Vet Med - Czech, 2018, 63(11):513-521 | DOI: 10.17221/37/2017-VETMED
Analgesic effect of intra-articular ropivacaine injection after arthroscopic surgery on the shoulder joint in dogsOriginal Paper
- 1 College of Veterinary Medicine, Gyeongsang National University, Jinju, Republic of Korea
- 2 College of Veterinary Medicine, Seoul National University, Seoul, Republic of Korea
Shoulder joint disorders are a major cause of forelimb lameness in dogs, and osteochondrosis, degenerative joint disease, and bicipital tenosynovitis are common joint disorders that have been reported in dogs. Many studies have investigated pain management after arthroscopy in human medicine, but reports from veterinary medicine are rare. Ropivacaine is a new amide local anaesthetic drug and a single isomer drug that is used more widely than bupivacaine in human medicine because it has fewer side effects. The present study was conducted to evaluate the analgesic effect of intra-articular injection of ropivacaine after arthroscopic surgery in dog shoulder joints. To accomplish this, ten dogs were randomly divided into two groups of five who underwent the same anaesthesia protocol and shoulder arthroscopic examination. After shoulder arthroscopy, ropivacaine or 0.9% NaCl was injected into the shoulder joint cavity and the dogs were evaluated at one hour, two hours, four hours, six hours, 12 hours and 24 hours after surgery. The evaluated parameters were heart rate, respiratory rate, lameness score, visual analogue scale and the short form of the Glasgow composite measure pain scale. Ropivacaine showed a higher analgesic effect than 0.9% NaCl, indicating that it may be useful for pain management following arthroscopic surgery in dogs.
Keywords: forelimb; lameness; VAS; CMPS-SF
Published: November 30, 2018 Show citation
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References
- Aarnes TK, Hubbell JA, Hildreth III BE (2014): Use of sedation and ropivacaine-morphine epidural for femoral head and neck ostectomy in a dog. Journal of Small Animal Practice 55, 334-336.
Go to original source...
Go to PubMed...
- Abimussi CJ, Menegheti TM, Wagatsuma JT, Floriano BP, Arruda AM, dos Santos PS, Oliva VN (2014): Tumescent local anesthesia with ropivacaine in different concentrations in bitches undergoing mastectomy: Plasma concentration and post-operative analgesia. Veterinary Anaesthesia and Analgesia 41, 516-525.
Go to original source...
Go to PubMed...
- Albright GA (1979): Cardiac arrest following regional anesthesia with etidocaine or bupivacaine. Anesthesiology 51, 285-287.
Go to original source...
Go to PubMed...
- Albuquerque VB, Araujo MA, Ferreira GT, Fonseca MW, Arruda AM, ShiChen L, Oliva VN (2015): Effects of ropivacaine combined with morphine at 0.15 and 0.2 mg kg-1 in bitches undergoing epidural anesthesia. Acta Cirurgica Brasileira 30, 222-228.
Go to original source...
Go to PubMed...
- Allen GC, St Amand MA, Lui AC, Johnson DH, Lindsay MP (1993): Postarthroscopy analgesia with intraarticular bupivacaine/morphine: A randomized clinical trial. Anesthesiology 79, 475-480.
Go to original source...
Go to PubMed...
- Beale BS, Hulse DA, Schulz KS, Whitney WO (2003): 3. Arthroscopically assisted surgery of the shoulder joint. In: Beale BS, Hulse DA, Schulz KS, Whitney WO (eds): Small Animal Arthroscopy. 1st edn. Saunders. 23-49.
Go to original source...
- Bjordal JM, Ljunggren AE, Klovning A, Slordal L (2004): Non-steroidal anti-inflammatory drugs, including cyclooxygenase-2 inhibitors, in osteoarthritic knee pain: metaanalysis of randomised placebo controlled trials. British Medical Journal 329, 1317.
Go to original source...
Go to PubMed...
- Boden BP, Fassler S, Cooper S, Marchetto PA, Moyer RA (1994): Analgesic effect of intraarticular morphine, bupivacaine, and morphine/bupivacaine after arthroscopic knee surgery. Arthroscopy 10, 104-107.
Go to original source...
Go to PubMed...
- Brouwer RW, Bierma-Zeinstra SM, Van Raaij TM, Verhaar JA (2006): Osteotomy for medial compartment arthritis of the knee using a closing wedge or an opening wedge controlled by a Puddu plate. A one-year randomised, controlled study. The Journal of Bone and Joint Surgery 88, 1454-1459.
Go to original source...
Go to PubMed...
- Convery PN, Milligan KR, Quinn P, Scott K, Clarke RC (1998): Low-dose intra-articular ketorolac for pain relief following arthroscopy of the knee joint. Anaesthesia 53, 1125-1129.
Go to original source...
Go to PubMed...
- Cook JL, Tomlinson JL, Kreeger JM, Cook CR (1999): Induction of meniscal regeneration in dogs using a novel biomaterial. American Journal of Sports Medicine 27, 658-665.
Go to original source...
Go to PubMed...
- Crane SW (1987): Perioperative analgesia: A surgeon's perspective. Journal of the American Veterinary Medical Association 191, 1254-1257.
Go to original source...
- De Andres J, Bellver J, Barrera L, Febre E, Bolinches R (1993): A comparative study of analgesia after knee surgery with intraarticular bupivacaine, intraarticular morphine, and lumbar plexus block. Anesthesia and Analgesia 77, 727-730.
Go to original source...
- Elden H, Ladfors L, Olsen MF, Ostgaard HC, Hagberg H (2005): Effects of acupuncture and stabilising exercises as adjunct to standard treatment in pregnant women with pelvic girdle pain: randomised single blind controlled trial. British Medical Journal 330, 761.
Go to original source...
Go to PubMed...
- Ender SA, Wetterau E, Ender M, Kuhn JP, Merk HR, Kayser R (2013): Percutaneous stabilization system osseofix for treatment of osteoporotic vertebral compression fractures - Clinical and radiological results after 12 months. Public Library of Science One 8, doi: 10.1371/journal.pone.0065119.
Go to original source...
Go to PubMed...
- Feldman HS, Arthur GR, Covino BG (1989): Comparative systemic toxicity of convulsant and supraconvulsant doses of intravenous ropivacaine, bupivacaine, and lidocaine in the conscious dog. Anesthesia and Analgesia 69, 794-801.
Go to original source...
- Hanesch U, Heppelmann B, MeBlinger K, Schmidt R (1992): Nociception in normal and arthritic joints: structural and functional aspects. Hyperalgesia and Allodynia, 81-106.
- Hansen BD (2003): Assessment of pain in dogs: veterinary clinical studies. Institute of Laboratory Animal Resources Journal 44, 197-205.
Go to original source...
Go to PubMed...
- Hennig GS, Hosgood G, Bubenik-Angapen LJ, Lauer SK, Morgan TW (2010): Evaluation of chondrocyte death in canine osteochondral explants exposed to a 0.5% solution of bupivacaine. American Journal of Veterinary Research 71, 875-883.
Go to original source...
Go to PubMed...
- Hoelzler MG, Harvey RC, Lidbetter DA, Millis DL (2005): Comparison of perioperative analgesic protocols for dogs undergoing tibial plateau leveling osteotomy. Veterinary Surgery 34, 337-344.
Go to original source...
Go to PubMed...
- Holton LL, Scott EM, Nolan AM, Reid J, Welsh E (1998): Relationship between physiological factors and clinical pain in dogs scored using a numerical rating scale. Journal of Small Animal Practice 39, 469-474.
Go to original source...
Go to PubMed...
- Holton L, Pawson P, Nolan A, Reid J, Scott EM (2001): Development of a behaviour-based scale to measure acute pain in dogs. The Veterinary Record 148, 525-531.
Go to original source...
Go to PubMed...
- Huskisson EC (1974): Measurement of pain. Lancet 2, 1127-1131.
Go to original source...
Go to PubMed...
- Khoury GF, Chen AC, Garland DE, Stein C (1992): Intraarticular morphine, bupivacaine, and morphine/bupivacaine for pain control after knee videoarthroscopy. Anesthesiology 77, 263-266.
Go to original source...
Go to PubMed...
- Laflamme D (1997): Development and validation of a body condition score system for dogs. Canine Practice 22, 10-15.
- Lewis KA, Bednarski RM, Aarnes TK, Dyce J, Hubbell JA (2014): Postoperative comparison of four perioperative analgesia protocols in dogs undergoing stifle joint surgery. Journal of the American Veterinary Medical Association 244, 1041-1046.
Go to original source...
Go to PubMed...
- Li YM, Wingrove DE, Too HP, Marnerakis M, Stimson ER, Strichartz GR, Maggio JE (1995): Local anesthetics inhibit substance P binding and evoked increases in intracellular Ca2+. Anesthesiology 82, 166-173.
Go to original source...
Go to PubMed...
- Mathews KA, Paley DM, Foster RA, Valliant AE, Young SS (1996): A comparison of ketorolac with flunixin, butorphanol, and oxymorphone in controlling postoperative pain in dogs. Canadian Veterinary Journal 37, 557-567.
- McCrae AF, Jozwiak H, McClure JH (1995): Comparison of ropivacaine and bupivacaine in extradural analgesia for the relief of pain in labour. British Journal of Anaesthesia 74, 261-265.
Go to original source...
Go to PubMed...
- McIlwraith CW (1984): Experiences in diagnostic and surgical arthroscopy in the horse. Equine Veterinary Journal 16, 11-19.
Go to original source...
Go to PubMed...
- Merson N (2001): A comparison of motor block between ropivacaine and bupivacaine for continuous labor epidural analgesia. American Association of Nurse Anesthetists Journal 69, 54-58.
- Moiniche S, Mikkelsen S, Wetterslev J, Dahl JB (1999): A systematic review of intra-articular local anesthesia for postoperative pain relief after arthroscopic knee surgery. Regional Anesthesia and Pain Medicine 24, 430-437.
Go to original source...
Go to PubMed...
- Morton C (1997): New drugs: Ropivacaine. British Journal of Hospital Medicine 58, 97-100.
- Morton DB, Griffiths PH (1985): Guidelines on the recognition of pain, distress and discomfort in experimental animals and an hypothesis for assessment. The Veterinary Record 116, 431-436.
Go to original source...
Go to PubMed...
- Munroe GA, Cauvin ER (1994): The use of arthroscopy in the treatment of septic arthritis in two highland calves. British Veterinary Journal 150, 439-449.
Go to original source...
Go to PubMed...
- Olivieri M, Ciliberto E, Hulse DA, Vezzoni A, Ingravalle F, Peirone B (2007): Arthroscopic treatment of osteochondritis dissecans of the shoulder in 126 dogs. Veterinary and Comparative Orthopaedics and Traumatology 20, 65-69.
Go to original source...
- Pitkanen M, Feldman HS, Arthur GR, Covino BG (1992): Chronotropic and inotropic effects of ropivacaine, bupivacaine, and lidocaine in the spontaneously beating and electrically paced isolated, perfused rabbit heart. Regional Anesthesia 17, 183-192.
- Rauser P, Dvorak M, Necas A, Lexmaulova L, Novotna R (2005): Effect of intraarticular bupivacaine administration on postoperative pain relief after arthrotomic or arthroscopic management of cranial cruciate ligament rupture in dogs. Acta Veterinaria Brno 74, 613-619.
Go to original source...
- Reid J, Nolan AM (1991): A comparison of the postoperative analgesic and sedative effects of flimixin and papaveretum in the dog. Journal of Small Animal Practice 32, 603-608.
Go to original source...
- Reid J, Nolan AM, Hughes JML, Lascelles D, Pawson P, Scott EM (2007): Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention score. Animal Welfare 16, 97-104.
Go to original source...
- Reiz S, Haggmark S, Johansson G, Nath S (1989): Cardiotoxicity of ropivacaine - a new amide local anaesthetic agent. Acta Anaesthesiologica Scandinavica 33, 93-98.
Go to original source...
Go to PubMed...
- Richmond SJ, Gunadasa S, Bland M, Macpherson H (2013): Copper bracelets and magnetic wrist straps for rheumatoid arthritis - analgesic and anti-inflammatory effects: a randomised double-blind placebo controlled crossover trial. Public Library of Science One 8, doi: 10.1371/journal.pone.0071529.
Go to original source...
Go to PubMed...
- Sammarco JL, Conzemius MG, Perkowski SZ, Weinstein MJ, Gregor TP, Smith GK (1996): Postoperative analgesia for stifle surgery: a comparison of intra-articular bupivacaine, morphine, or saline. Veterinary Surgery 25, 59-69.
Go to original source...
Go to PubMed...
- Scott J, Huskisson EC (1979): Accuracy of subjective measurements made with or without previous scores: an important source of error in serial measurement of subjective states. Annals of the Rheumatic Diseases 38, 558-559.
Go to original source...
Go to PubMed...
- Scott DB, Lee A, Fagan D, Bowler GM, Bloomfield P, Lundh R (1989): Acute toxicity of ropivacaine compared with that of bupivacaine. Anesthesia and Analgesia 69, 563-569.
Go to original source...
- Sengupta N, Nichol MB, Wu J, Globe D (2004): Mapping the SF-12 to the HUI3 and VAS in a managed care population. Medical Care 42, 927-937.
Go to original source...
Go to PubMed...
- Soto N, Fauber AE, Ko JC, Moore GE, Lambrechts NE (2014): Analgesic effect of intra-articularly administered morphine, dexmedetomidine, or a morphine-dexmedetomidine combination immediately following stifle joint surgery in dogs. Journal of the American Veterinary Medical Association 244, 1291-1297.
Go to original source...
Go to PubMed...
- Stein C, Comisel K, Haimerl E, Yassouridis A, Lehrberger K, Herz A, Peter K (1991): Analgesic effect of intraarticular morphine after arthroscopic knee surgery. New England Journal of Medicine 325, 1123-1126.
Go to original source...
Go to PubMed...
- Thornton PD, Waterman-Pearson AE (1999): Quantification of the pain and distress responses to castration in young lambs. Research in Veterinary Science 66, 107-118.
Go to original source...
Go to PubMed...
- Van Bree HJ, Van Ryssen B (1998): Diagnostic and surgical arthroscopy in osteochondrosis lesions. Veterinary Clinics of North America Small Animal Practice 28, 161-189.
Go to original source...
Go to PubMed...
- Vintar N, Rawal N, Veselko M (2005): Intraarticular patientcontrolled regional anesthesia after arthroscopically assisted anterior cruciate ligament reconstruction: Ropivacaine/morphine/ketorolac versus ropivacaine/ morphine. Anesthesia and Analgesia 101, 573-578.
Go to original source...
Go to PubMed...
- Wright IM, Phillips TJ, Walmsley JP (1999): Endoscopy of the navicular bursa: A new technique for the treatment of contaminated and septic bursae. Equine Veterinary Journal 31, 5-11.
Go to original source...
Go to PubMed...
- Yarnell RW, Ewing DA, Tierney E, Smith MH (1990): Sacralization of epidural block with repeated doses of 0.25% bupivacaine during labor. Regional Anesthesia 15, 275-279.
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