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Evaluation of the analgesic effect of intracameral lidocaine hydrochloride injection on intraoperative and postoperative pain in healthy dogs undergoing phacoemulsification

Cited 13 time in Web of Science Cited 15 time in Scopus

Park, Shin Ae; Park, Young Woo; Son, Won Gyun; Kim, Tae H'un; Ahn, Jae Sang; Ahn, Jeong Taek; Kim, Se Eun; Lee, Inhyung; Seo, Kangmoon

Issue Date
American Veterinary Medical Association
American Journal of Veterinary Research, Vol.71 No.2, pp.216-222
Objective-To evaluate the intraoperative and postoperative analgesic effects of intracameral lidocaine hydrochloride injection in dogs undergoing phacoemulsification. Animals-12 healthy Beagles with healthy eyes. Procedures-Dogs were randomly assigned to receive 1 of 2 intracameral injections: 2% lidocaine hydrochloride solution (0.3 mL) or an equivalent amount of balanced salt solution (BSS). All dogs were treated with acepromazine (0.05 mg/kg, IV) and cefazolin (30 mg/kg, IV), and tropicamide drops were topically applied to the eyes. Anesthesia was induced with propofol and maintained with isoflurane. The initial end-tidal isoflurane concentration was maintained at 1.2%. Heart rate, respiratory rate, arterial blood pressure, esophageal temperature, inspired and end-tidal isoflurane concentrations, and oxygen saturation were recorded every 5 minutes. The allocated agent was injected intracamerally after aspiration of the same volume of aqueous humor. Ten minutes after injection, phacoemulsification was performed. After surgery began, the isoflurane concentration was adjusted according to heart rate and mean arterial blood pressure. Pain scores were recorded before surgery and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 16, and 24 hours after extubation. Results-Isoflurane requirements were significantly higher in the BSS group than in the lidocaine group. Mean +/- SD time to administration of supplementary analgesia was significantly shorter in the BSS group (1.4 +/- 1.2 hours) than in the lidocaine group (4.9 +/- 1.2 hours). Conclusions and Clinical Relevance-Intracameral lidocaine injection had significant analgesic effects in dogs undergoing cataract surgery. Results of this study suggest the value of intracameral lidocaine injection as an analgesic for intraocular surgery in dogs. (Am J Vet Res 2010;71:216-222)
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  • College of Veterinary Medicine
  • Department of Veterinary Medicine
Research Area Pain Medicine, Systematic Anesthesia, Veterinary Anesthesiology, 수의마취통증의학


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