DOI
https://doi.org/10.18849/ve.v3i4.206Abstract
PICO question
In dogs undergoing orchiectomy, does the use of intratesticular blocks reduce the pain in patients compared to not using intratesticular blocks?
Clinical bottom line
Low level of evidence suggests that when compared to a pre-medication with pure-µ agonist opioids, intratesticular blocks do not appear to provide significant benefit. However, based on our clinical scenario where pre-medication is with a partial-µ opioid like buprenorphine, there may be benefit in utilising intratesticular lidocaine or bupivicaine.
References
Huuskonen, V. et al. (2013) ‘Intratesticular lidocaine reduces the response to surgical castration in dogs’, Veterinary Anaesthesia and Analgesia, 40(1), pp. 74–82. doi: http://dx.doi.org/10.1111/j.1467-2995.2012.00775.x
McMillan, M. W., Seymour, C. J. and Brearley, J. C. (2012) ‘Effect of intratesticular lidocaine on isoflurane requirements in dogs undergoing routine castration’, Journal of Small Animal Practice, 53(7), pp. 393–397. doi: http://dx.doi.org/10.1111/j.1748-5827.2012.01233.x
Perez, T. E. et al. (2013) ‘Effects of intratesticular injection of bupivacaine and epidural administration of morphine in dogs undergoing castration’, Journal of the American Veterinary Medical Association, 242(5), pp. 631–642. doi: http://dx.doi.org/10.2460/javma.242.5.631
Rodriguez, A. R. Á., Gaviria, E. F. B. and Bonilla, D. F. E. (2016) ‘Evaluación del efecto analgésico de la lidocaína vía intratesticular o intrafunicular en perros sometidos a orquiectomia electiva bajo un protocolo de anestesia disociativa’, Revista Electrónica de Veterinaria. Veterinaria Organización, 17(9), pp. 1–16.
SAMMARCO, J.L., CONZEMIUS, M.G., PERKOWSKI, S.Z., WEINSTEIN, M.J., GREGOR, T.P. and SMITH, G.K., 1996. Postoperative analgesia for stifle surgery: a comparison of intra‐articular bupivacaine, morphine, or saline.Veterinary Surgery, 25(1), pp.59-69. doi: http://dx.doi.org/10.1111/j.1532-950X.1996.tb01377.x
Stevens, B. J. et al. (2013) ‘Comparison of the effect of intratesticular lidocaine/bupivacaine vs. saline placebo on pain scores and incision site reactions in dogs undergoing routine castration’, The Veterinary Journal, 196(3), pp. 499–503. doi: http://dx.doi.org/10.1016/j.tvjl.2012.11.019
License
Copyright (c) 2018 Erik Davis Fausak, Elizabeth Rodriguez, Anna Elizabeth Simle, Netwarat Merman Merman, Dakota Cook
This work is licensed under a Creative Commons Attribution 4.0 International License.
Veterinary Evidence uses the Creative Commons copyright Creative Commons Attribution 4.0 International License. That means users are free to copy and redistribute the material in any medium or format. Remix, transform, and build upon the material for any purpose, even commercially - with the appropriate citation.
Most read articles by the same author(s)
- Erik Davis Fausak, Samantha Rae Spelts, Rebecca Lee Brown, Can I Hang? Ideal Time to Replace Isotonic Crystalloid Intravenous Fluids and Sets to Prevent Fluid Contamination and Blood Stream Infection: a Knowledge Summary , Veterinary Evidence: Vol. 1 No. 4 (2016): Our fourth issue
- Erik Davis Fausak, Kirsten Soules, Does the Use of Lidocaine in Dogs and Cats Reduce Post-Operative Tracheitis? , Veterinary Evidence: Vol. 2 No. 1 (2017): The first issue of 2017
- Erik Fausak, Elizabeth Rodriguez, Anna Elizabeth Simle, Netwarat Merman, Dakota Cook, Does the Use of Intratesticular Blocks in Cats Undergoing Orchiectomies Serve as an Effective Adjunctive Analgesic? , Veterinary Evidence: Vol. 3 No. 4 (2018): The fourth issue of 2018