Analgesia and anesthesia in cats affected by fractures and orthopedic surgery: a review

Authors

DOI:

https://doi.org/10.33448/rsd-v10i12.20524

Keywords:

Joint dislocations; Pain assessment; Drugs; Routes of administration.

Abstract

Orthopedic surgeries for stabilizing fractures and joint dislocations are among the three most common surgical procedures in cats. Difficulty in recognizing pain, lack of knowledge regarding the proper use of analgesics and fear of drug side effects can lead to inadequate provision of analgesia in cats. The aim of this research was to describe the main tools for pain assessment and for providing analgesia and anesthesia in orthopedic surgery in cats. This research was developed from the analysis of scientific publications on analgesia and anesthesia in cats, with emphasis on orthopedic surgeries. The UNESP-Botucatu multidimensional pain assessment scale is a powerful and clinically validated tool for post-operative condition of orthopedic surgery in cats. The orthopedic examination can provide significant information about the patient's general condition. Areas of concern identified on the orthopedic examination are further examined with radiographs or computed tomography. Veterinary medicine has a wide variety of analgesic and anesthetic drugs that can and should be used in felines. However, for the provision of adequate analgesia, knowledge about the metabolic particularities of the feline species is essential, respecting the characteristics of analgesic drugs administered during the pre, trans and post-surgery period, also considering the impact on the choice of doses and routes of management. Appropriate analgesic management, through regular clinical assessment of pain, provides comfort and contributes to the recovery and animal welfare.

References

Arruda, A. F. D., Muzzi, L. A., Lacreta Junior, A. C., Muzzi, R. A., Sampaio, G. R., Moreira, S. H., & Mesquita, L. R. (2018). Radiographic assessment of the proximal tibial angles in dogs and cats with and without cranial cruciate ligament rupture. Pesquisa Veterinária Brasileira, 38(6), 1190-1195.

Ataide, W. F., do Amaral, A. V. C., Bartoli, R. B. M., Bruno Filho, F. F., Romani, A. F., Regalin, D., ... & de Souza Ramos, D. G. (2020). Estudo retrospectivo dos procedimentos cirúrgicos realizados em cães e gatos em um Hospital Veterinário Universitário na Região Centro-Oeste do Brasil. Brazilian Journal of Development, 6(6), 35413-35422.

Barbosa, L. M. (2019). Colocefalectomia em pequenos animais: estudo retrospectivo de 129 casos clínico-cirúrgicos. Trabalho de Conclusão de Curso II, do curso de graduação em Medicina Veterinária da Universidade Federal de Uberlândia. Uberlândia.

Barletta, M., & Reed, R. (2019). Local anesthetics: pharmacology and special preparations. Veterinary Clinics: Small Animal Practice, 49(6), 1109-1125.

Belli, M. (2020). Validação clínica das escalas curta e longa da UNESP-Botucatu para avaliar a dor aguda em gatos. Dissertação (mestrado) - Universidade Estadual Paulista "Júlio de Mesquita Filho", Faculdade de Medicina de Botucatu.

Brondani, J. T., Mama, K. R., Luna, S. P., Wright, B. D., Niyom, S., Ambrosio, J., ... & Padovani, C. R. (2013). Validation of the English version of the UNESP-Botucatu multidimensional composite pain scale for assessing postoperative pain in cats. BMC Veterinary Research, 9(1), 1-15.

Casoni, D., Rohrbach, H., & Spadavecchia, C. (2014). Total spinal anaesthesia following spinal lumbosacral injection of bupivacaine 0.5 per cent in a cat. Veterinary Record Case Reports, 2(1).

César, T. Z., César, T. Z., Combat, A. R., & de Leão, B. C. C. (2016). Anestesia venosa: análise do desempenho quando comparada à anestesia com anestésicos inalatórios. Rev. Med. Minas Gerais, 26(supl 27), 4-10.

CONCEA. (2016). Conselho Nacional de Controle de Experimentação Animal. Orientação Técnica CONCEA nº 9 de 18 de agosto de 2016. https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/21791247/DiarioOficialdaUniao

Grimm, K., Lamont, L., Tranquilli, W., Greene, S., & Robertson, S. (2017). Lumb & Jones Anestesiologia e analgesia veterinária. Editora Roca.

Harrysson, O. L., Marcellin-Little, D. J., & Horn, T. J. (2015). Applications of metal additive manufacturing in veterinary orthopedic surgery. Jom, 67(3), 647-654.

Hernández-Avalos, I., Flores-Gasca, E., Mota-Rojas, D., Casas-Alvarado, A., Miranda-Cortés, A. E., & Domínguez-Oliva, A. (2021). Neurobiology of anesthetic-surgical stress and induced behavioral changes in dogs and cats: A review. Veterinary world, 14(2), 393.

Kraus, B. L. H. (2018). Anesthetic considerations for orthopedic surgical patients. In Small Animal Anesthesia and Pain Management (pp. 265-278). CRC Press.

Leece, E. (2020). Feline: what’s new in pain recognition and scoring?. In BSAVA Congress Proceedings 2020, BSAVA Library, 155-155.

Little, S. E. (2016). O gato: medicina interna. Rio de Janeiro: Roca, 978-989.

Mathews, K. A., Sinclair, M., Steele, A. M., & Grubb, T. (Eds.). (2018). Analgesia and anesthesia for the ill or injured dog and cat. Wiley Blackwell.

Moreira, C. M., Oliveira, R. L., Costa, G. A., Corgozinho, K. B., Luna, S. P., & Souza, H. J. (2021). Evaluation of tumescent local anesthesia in cats undergoing unilateral mastectomy. Veterinary Anaesthesia and Analgesia, 48(1), 134-141.

Otero, P. E., Zaccagnini, A. S., Fuensalida, S. E., Verdier, N., Sclocco, M., & Portela, D. A. (2014). Use of electrical nerve stimulation to monitor lumbosacral epidural needle placement in cats. Veterinary anaesthesia and analgesia, 41(3), 325-329.

Pypendop, B. (2017). Inhalation and Balanced Anesthesia. Feline Anesthesia and Pain Management, 89-104.

Ramos, D., Reche‐Junior, A., Hirai, Y., & Mills, D. S. (2020). Feline behaviour problems in Brazil: a review of 155 referral cases. Veterinary Record, 186(16), e9-e9.

Robertson, S. (2020). Anesthetic protocols for dogs and cats. High‐Quality, High‐Volume Spay and Neuter and Other Shelter Surgeries, 153-192.

Souza, M. D. J. D., Ferreira, M. P., Amadori, A., Carneiro, R. K., Junqueira, A. M. C., Hergemöller, F., & Sebastião, G. A. (2019). Osteossíntese com placa e pino em cães e gatos. Acta scientiae veterinariae. Porto Alegre, RS. Vol. 47, supl. 1 (2019), Pub. 474, 5 p.

Staffieri, F., & Steagall, P. (2017). Local Anesthetics and Loco‐regional Techniques. Feline Anesthesia and Pain Management, 67-88.

Steagall, P. V. (2020). Analgesia: What Makes Cats Different/Challenging and What Is Critical for Cats?. Veterinary Clinics: Small Animal Practice, 50(4), 749-767.

Steagall, P. V., Monteiro, B. P., Lavoie, A. M., Frank, D., Troncy, E., Luna, S. P., & Brondani, J. T. (2013). Validation of the French version of the UNESP-Botucatu multidimensional composite pain scale for assessing postoperative pain in cats. Canadian Veterinary Journal, 58(1), 56-64.

Uhlig, C., Krause, H., Koch, T., de Abreu, M. G., & Spieth, P. M. (2015). Anesthesia and monitoring in small laboratory mammals used in anesthesiology, respiratory and critical care research: a systematic review on the current reporting in top-10 impact factor ranked journals. PLoS One, 10(8), e0134205.

Wee, B. V., & Banister, D. (2016). How to write a literature review paper?. Transport Reviews, 36(2), 278-288.

White, K. L. (2016). Assessment of acute pain in cats: signs, tools and limitations. Companion Animal, 21(8), 458-465.

White, K. L. (2017). Treatment of acute pain in cats. Companion Animal, 22(1), 8-14.

Published

24/09/2021

How to Cite

MONTE, A. C. B. C. do. Analgesia and anesthesia in cats affected by fractures and orthopedic surgery: a review. Research, Society and Development, [S. l.], v. 10, n. 12, p. e367101220524, 2021. DOI: 10.33448/rsd-v10i12.20524. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20524. Acesso em: 26 feb. 2024.

Issue

Section

Health Sciences