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Comparative Multimodal Palliative efficacy of gabapentin and tramadol By Using Two Pain Scoring Systems in Cats Undergoing Ovariohysterectomy. ACTA VET-BEOGRAD 2021. [DOI: 10.2478/acve-2021-0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
The analgesic efficacy of the gabapentin-tramadol combination was compared with meloxicam-tramadol and tramadol perioperative analgesic regimens in cats brought to the clinic for ovariohysterectomy. Thirty adult cats belonging to comparable demographics (age, body weight), were enrolled into a randomized, blinded study after due consent from their owners into four treatment groups. A Gabapentin-Tramadol group (GT-group, n = 10), Meloxicam-Tramadol group (MT-group, n = 10), and a Tramadol group (T-group, n = 10) were formed. Gabapentin capsules at 50 mg were administered orally 2 hours before surgery while the rest received a placebo dose. Tramadol (2 mg/kg, IM) and meloxicam at (0.2 mg/kg, SC) were injected immediately prior to anesthetic premedication. Anesthetic protocol involved premedication with ketamine and xylazine, while anesthesia was induced using propofol. Inhalant isoflurane anesthesia was used to maintain a surgical plane. GT group scored lower on IVAS as well as CPS than MT group, and T group for up to 8 hours after surgery. The mechanical nociceptive threshold remained higher (98±0) for up to 12 hours postoperatively a nd serum cortisol concentrations remained significantly lower during the 24hr period. The addition of gabapentin to the tramadol regimen significantly improved analgesia and mechanical nociceptive threshold than when used on its own.
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Nakajo T, Fujita Y, Ichinohe T, Maruo T. Combined Surgical, Radiation, and Medical Therapies for Osteochondrodysplasia in a Scottish Fold Cat. J Am Anim Hosp Assoc 2020; 56:175. [PMID: 32182117 DOI: 10.5326/jaaha-ms-6980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Osteochondrodysplasia affects both homozygous and heterozygous Scottish Fold cats, and various treatments have been attempted to control chronic pain and improve mobility in these animals. However, to date, there is no single effective treatment that can be used to treat all cats with Scottish Fold osteochondrodysplasia (SFOCD). A 4 yr old castrated Scottish Fold cat presented with plantar exostoses in the right hindlimb, the largest of which was caudal to the tarsometatarsal joint and had stretched the overlying skin, causing ulceration and bleeding. There was right hindlimb lameness. The cat was diagnosed with SFOCD, and the skin lesions were treated by excision of the exostoses, removal of the damaged skin, and wound closure. All extremities were treated with radiotherapy and subcutaneous pentosan polysulfate for chronic pain. The cat's gait improved after surgery, and increased activity was noted after radiotherapy. There were no signs of excessive bone proliferation or adverse effects at 80 wk postoperatively. In conclusion, a combination of surgical, radiation, and medical therapies could be an effective treatment strategy for SFOCD with skin ulceration.
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Affiliation(s)
- Tetsuya Nakajo
- From the Laboratory of Surgery II, School of Veterinary Medicine, Azabu University, Kanagawa, Japan (Y.F., T.I.); and Azabu University Veterinary Teaching Hospital, Kanagawa, Japan (Y.F., T.N., T.I., T.M.)
| | - Yukihiro Fujita
- From the Laboratory of Surgery II, School of Veterinary Medicine, Azabu University, Kanagawa, Japan (Y.F., T.I.); and Azabu University Veterinary Teaching Hospital, Kanagawa, Japan (Y.F., T.N., T.I., T.M.)
| | - Tom Ichinohe
- From the Laboratory of Surgery II, School of Veterinary Medicine, Azabu University, Kanagawa, Japan (Y.F., T.I.); and Azabu University Veterinary Teaching Hospital, Kanagawa, Japan (Y.F., T.N., T.I., T.M.)
| | - Takuya Maruo
- From the Laboratory of Surgery II, School of Veterinary Medicine, Azabu University, Kanagawa, Japan (Y.F., T.I.); and Azabu University Veterinary Teaching Hospital, Kanagawa, Japan (Y.F., T.N., T.I., T.M.)
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