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ORIGINAL RESEARCH article
Front. Vet. Sci.
Sec. Anesthesiology and Animal Pain Management
Volume 11 - 2024 |
doi: 10.3389/fvets.2024.1513853
Does perioperative electroacupuncture reduce postoperative pain in dogs undergoing ovariohysterectomy?
Provisionally accepted- Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
This study aimed to investigate the analgesic efficacy of perioperative electroacupuncture in fifty-six healthy female dogs undergoing ovariohysterectomy as part of a catch-neuter-release project.Ten minutes after sedation with 20 g/kg medetomidine combined with 0.3 mg/kg butorphanol intramuscularly, the dogs were randomly allocated into two groups and received either electroacupuncture (EA, n = 27) or sham acupuncture (C, n = 29) treatment for 10 minutes (after sedation until the end of the surgery) at 6 different acupuncture points LI-4 (Large intestine 4), LIV-3 (Liver 3), ST-36 (Stomach 36), SP-6 (Spleen 6) bilateral. After administration of 0.2 mg/kg meloxicam and anesthesia induction with 2 mg/kg ketamine intravenously, ovariohysterectomy was performed by the same experienced surgeon using a midline surgical approach in dorsal recumbency. Pain was evaluated by two blinded and independent anesthetists using the Short Form of the Multimodal Glasgow Composite Pain Scale (mCMPS-SF) before sedation (T0), and three (T3), six (T6), and 24 hours (T24) after anesthesia induction.Results: Postoperative pain scores did not differ significantly between the groups (p = 0.36), but increased significantly three (T3) (p = 0.001) and six (T6) (p = 0.001) hours after surgery compared to before sedation and 24 hours postoperative in both groups. Three hours after surgery (T3), 89.4 % and six hours postoperatively (T6), 71.4 % of the dogs in both groups exceeded the analgesic intervention threshold of the mCMPS-SF, indicating the need for rescue analgesia.The results of the study indicate that perioperative electroacupuncture treatment did not improve postoperative pain in dogs undergoing ovariohysterectomy. Therefore, a 10-minute electroacupuncture treatment may be insufficient to provide effective postoperative analgesia. The pain assessment in feral dogs was notably impacted by anxious behavior, which may have influenced the final outcome The pain threshold was exceeded in ¾ of the dogs in the early postoperative phase (T3, T6), suggesting that the widely used anesthesia protocol consisting of butorphanol, ketamine and medetomidine in combination with meloxicam may not provide longlasting and sufficient pain relief.
Keywords: Multimodal analgesia, Electroacupuncture, ovariohysterectomy, canine, pain score Celine Lea Iwe conceptualization, Study performance, data analyses, Writing up
Received: 19 Oct 2024; Accepted: 18 Dec 2024.
Copyright: © 2024 Iwe, Schiele, Passenegg, Corona, Bettschart-Wolfensberger and Heitzmann. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Celine Lea Iwe, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland
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