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Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery

Malavasi, Laís de Matos (2005). Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery. Diss. (sammanfattning/summary) Uppsala : Sveriges lantbruksuniv., Acta Universitatis agriculturae Sueciae, 1652-6880 ; 2005:80
ISBN 91-576-6979-1
[Doctoral thesis]

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Abstract

Pigs are commonly used in biomedical research, often subjected to complicated and invasive surgical procedures. The knowledge of appropriate analgesia and anaesthesia in pigs however is limited. Therefore, the general aim of the present thesis was to establish and evaluate opioid analgesia suitable for abdominal surgery in growing pigs. Isoflurane minimal alveolar concentration (MAC) was determined in growing pigs using claw pinching. Thereafter, each pig was randomly studied thrice to determine the MAC values in the following treatments: induction of anaesthesia with medetomidine and tiletamine/zolazepam given intramuscularly (MTZ); MTZ followed by epidural morphine (MTZ/M); and MTZ followed by intramuscular buprenorphine (MTZ/B). Pigs were subjected to abdominal surgery during isoflurane anaesthesia and physiological and behavioural effects of MTZ/M and MTZ/B compared to MTZ were evaluated. Transdermal fentanyl was applied and the effects were evaluated for 60 h in conscious pigs and in pigs treated with MTZ/M. Opioid serum concentrations were monitored up to 72 h after drug administration. Behaviour was analysed utilizing videotape recordings of pigs’ activity level before and after surgery. Induction of anaesthesia with MTZ reduced the isoflurane MAC in pigs by 68%. Additional epidural morphine and systemic buprenorphine decreased MTZ isoflurane MAC by 33% and 50%, respectively. Pigs treated with epidural morphine or systemic buprenorphine prior to abdominal surgery attained surgical anaesthetic depth with reduced isoflurane requirement. Induction of anaesthesia with MTZ improved arterial blood pressure and oxygenation compared to isoflurane induction. Epidural morphine did not influence the cardiorespiratory functions during anaesthesia but systemic buprenorphine affected the respiratory response in spontaneously breathing pigs. The postoperative activity level after epidural morphine was lower but the pigs gained weight and the feed intake was similar compared to before surgery. Combining epidural morphine and transdermal fentanyl resulted in initial return to regular activity levels and weight gain after surgery. Twelve hours after surgery these pigs showed decreased activity but still gained weight. Transdermal fentanyl alone in conscious pigs did not cause inactivity or sedation but resulted in inter-individual variations in fentanyl serum concentrations. Systemic buprenorphine caused unpredictable activity levels with postoperative decrease in weight and feed consumption. The analgesic properties of MTZ contributed to a substantial reduction in concentration of isoflurane required for maintenance of inhalation anaesthesia. Additional preoperative opioid analgesia further reduced the requirements of isoflurane needed to maintain an adequate anaesthetic depth. The opioids evaluated resulted in different behaviour postoperatively. Pigs treated with epidural morphine with or without transdermal fentanyl had good appetite and gained weight after abdominal surgery indicating improved postoperative recovery.

Authors/Creators:Malavasi, Laís de Matos
Title:Physiological and behavioral effects of opioids in pigs subjected to abdominal surgery
Year of publishing :2005
Volume:2005:80
Number of Pages:42
Papers/manuscripts:
NumberReferences
ALLI: Malavasi, L.M., Jensen-Waern, M., Augustsson, H. & Nyman, N. 2005. Changes in minimal alveolar concentration of isoflurane after treatment with medetomidine and tiletamine/zolazepam, epidural morphine and systemic buprenorphine in pigs. (Manuscript). II: Malavasi, L.M., Jensen-Waern, M., Jacobson, M., Rydén, A., Öhagen, P. & Nyman, G. 2005. Effects of epidural morphine on end-tidal isoflurane concentration and physiological parameters in pigs undergoing abdominal surgery: a clinical study. Veterinary Anaesthesia and Analgesia (accepted). III: Malavasi, L.M., Nyman, G., Augustsson, H., Jacobson, M. & Jensen-Waern, M. 2005. Effects of epidural morphine and transdermal fentanyl analgesia on physiology and behaviour after abdominal surgery in pigs. Laboratory Animals (accepted). IV: Malavasi, L.M., Jensen-Waern, M., Augustsson, H., Lindberg, J.E. & Nyman, G. 2005. Effects of preoperative epidural morphine and intramuscular buprenorphine in pigs subjected to abdominal surgery: a pilot study. (Manuscript). V: Malavasi, L.M., Augustsson, H., Jensen-Waern, M. & Nyman, G. 2005. The effect of transdermal delivery of fentanyl on activity in growing pigs. Acta Veterinaria Scandinavica (in press).
Place of Publication:Uppsala
ISBN for printed version:91-576-6979-1
ISSN:1652-6880
Language:English
Publication Type:Doctoral thesis
Full Text Status:Public
Agris subject categories.:L Animal production > L70 Veterinary science and hygiene - General aspects
Subjects:Not in use, please see Agris categories
Agrovoc terms:swine, anaesthesia, analgesics, morphine, pain, behaviour, surgical operations, laboratory diagnosis
Keywords:swine, anaesthesia, analgesia, epidural morphine, buprenorphine, transdermal fentanyl, minimal alveolar concentration, isoflurane, pain assessment, behaviour
URN:NBN:urn:nbn:se:slu:epsilon-747
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-747
ID Code:939
Department:(VH) > Dept. of Clinical Sciences
Deposited By: Laís de Matos Malavasi
Deposited On:22 Sep 2005 00:00
Metadata Last Modified:02 Dec 2014 10:08

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