Hungarian Viszla dog image

Does the Use of Intratesticular Blocks in Dogs Undergoing Orchiectomies Serve as an Effective Adjunctive Analgesic?

Erik Davis Fausak, Elizabeth Rodriguez, Anna Elizabeth Simle, Netwarat Merman, Dakota Cook

Published:  10/12/2018    in:  Knowledge Summaries
Views
1092
Full Text:
604
PDF:
269
Audio Summary:
234



Hungarian Viszla dog image
Abstract
PICO question

In dogs undergoing orchiectomy, does the use of intratesticular blocks reduce the pain in patients compared to not using intratesticular blocks?

Clinical bottom line

Low level of evidence suggests that when compared to a pre-medication with pure-µ agonist opioids, intratesticular blocks do not appear to provide significant benefit.  However, based on our clinical scenario where pre-medication is with a partial-µ opioid like buprenorphine, there may be benefit in utilising intratesticular lidocaine or bupivicaine.


Open AccessPeer Reviewed

Click to see References Click to hide References
References

  1. Huuskonen, V. et al. (2013) ‘Intratesticular lidocaine reduces the response to surgical castration in dogs’, Veterinary Anaesthesia and Analgesia, 40(1), pp. 74–82. doi: http://dx.doi.org/10.1111/j.1467-2995.2012.00775.x
  2. McMillan, M. W., Seymour, C. J. and Brearley, J. C. (2012) ‘Effect of intratesticular lidocaine on isoflurane requirements in dogs undergoing routine castration’, Journal of Small Animal Practice, 53(7), pp. 393–397. doi: http://dx.doi.org/10.1111/j.1748-5827.2012.01233.x
  3. Perez, T. E. et al. (2013) ‘Effects of intratesticular injection of bupivacaine and epidural administration of morphine in dogs undergoing castration’, Journal of the American Veterinary Medical Association, 242(5), pp. 631–642. doi: http://dx.doi.org/10.2460/javma.242.5.631
  4. Rodriguez, A. R. Á., Gaviria, E. F. B. and Bonilla, D. F. E. (2016) ‘Evaluación del efecto analgésico de la lidocaína vía intratesticular o intrafunicular en perros sometidos a orquiectomia electiva bajo un protocolo de anestesia disociativa’, Revista Electrónica de Veterinaria. Veterinaria Organización, 17(9), pp. 1–16.
  5. SAMMARCO, J.L., CONZEMIUS, M.G., PERKOWSKI, S.Z., WEINSTEIN, M.J., GREGOR, T.P. and SMITH, G.K., 1996. Postoperative analgesia for stifle surgery: a comparison of intra‐articular bupivacaine, morphine, or saline.Veterinary Surgery25(1), pp.59-69. doi: http://dx.doi.org/10.1111/j.1532-950X.1996.tb01377.x
  6. Stevens, B. J. et al. (2013) ‘Comparison of the effect of intratesticular lidocaine/bupivacaine vs. saline placebo on pain scores and incision site reactions in dogs undergoing routine castration’, The Veterinary Journal, 196(3), pp. 499–503. doi: http://dx.doi.org/10.1016/j.tvjl.2012.11.019


Refbacks
  • There are currently no refbacks.


Copyright (c) 2018 Erik Davis Fausak, Elizabeth Rodriguez, Anna Elizabeth Simle, Netwarat Merman Merman, Dakota Cook

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Made possible through a project grant from the RCVS Council.

RCVS