Multimodal analgesia for treatment of allodynia and hyperalgesia after major trauma in a cat

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dc.contributor.authorGoich, Mariela
dc.contributor.authorBascuñán, Alejandra
dc.contributor.authorFaúndez, Patricio
dc.contributor.authorValdés, Alicia
dc.date.accessioned2023-12-18T18:43:54Z
dc.date.available2023-12-18T18:43:54Z
dc.date.issued2019
dc.descriptionIndexación (Scopus)es
dc.description.abstractCase summary A 2-year-old polytraumatized male cat was admitted to a teaching hospital for correction of a defective inguinal herniorrhaphy. Upon arrival, the cat showed signs of neuropathic pain, including allodynia and hyperalgesia. Analgesic therapy was initiated with methadone and metamizole; however, 24 h later, the signs of pain continued. Reparative surgery was performed, and a multimodal analgesic regimen was administered (methadone, ketamine, wound catheter and epidural anesthesia). Postoperatively, the cat showed signs of severe pain, assessed using the UNESP-Botucatu multidimensional composite pain scale. Rescue analgesia was initiated, which included methadone, bupivacaine (subcutaneous wound-diffusion catheter) and transversus abdominis plane block. Because the response was incomplete, co-adjuvant therapy (pregabalin and electroacupuncture) was then implemented. Fourteen days after admission, the patient was discharged with oral tramadol and pregabalin for at-home treatment. Relevance and novel information Neuropathic pain is caused by a primary lesion or dysfunction in the nervous system and is a well-described complication following trauma, surgical procedures such as hernia repair, and inadequate analgesia. The aims of this report are to: (1) describe a presentation of neuropathic pain to highlight the recognition of clinical signs such as allodynia and hyperalgesia in cats; and (2) describe treatment of multi-origin, severe, long-standing, ‘mixed’ pain (acute inflammatory with a neuropathic component). The patient was managed using multiple analgesic strategies (multimodal analgesia), including opioids, non-steroidal anti-inflammatory drugs, locoregional anesthesia, co-adjuvant drugs and non-pharmacological therapy (electroacupuncture).es
dc.identifier.citationJournal of Feline Medicine and Surgery Open Reports Volume 5, Issue 1 2019es
dc.identifier.doi10.1177/2055116919855809en
dc.identifier.issn2055-1169
dc.identifier.urihttps://repositorio.unab.cl/xmlui/handle/ria/54545
dc.language.isoenes
dc.publisherSAGE Publications Ltdes
dc.subjectAllodyniaes
dc.subjectElectroacupuncturees
dc.subjectHyperalgesiaes
dc.subjectInguinal herniorrhaphyes
dc.subjectMultimodal analgesiaes
dc.subjectNeuropathic paines
dc.subjectPregabalines
dc.titleMultimodal analgesia for treatment of allodynia and hyperalgesia after major trauma in a cates
dc.typeArtículoes
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