Preemptive carprofen for peri-operative analgesia in dogs undergoing Tibial Plateau Leveling Osteotomy (TPLO): a prospective, randomized, blinded, placebo controlled clinical trial

Schweiz Arch Tierheilkd. 2012 Mar;154(3):105-11. doi: 10.1024/0036-7281/a000308.

Abstract

Eighteen client-owned dogs undergoing Tibial Plateau Leveling Osteotomy (TPLO) were included in this blinded clinical study and randomly assigned to one of two treatment groups. Group C (carprofen) received intravenous (IV) carprofen, 4 mg/kg, prior to anesthesia, whereas group P (placebo) received IV saline. General anesthesia was maintained with isoflurane in oxygen and a constant rate infusion (CRI) of sufentanyl IV. Intra-operatively, assessment of nociception was based on changes in physiological parameters and on the analgesics requirement, whereas in the post-operative period evaluation of pain was performed by using a Hellyer and Gaynor pain score and by comparing the doses of rescue buprenorphine required by the two treatment groups. Although no statistically significant differences in intra-operative sufentanyl doses were found between treatment groups, group C had superior cardiovascular stability, and lower post-operative pain scores and rescue buprenorphine doses than group P. Our results indicate that administration of carprofen prior to surgery was effective in improving peri-operative analgesia in dogs undergoing TPLO.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Analgesia / methods
  • Analgesia / veterinary*
  • Animals
  • Anterior Cruciate Ligament / surgery
  • Anterior Cruciate Ligament Injuries
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage*
  • Blood Pressure / drug effects
  • Carbazoles / administration & dosage*
  • Dogs / physiology*
  • Dogs / surgery*
  • Heart Rate / drug effects
  • Osteotomy / methods
  • Osteotomy / veterinary*
  • Pain, Postoperative / prevention & control
  • Pain, Postoperative / veterinary
  • Perioperative Care / veterinary
  • Rupture / surgery
  • Rupture / veterinary
  • Tibia / surgery

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Carbazoles
  • carprofen