Continuous extradural analgesia in a cow with complex regional pain syndrome

Bergadano, Alessandra; Moens, Yves; Schatzmann, Urs (2006). Continuous extradural analgesia in a cow with complex regional pain syndrome. Veterinary anaesthesia and analgesia, 33(3), pp. 189-92. Oxford: Blackwell Science 10.1111/j.1467-2995.2005.00245.x

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A chronic pain syndrome, similar to the complex regional pain syndrome (CRPS) described in human beings, was diagnosed in a cow with persisting severe pelvic limb lameness. Diagnosis was based on the disproportionate relationship between the severity and duration of pain and the lesion, the failure of conventional analgesic and surgical therapy and the presence of characteristic clinical features. Multimodal therapy, i.e. a mixture of methadone, ketamine and bupivacaine was administered continuously for 17 days via an extradural catheter to counteract nociceptive hypersensitization. Doses were adjusted daily after assessing the effect, using a composite pain score. Physiotherapy was also performed. The diagnosis of CRPS in cattle is unusual. In this case, treatment was successful and the cow was discharged mildly lame and in improving physical condition. Long-term extradural analgesia proved to be safe and effective in the treatment of this syndrome, which was nonresponsive to conventional therapy.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	05 Veterinary Medicine > Department of Clinical Veterinary Medicine (DKV) > DKV - Anaesthesiology
UniBE Contributor:	Bergadano, Alessandra, Schatzmann, Urs
ISSN:	1467-2987
Publisher:	Blackwell Science
Language:	English
Submitter:	Factscience Import
Date Deposited:	04 Oct 2013 14:45
Last Modified:	05 Dec 2022 14:14
Publisher DOI:	10.1111/j.1467-2995.2005.00245.x
PubMed ID:	16634945
Web of Science ID:	000237389200008
URI:	https://boris.unibe.ch/id/eprint/18685 (FactScience: 892)