Analgesic and motor-blocking action of epidurally administered levobupivacaine or bupivacaine in the conscious dog |
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Authors: | Ignacio A Gomez de Segura DMV DrMedVet Diplomate ECVAA Antonella Menafro DMV Paloma García-Fernández DMV DrMedVet Silvia Murillo DMV & Elba M Parodi† MD |
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Institution: | Department of Animal Medicine and Surgery, School of Veterinary Medicine, University Complutense, Madrid, Spain; Department of Anesthesiology, La Paz University Hospital, Madrid, Spain |
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Abstract: | Objective To compare the analgesic and motor-blocking effects of epidurally administered levobupivacaine and bupivacaine in the conscious dog. Study design Prospective, randomized, cross-over study. Animals Six adult female Beagle dogs. Methods Each animal received three doses of levobupivacaine or bupivacaine (0.5, 1.0 and 1.5 mg kg?1; concentrations 0.25%, 0.50%, and 0.75%, respectively) in a total volume of 0.2 mL kg?1 by means of a chronically implanted epidural catheter. Onset, duration (through pinch response in the sacral, lumbar and toe areas) and degree of analgesia and motor-blocking status was determined with a scoring system and at regular intervals over 8.5 hours before (baseline) and after drug administration. Results Epidurally administered levobupivacaine and bupivacaine had a similar dose-dependent analgesic action with no significant differences in onset (range: 5–8 minutes), duration (bupivacaine: 42 ± 28, 135 ± 68 and 265 ± 68 minutes, and levobupivacaine: 28 ± 33, 79 ± 55 and 292 ± 133 minutes; 0.25%, 0.50%, and 0.75%, respectively) or maximum degree of analgesia. However, levobupivacaine tended to produce a shorter duration of motor block than bupivacaine and the difference in the motor to nociceptive blockade times was significant at the highest dose. Conclusion Epidural levobupivacaine produced an analgesic action similar to that of bupivacaine. Clinical relevance Epidural levobupivacaine is suitable for clinical use in dogs, mostly at the highest dose if a high degree of analgesia is required. |
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Keywords: | bupivacaine dog epidural anaesthesia levobupivacaine local anaesthetics |
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