Analgesic, cardiorespiratory effects and motor block characteristics of epidural levobupivacaine alone or in combination with methadone or dexmedetomidine in bitches undergoing unilateral total mastectomy.

The aim of this study was to evaluate the latency, extent of analgesia, and duration of motor block of levobupivacaine alone and combined with methadone or dexmedetomidine after epidural administration during and after mastectomy in dogs. Twenty-four mature, mixed-breed female dogs were randomly divided into three experimental groups with eight animals each, according to the agents used in lumbosacral epidural analgesia: levobupivacaine 0.75% alone (1.5mg/kg - control group), levobupivacaine 0.75% (1.5 mg/kg) + methadone 1% (0.3 mg/kg), or levobupivacaine 0.75% (1.5 mg/kg) + dexmedetomidine 0.05% (3 µg/kg). During surgery, cardiorespiratory parameters were evaluated. Rescue analgesia was given when there were signs of nociception and was necessary in all three treatment groups. Since all animals received rescue analgesia during the surgery and immediately post-surgery, the duration of the sensitive block were not evaluated. The extent of sensory block was between the 12º and 13º thoracic vertebrae for the control group, 7º thoracic vertebra to 5º lumbar vertebra (methadone group), and 8º thoracic vertebra to 4º lumbar vertebra for the dexmedetomidine group. Methadone or dexmedetomidine combined with levobupivacaine increased the extent of the sensory block and the duration of the motor block in bitches when administered via the epidural route.

[1]  A. Auckburally,et al.  Cardiopulmonary and sedative effects of intravenous or epidural methadone in conscious dogs. , 2017, Journal of veterinary pharmacology and therapeutics.

[2]  S. Shaikh,et al.  Comparison of Epidural Clonidine and Dexmedetomidine for Perioperative Analgesia in Combined Spinal Epidural Anesthesia with Intrathecal Levobupivacaine: A Randomized Controlled Double-blind Study , 2017, Anesthesia, essays and researches.

[3]  M. Struys,et al.  Clinical Pharmacokinetics and Pharmacodynamics of Dexmedetomidine , 2017, Clinical Pharmacokinetics.

[4]  Taíse Fuchs,et al.  EFEITO ANALGÉSICO DA MORFINA E METADONA POR VIA EPIDURAL, ASSOCIADAS À LIDOCAÍNA EM CADELAS SUBMETIDAS À OVARIOSALPINGOHISTERECTOMIA , 2016 .

[5]  Junghee Yoon,et al.  The volume effect of lidocaine on thoracic epidural anesthesia in conscious Beagle dogs. , 2015, Veterinary anaesthesia and analgesia.

[6]  P. Steagall,et al.  Guidelines for recognition, assessment and treatment of pain: WSAVA Global Pain Council members and co-authors of this document:. , 2014, The Journal of small animal practice.

[7]  Junghee Yoon,et al.  The effect of epidural injection speed on epidural pressure and distribution of solution in anesthetized dogs. , 2014, Veterinary anaesthesia and analgesia.

[8]  S. Talaat,et al.  Comparative study of epidural morphine and epidural dexmedetomidine used as adjuvant to levobupivacaine in major abdominal surgery , 2014 .

[9]  G. Karrouf,et al.  COMPARATIVE EVALUATION OF THE EPIDURAL DEXMEDETOMIDINE, KETAMINE OR FENTANYL IN COMBINATION WITH BUPIVACAINE IN DOGS , 2013 .

[10]  Lesley J. Smith,et al.  A comparison of epidural analgesia provided by bupivacaine alone, bupivacaine + morphine, or bupivacaine + dexmedetomidine for pelvic orthopedic surgery in dogs. , 2013, Veterinary anaesthesia and analgesia.

[11]  Anthony Johnson,et al.  2013 AAHA/AAFP fluid therapy guidelines for dogs and cats. , 2013, Journal of the American Animal Hospital Association.

[12]  Carlize Lopes,et al.  Epidural anesthesia and postoperatory analgesia with alpha-2 adrenergic agonists and lidocaine for ovariohysterectomy in bitches. , 2012, Canadian journal of veterinary research = Revue canadienne de recherche veterinaire.

[13]  R. N. Cassu,et al.  Analgesia pós-operatória com metadona em gatos: administração epidural e intramuscular , 2012 .

[14]  J. Murrell Clinical use of methadone in cats and dogs , 2011 .

[15]  R. Dias,et al.  Cardiopulmonary and isoflurane-sparing effects of epidural or intravenous infusion of dexmedetomidine in cats undergoing surgery with epidural lidocaine. , 2010, Veterinary anaesthesia and analgesia.

[16]  J. Dasta,et al.  An Updated Focused Review of Dexmedetomidine in Adults , 2009, The Annals of pharmacotherapy.

[17]  K. Mathews Neuropathic pain in dogs and cats: if only they could tell us if they hurt. , 2008, The Veterinary clinics of North America. Small animal practice.

[18]  A. Valverde Epidural analgesia and anesthesia in dogs and cats. , 2008, The Veterinary clinics of North America. Small animal practice.

[19]  R. N. Cassu,et al.  Anestesia epidural com lidocaína isolada e associada ao fentanil para realização de ováriossalpingo-histerectomia em cadelas , 2008 .

[20]  D. Campagnol,et al.  Effects of epidural administration of dexmedetomidine on the minimum alveolar concentration of isoflurane in dogs. , 2007, American journal of veterinary research.

[21]  A. Nolan,et al.  Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention score , 2007, Animal Welfare.

[22]  M. Mosing,et al.  A comparison of extradural and intravenous methadone on intraoperative isoflurane and postoperative analgesia requirements in dogs. , 2006, Veterinary anaesthesia and analgesia.

[23]  E. Hofmeister,et al.  Effect of body position on cranial migration of epidurally injected methylene blue in recumbent dogs. , 2006, American journal of veterinary research.

[24]  A. Baraka,et al.  Effect of low‐dose dexmedetomidine or clonidine on the characteristics of bupivacaine spinal block , 2006, Acta anaesthesiologica Scandinavica.

[25]  B. Kukanich,et al.  The effects of inhibiting cytochrome P450 3A, p-glycoprotein, and gastric acid secretion on the oral bioavailability of methadone in dogs. , 2005, Journal of veterinary pharmacology and therapeutics.

[26]  C. Inturrisi The role of N-methyl-D-aspartate (NMDA) receptors in pain and morphine tolerance. , 2005, Minerva anestesiologica.

[27]  R. Derossi,et al.  Comparison of 2% lidocaine and hyperbaric 5% lidocaine for caudal epidural analgesia in horses , 2005 .

[28]  M. Marshall Capnography in Dogs , 2004 .

[29]  M. Davies,et al.  Comparative Analgesic and Mental Effects of Increasing Plasma Concentrations of Dexmedetomidine and Alfentanil in Humans , 2004, Anesthesiology.

[30]  W. N. Ngan Kee,et al.  Epidural Infusions of Ropivacaine and Bupivacaine for Labor Analgesia: A Randomized, Double-Blind Study of Obstetric Outcome , 2004, Anesthesia and analgesia.

[31]  P. Talke,et al.  The Hemodynamic and Adrenergic Effects of Perioperative Dexmedetomidine Infusion after Vascular Surgery , 2000 .

[32]  A M Firth,et al.  Development of a scale to evaluate postoperative pain in dogs. , 1999, Journal of the American Veterinary Medical Association.

[33]  C. Inturrisi,et al.  Cerebrospinal fluid distribution of opioids after intraventricular & lumbar subarachnoid administration in sheep. , 1996, Life sciences.

[34]  J. Eisenach,et al.  Alpha sub 2 -Adrenergic Agonists for Regional Anesthesia: A Clinical Review of Clonidine (1984 - 1995) , 1996, Anesthesiology.

[35]  M. Zimpfer,et al.  Hemodynamic and Analgesic Effects of Clonidine Added Repetitively to Continuous Epidural and Spinal Blocks , 1995, Anesthesia and analgesia.

[36]  S. Shafer,et al.  Pharmacokinetics and Pharmacodynamics of Intraspinal Dexmedetomidine in Sheep , 1994, Anesthesiology.

[37]  T. Yaksh,et al.  Spinal and Systemic Action of the α2 Receptor Agonist Dexmedetomidine in Dogs: Antinociception and Carbon Dioxide Response , 1994, Anesthesiology.

[38]  R. Ruffolo Distribution and function of peripheral α-adrenoceptors in the cardiovascular system , 1985, Pharmacology Biochemistry and Behavior.

[39]  B. Mosallanejad,et al.  Evaluation of the Feasibility , Reversibility and Cardiorespiratory Effects of Epidural Dexmedetomidine in Sedated Dogs Undergoing Orchiectomy , 2019 .

[40]  J. de Andrés,et al.  Clinical implications of epidural fat in the spinal canal. A scanning electron microscopic study. , 2009, Acta anaesthesiologica Belgica.

[41]  H. Groeben Epidural anesthesia and pulmonary function , 2006, Journal of Anesthesia.

[42]  M. Scheinin,et al.  Molecular pharmacology of alpha 2 - adrenoceptor agonists , 2000 .