Comparison of postoperative effects between lidocaine infusion, meloxicam, and their combination in dogs undergoing ovariohysterectomy

Authors

  • Teng-Yu Tsai,

    1. Institute of Veterinary Clinical Sciences, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan
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  • Shao-Kuang Chang,

    1. Department of Veterinary Medicine, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan
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  • Po-Yen Chou,

    1. Institute of Veterinary Clinical Sciences, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan
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  • Lih-Seng Yeh

    Corresponding author
    1. Institute of Veterinary Clinical Sciences, School of Veterinary Medicine, National Taiwan University, Taipei, Taiwan
    • Correspondence: Lih-Seng Yeh, Institute of Veterinary Clinical Sciences, School of Veterinary Medicine, National Taiwan University, No. 1, Sec. 4, Roosevelt Road, 10617 Taipei, Taiwan. E-mail: lsyeh@ntu.edu.tw

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Abstract

Objective

To compare the postoperative analgesic effects of intravenous (IV) lidocaine, meloxicam, and their combination in dogs undergoing ovariohysterectomy.

Study design

Prospective, randomized, double-blind, controlled clinical trial.

Animals

Twenty-seven dogs aged (mean ± SD) 16.1 ± 7.5 months and weighing 22.4 ± 17.9 kg scheduled for ovariohysterectomy.

Methods

Anaesthesia was induced with propofol and maintained with isoflurane. Dogs (= 9 in each group) were allocated to receive just prior to and during surgery one of the following regimens: M group, 0.2 mg kg−1 IV meloxicam then a continuous rate infusion (CRI) of lactated Ringer's at 10 mL kg−1 hour−1; L group, a bolus of lidocaine (1 mg kg−1 IV) then a CRI of lidocaine at 0.025 mg kg−1 minute−1; and M + L group, both the above meloxicam and lidocaine treatments. Pain and sedation were scored, and venous samples taken for serum cortisol and glucose measurement before and at intervals for 12 hours after anaesthesia. Pain scores were assessed using a multi-parameter subjective scoring scale (cumulative scale 0–21) by three observers. The protocol stated that dogs with a total score exceeding 9 or a sub-score above 3 in any one category would receive rescue analgesia. Sedation was scored on a scale of 0–4.

Results

There were no significant differences in subjective pain scores, serum cortisol, and glucose concentrations between the three groups. The highest pain score at any time was 5, and no dog required rescue analgesia. None of the three regimens caused any observable side effects during or after anaesthesia. At 1 and 2 hours after extubation dogs in group L were significantly more sedated than in the other two groups.

Conclusions and Clinical relevance

This study suggests that, with the scoring system used, IV lidocaine and meloxicam provide similar and adequate post-operative analgesia in healthy dogs undergoing ovariohysterectomy.

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