Page 127 - BSAVA Guide to Pain Management in Small Animal Practice
P. 127
BSAVA Guide to Pain Management in Small Animal Practice
VetBooks.ir CASE EXAMPLE 1 CONTINUED
. mg kg i.v. was administered 4. hours
after premedication. A splash block on the
sternotomy wound was performed via the
wound soaker catheter with bupivacaine
. 1 mg kg .
POSTOPERATIVE MANAGEMENT
Pain assessment was regularly performed
and guided by the use of the Glasgow
Composite easure Short orm Pain Scale. (a)
Intravenous boluses of morphine . mg kg
were continued every 4 hours for the rst 48
hours followed by buprenorphine g kg
every 8 hours, for days. Splash blocks, via
the wound soaker catheter, with bupivacaine
. 1 mg kg were performed every 6
hours for 48 hours. At this stage the catheter
was removed. he dog was discharged
days postoperatively on a course of
meloxicam .1 mg kg orally once daily and
4 mg paracetamol 9 mg codeine
phosphate half tablet, twice daily .
TIPS OM T E AUT O PLACEMENT O
A OUND SOA E CAT ETE
Wound soaker catheters are also known as
di usion catheters and are available in
several lengths.
■ Choose a length of catheter that
encompasses the length of the wound.
■ The catheter should be buried in the
deepest layer of the closure, just ventral
to the sternum on top of in a median
sternotomy and medial to the latissimus
dorsi muscle in an intercostal
thoracotomy igure 7.1ab . (c)
■ The catheter should exit the wound Intercostal thoracotomy wound.
(a) The wound soaker catheter has
dorsally and all micropores must be been placed along the length of the wound, just
situated under the skin. dorsal to the circumcostal sutures. A minimal pro le
■ An in line bacterial lter arrow towards thoracostomy drain white has also been placed.
the wound should be attached to the The latissimus dorsi muscle is apposed laterally
open end of the catheter followed by a to the wound soaker catheter. (c) The wound has
been completely closed. Note the in-line bacterial
needle-free valve to prevent lter attached to the open end of the catheter
contamination igure 7.1c . followed by a needle-free valve.
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