title: Effects of surgical wound infiltration with bupivacaine on postoperative analgesia in cats undergoing bilateral mastectomy.
abstract: The analgesic effect of wound infiltration with bupivacaine was evaluated in cats undergoing bilateral mastectomy. Twenty-one female cats with mammary gland tumors were anesthetized with propofol and oxygen-isoflurane anesthesia following premedication with atropine. In the trial group (Group I; n=11), 30 ml of saline containing 2 mg/kg of bupivacaine was infiltrated topically into the surgical wound right after removal of the mammary glands, whereas only saline solution was infiltrated in the control group (Group II; n=10). At the same time, carprofen (4 mg/kg) was also administered subcutaneously in both groups. Behavioral signs of pain were monitored during the recovery period after general anesthesia. In order to examine the behavioral changes associated with acute pain, a questionnaire was prepared and given to the owners to be completed 4 hr and then 10 hr after the operation. According to the owners' anwers to the questionnaire, a pain score was specified using a "numerical rating scale" for each cat. Although some cats showed mild to moderate pain, the pain score recorded at 4 hr after the operation was significantly lower in Group I (P&lt;0.001). No significant difference was found at 10 hr after the operation between the groups. The incidence of vocalization, aggression and convulsion within 2 hr after the operation was also lower in Group I. In conclusion, wound infiltration with bupivacaine before incisional closure provided reliable analgesia at least 4 hr after bilateral radical mastectomy in cats.
authors: Department of Obstetrics and Gynaecology, Faculty of Veterinary Medicine, Istanbul University, Avcılar, 34320, Istanbul, Turkey.
authors: Özge Turna
authors: ÖT
authors: Yilmaz
authors: T Seval Fatma
authors: TS
authors: Toydemir
authors: İsmail
authors: İ
authors: Kirşan
authors: Banu
authors: B
authors: Dokuzeylul
authors: Zeynep
authors: Z
authors: Gunay
authors: Esra
authors: E
authors: Karacam
mesh_terms: D000772:Anesthesia, Local / Q000379:methods / Q000662:veterinary*; D000818:Animals; D001285:Atropine; D002045:Bupivacaine / Q000008:administration & dosage / Q000494:pharmacology*; D002371:Cat Diseases / Q000601:surgery*; D002415:Cats; D005260:Female; D006801:Humans; D007530:Isoflurane; D015674:Mammary Neoplasms, Animal / Q000601:surgery*; D008408:Mastectomy / Q000379:methods / Q000662:veterinary*; D010147:Pain Measurement / Q000662:veterinary; D010149:Postoperative Pain / Q000188:drug therapy*; D015742:Propofol; D011795:Surveys and Questionnaires; D013997:Time Factors
chemical_list: D001285:Atropine; D007530:Isoflurane; D002045:Bupivacaine; D015742:Propofol
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