Evaluación, de instilación de dos anestésicos locales, mas dexmedetomidina, intraperitoneal, como coadyuvante en analgesia multimodal, en ovariohisterectomía, clinica veterinaria snap Ambato

Ovariohysterectomy is one of the most frequent surgical procedures in the routine clinic of pets, which is considered a painful procedure that in some cases is not controlled, where the manipulation and resection of organs and tissues is involved, therefore, the objective of the present experimentation is; to evaluate the instillation of 2 local anesthetics, plus dexmedetomidine, intraperitoneal, as coadjuvant in multimodal analgesia, in ovariohysterectomy. For this purpose, four treatments were established, comprised by: T0 (control), T1 (control), T2 (control) and T3 (control): T0 (control), T1: intraperitoneal lidocaine, T2: intraperitoneal bupivacaine, T3: lidocaine plus intraperitoneal bupivacaine and T4: lidocaine plus intraperitoneal dexmedetomidine, evaluating their pharmacological influence on heart rate (Fc), respiratory rate (Fr), oxygen saturation (SpO2), mean arterial pressure (MAP), capnography (EtCO2), body temperature (T°), Glasgow pain scale recording at 30 minutes, 8 hours and 24 hours after OVH, and additionally an economic analysis. The results showed that during surgery 50% of the patients in the T0 group and 12.5% in the T1 group experienced pain, while 100% of the animals in the T2, T3 and T4 groups did not experience any painful sensation based on the intraoperative recordings of physiological constants. In addition, significant statistical differences (P<0. 05) on pain scores by application of the Glasgow scale at 30 minutes, 8 hours and 24 hours after OVH, observing that T1 (lidocaine) patients exhibited an analgesic plane at 30 minutes post-surgery compensated, however, the other study groups received a score > 6 points in that evaluation period, considering that, at 8 hours post-surgery, the patients who received local anesthetics instilled in the peritoneum did not require analgesic rescue, since the score of the scale under study was scored below 6 points, finally when performing said recording at 24 hours after surgery, it was observed that all patients maintained adequate analgesia. We conclude that intraperitoneal instillation of local anesthetics provides a compensated post-surgical analgesic plane.

• Hlavní autor: Bonilla Silva, Julio Andrés (author)
• Médium: bachelorThesis
• Vydáno: 2024
• On-line přístup: https://dspace.ueb.edu.ec/handle/123456789/7814