Evaluation of the influence of atipamezole on the postoperative analgesic effect of buprenorphine in cats undergoing a surgical ovariohysterectomy.

OBJECTIVE: To evaluate the influence of atipamezole on postoperative pain scores in cats. STUDY DESIGN: Controlled, randomized, masked clinical trial. ANIMALS: Twelve healthy female domestic cats. METHODS: Cats admitted for ovariohysterectomy (OVH) surgery were randomly allocated to group atipamezole (n = 6) or group saline (n = 6) and were premedicated with buprenorphine 20 µg kg(-1) intramuscularly (IM) and alfaxalone 3.0 mg kg(-1) subcutaneously (SC). Anaesthesia was induced with alfaxalone intravenously (IV) to effect and maintained with isoflurane in oxygen. Ten minutes after extubation, cats from group atipamezole received IM atipamezole (0.0375 mg kg(-1) ) whereas group saline received an equivalent volume [0.0075 mL kg(-1) (0.003 mL kg(-1) IM)] of 0.9% saline. A validated multidimensional composite scale was used to assess pain prior to premedication and postoperatively (20 minutes after extubation). If postoperative pain scores dictated, rescue analgesia consisting of buprenorphine and meloxicam were administered. Pain score comparisons were made between the two groups using a Mann-Whitney exact test. Results are reported as the median and range. RESULTS: Preoperatively, all cats scored 0. At the postoperative pain evaluation, the pain scores from group atipamezole [16 (range, 12-20)] were not significantly different from group saline [18 (range, 15-23)] (p = 0.28). All cats required rescue analgesia post-operatively. CONCLUSIONS AND CLINICAL RELEVANCE: Atipamezole (0.0375 mg kg(-1) IM) administration did not significantly affect the postoperative pain scores in cats after OVH. Preoperative administration of buprenorphine (20 µg kg(-1) IM) did not provide adequate postoperative analgesia for feline OVH.

The management and welfare of some common ovine obstetrical problems in the United Kingdom.

This review approaches sheep welfare during the periparturient period from a veterinary practitioner viewpoint. At the most fundamental husbandry level, the general hygiene standards adopted on many sheep farms in the United Kingdom (UK) during the lambing period are unacceptable and require urgent improvement. Concerns also arise from obstetrical conditions attended by farmers which cause pain that can be identified using clinical criteria such as altered demeanour and behaviour of the ewe, and the presence of inflammation of the reproductive tract. Reduced production is evidenced by poor milk production and hungry lambs, the necessity to rear such lambs artificially and, in neglected cases, death of the ewe and her lambs. The correction of dystocia, periparturient vaginal, uterine and rectal prolapses is greatly facilitated after epidural injection of lignocaine, or a combination of xylazine and lignocaine administered by a veterinary surgeon. However, the perceived high professional fees charged for these services, and for Caesarean operations, result in few sheep receiving veterinary care, with such neglect directly contributing to poor welfare standards and an increased ewe mortality rate during the periparturient period. Whilst ending any welfare concern, the destruction of ewes rather than requesting veterinary services purely for economic reasons is a disturbing trend in sheep production in the UK and raises concerns regarding positive interaction between veterinary practitioner and farmer. In this article, veterinary treatments which provide effective analgesia are described and costed for obstetrical conditions in sheep. Recommended treatment protocols are described for the common obstetrical problems in sheep. In addition to appropriate treatment of obstetrical problems and alleviation of pain, if veterinary involvement could reduce ewe periparturient mortality from estimated figures of 4-2% this would save an estimated 400,000 ewes annually in the UK. Sheep welfare could be considerably improved by practising veterinarians providing practical instruction to small groups of clients with funding provided by government agencies.

Evaluation of extradural xylazine injection for caesarean operation in ovine dystocia cases.

Twenty-eight sheep suffering from dystocia, with complications including vaginal prolapse and emphysematous foetuses, were treated by caesarean operation. When tested by needle prick 30-40 min after injection, analgesia of the flank was present in 12 of 13 ewes and eight of nine ewes following either sacrococcygeal or lumbosacral extradural xylazine, respectively at a dose rate of 0.07 mg kg-1. Twelve of 13 ewes, which were ambulatory at the time of extradural injection, exhibited pelvic paresis in the interval before surgery. Vaginal prolapses associated with the dystocia in seven of 22 ewes which were replaced during surgery but not retained by suture, did not recur.

Epidural catheter placement for testing of obstetrical analgesics in female guinea pigs.

The pregnant guinea pig may be a useful model for the study of drug effects in the newborn. A reliable technique for epidural catheterization in the guinea pig was developed to allow use of this model to evaluate the effects of epidural labor analgesics on neonates. Catheters were implanted in two open pilot animals and 19 time-dated pregnant animals on days 59 to 62 of gestation. After establishing a surgical plane of isoflurane-induced anesthesia, an incision was made over the dorsal lumbar part of the spine. The L3-4 intervertebral space was exposed to allow introduction of a caudally directed 27-gauge catheter into the epidural space. The catheter was capped and implanted subcutaneously, then the animal was allowed to recover from anesthesia. Catheter placement was evaluated, using a bupivacaine test dose in 17 animals and postmortem histologic examination in 20 animals. One animal died immediately after surgery. Epidural placement was confirmed histologically in 15 of 20 animals. Failed catheters were either subdural, with one catheter found to be penetrating the spinal cord (intraspinal), or intramuscular. Response to epidurally administered bupivacaine was variable but was typically characterized by normal alertness and ability to use the forelimbs; depression of the panniculus reflex in the dorsal lumbar region; and hind limb motor impairment, with ataxia, loss of the placing reflex, and a tendency to drag the hind limbs. Subdural placement was associated with CNS depression, recumbency, shallow breathing, and sensory block ascending to the level of the ears.(ABSTRACT TRUNCATED AT 250 WORDS)