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Tumescent local anesthesia with lidocaine in dogs undergoing mastectomy

机译:乳腺切除术犬的利多卡因肿胀局部麻醉

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摘要

The present study investigated the benefits of tumescent anesthesia with lidocaine in dogs undergoing mastectomy, seeking the patients' comfort and their postoperative recovery. Seven animals, with different weight and breed, who had cancer in the region of mammary chain underwent mastectomy surgery. All animals received the same anesthetic protocol being used as the association between acepromazine and morphine doses of 0.04mg.kg-1 and 0.4mg.kg-1 (IM), respectively. After 15 minutes a catheter was placed in the cephalic vein and induction with propofol 4mg.kg-1 and 0.2mg.kg-1 followed by maintenance with isoflurane anesthesia was done. After instrumentation, we proceeded to the tumescent anesthesia technique with ice-cold solution consisting of Ringer's lactate, lidocaine 2% without epinephrine and adrenaline in a total volume of 15mL.kg-1. The average duration of the procedure was 74±18 minutes. The plasmatic peak of lidocaine was between 30 and 60 minutes after infiltration. The rescue analgesic was performed after approximately seven hours of infiltration. It can be concluded that the tumescent anesthesia with lidocaine should be considered as a constituent of anesthetic and analgesic protocol in dogs undergoing mastectomy surgery providing parameter stability, safety and good quality postoperative recovery.
机译:本研究调查了利多卡因肿胀麻醉对接受乳房切除术的狗的益处,以寻求患者的舒适度和术后恢复。有七只体重和品种不同的动物在乳腺链区域患有癌症,接受了乳房切除术。所有动物均接受相同的麻醉方案,分别用作乙酰丙嗪和0.04mg.kg-1和0.4mg.kg-1(IM)的吗啡剂量之间的关联。 15分钟后,将导管置于头静脉中,并用异丙酚4mg.kg-1和0.2mg.kg-1进行诱导,然后用异氟烷麻醉维持。仪器安装后,我们进行了肿胀麻醉技术,该溶液由林格氏乳酸盐,2%的利多卡因,不含肾上腺素和肾上腺素的冰冷溶液组成,总体积为15mL.kg-1。该过程的平均持续时间为74±18分钟。利多卡因的血浆峰在渗透后30至60分钟之间。渗透约7小时后进行急救镇痛。可以得出结论,在进行乳房切除术的狗中,利多卡因膨胀麻醉应被视为麻醉和镇痛方案的组成部分,以提供参数稳定性,安全性和良好的术后恢复质量。

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