Evaluation of the effects of methadone and tramadol on postoperative analgesia and serum interleukin-6 in dogs undergoing orthopaedic surgery

BACKGROUND: Acute postsurgical pain is of great interest due to potential risk of becoming chronic if not treated properly, worsening patient’s recovery and quality of life. Twenty-eight dogs with ruptured cruciate ligaments were divided into three groups that received intramuscular injections of 4 ...

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Veröffentlicht in:BMC veterinary research 2014-09, Vol.10 (1), p.194, Article 194
Hauptverfasser: Cardozo, Larissa B, Cotes, Lourenço C, Kahvegian, Marcia A P, Rizzo, Maria Fernanda C I, Otsuki, Denise A, Ferrigno, Cassio R A, Fantoni, Denise T
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container_title BMC veterinary research
container_volume 10
creator Cardozo, Larissa B
Cotes, Lourenço C
Kahvegian, Marcia A P
Rizzo, Maria Fernanda C I
Otsuki, Denise A
Ferrigno, Cassio R A
Fantoni, Denise T
description BACKGROUND: Acute postsurgical pain is of great interest due to potential risk of becoming chronic if not treated properly, worsening patient’s recovery and quality of life. Twenty-eight dogs with ruptured cruciate ligaments were divided into three groups that received intramuscular injections of 4 mg/kg of tramadol (TRA), 0.5 mg/kg of methadone (MET0.5), or 0.7 mg/kg of methadone (MET0.7). Physiological parameters (heart and respiratory rates and blood pressure) were evaluated at specified times: baseline (TBL), 1 (T1), 2 (T2), 4 (T4), 6 (T6), and 24 (T24) hours after premedication. Pain scores were described by visual analogue scale (VAS), modified Glasgow Composite, and Colorado University Acute Pain scales. Blood samples for measurement of interleukin (IL)-6 were collected at TBL, T1, T6, and T24. This was a prospective, randomised investigation to evaluate the efficacy of tramadol and methadone as premedications in dogs undergoing osteotomies. RESULTS: There were no statistically significant differences between groups with respect to age, weight, gender, surgery time, and time to extubation. Heart rate, respiratory rate, and blood pressure values were maintained within acceptable ranges, and a reduction was observed at T2 in MET0.5 and MET0.7 compared with TBL. Increases in VAS scores were observed in TRA at T4 compared with TBL, T1, and T24 and between T1 and T6 (p 
doi_str_mv 10.1186/s12917-014-0194-7
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Twenty-eight dogs with ruptured cruciate ligaments were divided into three groups that received intramuscular injections of 4 mg/kg of tramadol (TRA), 0.5 mg/kg of methadone (MET0.5), or 0.7 mg/kg of methadone (MET0.7). Physiological parameters (heart and respiratory rates and blood pressure) were evaluated at specified times: baseline (TBL), 1 (T1), 2 (T2), 4 (T4), 6 (T6), and 24 (T24) hours after premedication. Pain scores were described by visual analogue scale (VAS), modified Glasgow Composite, and Colorado University Acute Pain scales. Blood samples for measurement of interleukin (IL)-6 were collected at TBL, T1, T6, and T24. This was a prospective, randomised investigation to evaluate the efficacy of tramadol and methadone as premedications in dogs undergoing osteotomies. RESULTS: There were no statistically significant differences between groups with respect to age, weight, gender, surgery time, and time to extubation. Heart rate, respiratory rate, and blood pressure values were maintained within acceptable ranges, and a reduction was observed at T2 in MET0.5 and MET0.7 compared with TBL. Increases in VAS scores were observed in TRA at T4 compared with TBL, T1, and T24 and between T1 and T6 (p &lt; 0.001). In MET0.5, there was significant increase in VAS score at T4 compared with T1 (p &lt; 0.001). TRA and MET0.5 showed significantly higher mean ± SD VAS scores (3.4 ± 2.5 and 2.5 ± 2.6, respectively) than MET0.7 (1.1 ± 1.5) at T4 (p &lt; 0.001). TRA showed greater demand of rescue analgesia (four animals in T4 and two in T6) (p &lt; 0.037). There were no statistically significant differences in sedation scores, Colorado Scale scores, or interleukin levels between groups and time points. CONCLUSIONS: Methadone given as premedication in doses of 0.7 mg/kg was better at controlling pain compared with lower doses and tramadol. However, dosage increases, administered as rescue analgesia, promoted adequate pain control even in tramadol group. Influence of these analgesics on IL-6 release could not be demonstrated, but significant levels were not found.</description><identifier>ISSN: 1746-6148</identifier><identifier>EISSN: 1746-6148</identifier><identifier>DOI: 10.1186/s12917-014-0194-7</identifier><identifier>PMID: 25193623</identifier><language>eng</language><publisher>England: Springer-Verlag</publisher><subject>analgesia ; Analgesics ; Analgesics, Opioid - administration &amp; dosage ; Analgesics, Opioid - pharmacology ; Anesthesiology ; Animals ; Anterior Cruciate Ligament - surgery ; Anterior Cruciate Ligament Injuries ; Blood pressure ; blood serum ; Care and treatment ; Dogs ; Dogs - injuries ; Dogs - surgery ; Drug dosages ; Experiments ; Gases ; gender ; Gene Expression Regulation - drug effects ; heart ; heart rate ; interleukin-6 ; Interleukin-6 - metabolism ; Laboratories ; ligaments ; Medical research ; methadone ; Methadone - administration &amp; dosage ; Methadone - pharmacology ; Pain ; Pain Measurement - veterinary ; Pain, Postoperative - prevention &amp; control ; Pain, Postoperative - veterinary ; patients ; Postoperative period ; quality of life ; respiratory rate ; risk ; Rupture - surgery ; sedation ; Studies ; Surgery ; Tramadol - administration &amp; dosage ; Tramadol - pharmacology ; Veterinary medicine</subject><ispartof>BMC veterinary research, 2014-09, Vol.10 (1), p.194, Article 194</ispartof><rights>COPYRIGHT 2014 BioMed Central Ltd.</rights><rights>2014 Cardozo et al. licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.</rights><rights>Cardozo et al. licensee BioMed Central Ltd. 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c544t-a00f4e690d37ac6e73fae53527287edc10c8f542d089e03a776a5214508f02d63</citedby><cites>FETCH-LOGICAL-c544t-a00f4e690d37ac6e73fae53527287edc10c8f542d089e03a776a5214508f02d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173003/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4173003/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25193623$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cardozo, Larissa B</creatorcontrib><creatorcontrib>Cotes, Lourenço C</creatorcontrib><creatorcontrib>Kahvegian, Marcia A P</creatorcontrib><creatorcontrib>Rizzo, Maria Fernanda C I</creatorcontrib><creatorcontrib>Otsuki, Denise A</creatorcontrib><creatorcontrib>Ferrigno, Cassio R A</creatorcontrib><creatorcontrib>Fantoni, Denise T</creatorcontrib><title>Evaluation of the effects of methadone and tramadol on postoperative analgesia and serum interleukin-6 in dogs undergoing orthopaedic surgery</title><title>BMC veterinary research</title><addtitle>BMC Vet Res</addtitle><description>BACKGROUND: Acute postsurgical pain is of great interest due to potential risk of becoming chronic if not treated properly, worsening patient’s recovery and quality of life. Twenty-eight dogs with ruptured cruciate ligaments were divided into three groups that received intramuscular injections of 4 mg/kg of tramadol (TRA), 0.5 mg/kg of methadone (MET0.5), or 0.7 mg/kg of methadone (MET0.7). Physiological parameters (heart and respiratory rates and blood pressure) were evaluated at specified times: baseline (TBL), 1 (T1), 2 (T2), 4 (T4), 6 (T6), and 24 (T24) hours after premedication. Pain scores were described by visual analogue scale (VAS), modified Glasgow Composite, and Colorado University Acute Pain scales. Blood samples for measurement of interleukin (IL)-6 were collected at TBL, T1, T6, and T24. This was a prospective, randomised investigation to evaluate the efficacy of tramadol and methadone as premedications in dogs undergoing osteotomies. RESULTS: There were no statistically significant differences between groups with respect to age, weight, gender, surgery time, and time to extubation. Heart rate, respiratory rate, and blood pressure values were maintained within acceptable ranges, and a reduction was observed at T2 in MET0.5 and MET0.7 compared with TBL. Increases in VAS scores were observed in TRA at T4 compared with TBL, T1, and T24 and between T1 and T6 (p &lt; 0.001). In MET0.5, there was significant increase in VAS score at T4 compared with T1 (p &lt; 0.001). TRA and MET0.5 showed significantly higher mean ± SD VAS scores (3.4 ± 2.5 and 2.5 ± 2.6, respectively) than MET0.7 (1.1 ± 1.5) at T4 (p &lt; 0.001). TRA showed greater demand of rescue analgesia (four animals in T4 and two in T6) (p &lt; 0.037). There were no statistically significant differences in sedation scores, Colorado Scale scores, or interleukin levels between groups and time points. CONCLUSIONS: Methadone given as premedication in doses of 0.7 mg/kg was better at controlling pain compared with lower doses and tramadol. However, dosage increases, administered as rescue analgesia, promoted adequate pain control even in tramadol group. Influence of these analgesics on IL-6 release could not be demonstrated, but significant levels were not found.</description><subject>analgesia</subject><subject>Analgesics</subject><subject>Analgesics, Opioid - administration &amp; dosage</subject><subject>Analgesics, Opioid - pharmacology</subject><subject>Anesthesiology</subject><subject>Animals</subject><subject>Anterior Cruciate Ligament - surgery</subject><subject>Anterior Cruciate Ligament Injuries</subject><subject>Blood pressure</subject><subject>blood serum</subject><subject>Care and treatment</subject><subject>Dogs</subject><subject>Dogs - injuries</subject><subject>Dogs - surgery</subject><subject>Drug dosages</subject><subject>Experiments</subject><subject>Gases</subject><subject>gender</subject><subject>Gene Expression Regulation - drug effects</subject><subject>heart</subject><subject>heart rate</subject><subject>interleukin-6</subject><subject>Interleukin-6 - metabolism</subject><subject>Laboratories</subject><subject>ligaments</subject><subject>Medical research</subject><subject>methadone</subject><subject>Methadone - administration &amp; dosage</subject><subject>Methadone - pharmacology</subject><subject>Pain</subject><subject>Pain Measurement - veterinary</subject><subject>Pain, Postoperative - prevention &amp; control</subject><subject>Pain, Postoperative - veterinary</subject><subject>patients</subject><subject>Postoperative period</subject><subject>quality of life</subject><subject>respiratory rate</subject><subject>risk</subject><subject>Rupture - surgery</subject><subject>sedation</subject><subject>Studies</subject><subject>Surgery</subject><subject>Tramadol - administration &amp; dosage</subject><subject>Tramadol - pharmacology</subject><subject>Veterinary medicine</subject><issn>1746-6148</issn><issn>1746-6148</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNptUttqFTEUHUSxtfoBvmjA56k7l0lmXoRS6gUKPmifQ0x25qTOTI5J5kA_ov9sjqfWFiSEZGWvtcjerKZ5TeGU0l6-z5QNVLVARd2DaNWT5pgqIVtJRf_0wf2oeZHzNYAQg5LPmyPW0YFLxo-b24udmVZTQlxI9KRskKD3aEvewxnLxri4IDGLIyWZuaKJVO425hK3mKpyt6-aacQczB9exrTOJCwF04Trz7C0siLi4pjJujhMYwzLSGIqm7g16IIleU0jppuXzTNvpoyv7s6T5urjxffzz-3l109fzs8uW9sJUVoD4AXKARxXxkpU3BvseMcU6xU6S8H2vhPMQT8gcKOUNB2jooPeA3OSnzQfDr7b9cdcBbjU3ia9TWE26UZHE_TjyhI2eow7LajiALwavLszSPHXirno67imOoWsaSdFD5QP7B9rNBPqsPhYzewcstVnHR8kSOihsk7_w6rL4RxsHb4P9f2RgB4ENsWcE_r7j1PQ-2DoQzB0DYbeB0OrqnnzsON7xd8kVMLbA8GbqM2YQtZX31h1AKCSiZ7x318fvq8</recordid><startdate>20140906</startdate><enddate>20140906</enddate><creator>Cardozo, Larissa B</creator><creator>Cotes, Lourenço C</creator><creator>Kahvegian, Marcia A P</creator><creator>Rizzo, Maria Fernanda C I</creator><creator>Otsuki, Denise A</creator><creator>Ferrigno, Cassio R A</creator><creator>Fantoni, Denise T</creator><general>Springer-Verlag</general><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20140906</creationdate><title>Evaluation of the effects of methadone and tramadol on postoperative analgesia and serum interleukin-6 in dogs undergoing orthopaedic surgery</title><author>Cardozo, Larissa B ; Cotes, Lourenço C ; Kahvegian, Marcia A P ; Rizzo, Maria Fernanda C I ; Otsuki, Denise A ; Ferrigno, Cassio R A ; Fantoni, Denise T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c544t-a00f4e690d37ac6e73fae53527287edc10c8f542d089e03a776a5214508f02d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>analgesia</topic><topic>Analgesics</topic><topic>Analgesics, Opioid - administration &amp; dosage</topic><topic>Analgesics, Opioid - pharmacology</topic><topic>Anesthesiology</topic><topic>Animals</topic><topic>Anterior Cruciate Ligament - surgery</topic><topic>Anterior Cruciate Ligament Injuries</topic><topic>Blood pressure</topic><topic>blood serum</topic><topic>Care and treatment</topic><topic>Dogs</topic><topic>Dogs - injuries</topic><topic>Dogs - surgery</topic><topic>Drug dosages</topic><topic>Experiments</topic><topic>Gases</topic><topic>gender</topic><topic>Gene Expression Regulation - drug effects</topic><topic>heart</topic><topic>heart rate</topic><topic>interleukin-6</topic><topic>Interleukin-6 - metabolism</topic><topic>Laboratories</topic><topic>ligaments</topic><topic>Medical research</topic><topic>methadone</topic><topic>Methadone - administration &amp; dosage</topic><topic>Methadone - pharmacology</topic><topic>Pain</topic><topic>Pain Measurement - veterinary</topic><topic>Pain, Postoperative - prevention &amp; control</topic><topic>Pain, Postoperative - veterinary</topic><topic>patients</topic><topic>Postoperative period</topic><topic>quality of life</topic><topic>respiratory rate</topic><topic>risk</topic><topic>Rupture - surgery</topic><topic>sedation</topic><topic>Studies</topic><topic>Surgery</topic><topic>Tramadol - administration &amp; dosage</topic><topic>Tramadol - pharmacology</topic><topic>Veterinary medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cardozo, Larissa B</creatorcontrib><creatorcontrib>Cotes, Lourenço C</creatorcontrib><creatorcontrib>Kahvegian, Marcia A P</creatorcontrib><creatorcontrib>Rizzo, Maria Fernanda C I</creatorcontrib><creatorcontrib>Otsuki, Denise A</creatorcontrib><creatorcontrib>Ferrigno, Cassio R A</creatorcontrib><creatorcontrib>Fantoni, Denise T</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health &amp; 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Twenty-eight dogs with ruptured cruciate ligaments were divided into three groups that received intramuscular injections of 4 mg/kg of tramadol (TRA), 0.5 mg/kg of methadone (MET0.5), or 0.7 mg/kg of methadone (MET0.7). Physiological parameters (heart and respiratory rates and blood pressure) were evaluated at specified times: baseline (TBL), 1 (T1), 2 (T2), 4 (T4), 6 (T6), and 24 (T24) hours after premedication. Pain scores were described by visual analogue scale (VAS), modified Glasgow Composite, and Colorado University Acute Pain scales. Blood samples for measurement of interleukin (IL)-6 were collected at TBL, T1, T6, and T24. This was a prospective, randomised investigation to evaluate the efficacy of tramadol and methadone as premedications in dogs undergoing osteotomies. RESULTS: There were no statistically significant differences between groups with respect to age, weight, gender, surgery time, and time to extubation. Heart rate, respiratory rate, and blood pressure values were maintained within acceptable ranges, and a reduction was observed at T2 in MET0.5 and MET0.7 compared with TBL. Increases in VAS scores were observed in TRA at T4 compared with TBL, T1, and T24 and between T1 and T6 (p &lt; 0.001). In MET0.5, there was significant increase in VAS score at T4 compared with T1 (p &lt; 0.001). TRA and MET0.5 showed significantly higher mean ± SD VAS scores (3.4 ± 2.5 and 2.5 ± 2.6, respectively) than MET0.7 (1.1 ± 1.5) at T4 (p &lt; 0.001). TRA showed greater demand of rescue analgesia (four animals in T4 and two in T6) (p &lt; 0.037). There were no statistically significant differences in sedation scores, Colorado Scale scores, or interleukin levels between groups and time points. CONCLUSIONS: Methadone given as premedication in doses of 0.7 mg/kg was better at controlling pain compared with lower doses and tramadol. However, dosage increases, administered as rescue analgesia, promoted adequate pain control even in tramadol group. Influence of these analgesics on IL-6 release could not be demonstrated, but significant levels were not found.</abstract><cop>England</cop><pub>Springer-Verlag</pub><pmid>25193623</pmid><doi>10.1186/s12917-014-0194-7</doi><oa>free_for_read</oa></addata></record>
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subjects analgesia
Analgesics
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - pharmacology
Anesthesiology
Animals
Anterior Cruciate Ligament - surgery
Anterior Cruciate Ligament Injuries
Blood pressure
blood serum
Care and treatment
Dogs
Dogs - injuries
Dogs - surgery
Drug dosages
Experiments
Gases
gender
Gene Expression Regulation - drug effects
heart
heart rate
interleukin-6
Interleukin-6 - metabolism
Laboratories
ligaments
Medical research
methadone
Methadone - administration & dosage
Methadone - pharmacology
Pain
Pain Measurement - veterinary
Pain, Postoperative - prevention & control
Pain, Postoperative - veterinary
patients
Postoperative period
quality of life
respiratory rate
risk
Rupture - surgery
sedation
Studies
Surgery
Tramadol - administration & dosage
Tramadol - pharmacology
Veterinary medicine
title Evaluation of the effects of methadone and tramadol on postoperative analgesia and serum interleukin-6 in dogs undergoing orthopaedic surgery
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