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 and Schatzmann, Urs

ISSN:

1467-2987

Publisher:

Blackwell Science

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:45

Last Modified:

04 May 2014 23:13

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)

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