827.2000.TB03139.X
MJ Dixon, PM Taylor, PVM Steagall, JT Brondani, Stélio Pacca Loureiro Luna, Development of a pressure nociceptive threshold testing device for evaluation of analgesics in cats. Research in Veterinary Science. ,vol. 82, pp. 85- 92 ,(2007) , 10.1016/J.RVSC.2006.03.010
M.J. Dixon, S.A. Robertson, P.M. Taylor, A thermal threshold testing device for evaluation of analgesics in cats. Research in Veterinary Science. ,vol. 72, pp. 205- 210 ,(2002) , 10.1053/RVSC.2001.0543
B. Duncan X. Lascelles, Sheilah A. Robertson, Use of thermal threshold response to evaluate the antinociceptive effects of butorphanol in cats. American Journal of Veterinary Research. ,vol. 65, pp. 1085- 1089 ,(2004) , 10.2460/AJVR.2004.65.1085
X B.D. Lascelles, J P. Cripps, A Jones, E A. Waterman, Post-operative central hypersensitivity and pain: the pre-emptive value of pethidine for ovariohysterectomy Pain. ,vol. 73, pp. 461- 471 ,(1997) , 10.1016/S0304-3959(97)00141-3