Veterinary MedicineVeterinary PharmacologyAnesthesiaPain ManagementRuminant MedicineAnalgesiaAnalgesic PharmacologyEpidural AnesthesiaOpioid AnalgesicsRuminant AnesthesiaVeterinary Pain ManagementControl Group DesignEpidural Anesthesia For SurgeryEpidural Dosage RegimensMatched Control GroupReplicate Crossover Study DesignVeterinary Analgesia
The objective of the study reported here was to determine the onset, duration, and degree of analgesia achieved with a combination of romifidine (50 microg/kg body weight [BW]) and morphine (0.1 mg/kg BW) administered epidurally. Ten adult Holstein Friesen cows were assigned to either a treatment group receiving the romifidine and morphine combination or a control group receiving 0.9% saline in a randomized, blinded, crossover design. Cows were assessed for degree of flank analgesia and systemic sedation at various time intervals over a period of 24 hours. The romifidine and morphine combination, compared with saline, provided significant analgesia for at least 10 minutes (P = 0.016) and up to 12 hours (P = 0.004) after epidural administration. Treated cows were sedate between 10 minutes (P = 0.016) and 6 hours (P = 0.002) after epidural administration. These results provide evidence for a potential cost-effective intra- and postoperative method of analgesia; however, the sedation seen in this study could be detrimental to patients expected return to the farm shortly after surgery. Further research into withdrawal times, systemic effects, and potential adverse effects are needed before an opiod and alpha2-adrenergic agonist combination can be used safely in a clinical setting.
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Antinociceptive Interaction Between Opioids and Medetomidine
Michael H. Ossipov, Sarah Harris, Patricia Lloyd et al. · Anesthesiology · 1990 · 155 citations · Full text
Epidural injection of xylazine for perineal analgesia in horses.
LeBlanc Ph, Caron Jp, Patterson Js et al. · PubMed · 1988 · 121 citations
Veterinary Medicine, Anesthesiology, Veterinary Anesthesiology +17