Intra- and postoperative opioid-sparing analgesia in a cat undergoing pelvic limb amputation

Santoro, F; Castineiras, D; Kaartinen, J

Abstract

Case summary A combination of preoperative epidurally administered morphine, peripheral nerve blocks and postoperative wound irrigation with ropivacaine is described as an opioid-sparing analgesic protocol for a feline immunodeficiency virus-positive cat with hypertrophic cardiomyopathy undergoing hindlimb amputation. The reported strategy resulted in a lack of intraoperative sympathetic response, haemodynamic stability and adequate postoperative analgesia. No rescue analgesia was needed at any point. Relevance and novel information This report represents an example of how several locoregional techniques can be effectively combined to minimise the perioperative use of systemic opioids and their potential side effects in selected cases.

Citation

Santoro, F., Castineiras, D., & Kaartinen, J. (2022). Intra- and postoperative opioid-sparing analgesia in a cat undergoing pelvic limb amputation. Journal of Feline Medicine and Surgery Open Reports, 8(2), https://doi.org/10.1177/20551169221116868

• Journal Article Type: Article
• Acceptance Date: Jul 12, 2022
• Online Publication Date: Aug 16, 2022
• Publication Date: 2022
• Deposit Date: Aug 8, 2023
• Publicly Available Date: Aug 8, 2023
• Journal: Journal of Feline Medicine and Surgery Open Reports
• Electronic ISSN: 2055-1169
• Publisher: SAGE Publications
• Peer Reviewed: Peer Reviewed
• Volume: 8
• Issue: 2
• DOI: https://doi.org/10.1177/20551169221116868
• Keywords: Analgesia; regional anaesthesia; chronic pain; limb amputation; DOGS; ANESTHESIA; MELOXICAM; SURGERY; STRESS; PAIN