Continuous Extradural Infusion of Ropivacaine in a Cat with Severe Abdominal Trauma

Dany Elzahaby; Isabelle Iff

doi:10.3390/ani15162378

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Continuous Extradural Infusion of Ropivacaine in a Cat with Severe Abdominal Trauma

Journal article

Open access

Peer reviewed

Continuous Extradural Infusion of Ropivacaine in a Cat with Severe Abdominal Trauma

Dany Elzahaby and Isabelle Iff

Animals (Basel), Vol.15(16), 2378

2025

DOI: https://doi.org/10.3390/ani15162378

PMID: 40867707

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Abstract

Agriculture

Agriculture, Dairy & Animal Science

Life Sciences & Biomedicine

Science & Technology

Veterinary Sciences

Zoology

Continuous extradural infusions (CEIs) provide sustained analgesia, avoiding fluctuations seen with bolus administrations. An extradural catheter was placed in a cat with severe abdominal trauma following a vehicular accident. To provide sustained pain relief, a CEI of 0.5% ropivacaine at 0.18 mg/kg/h or 0.036 mL/kg/h was initiated, resulting in improved analgesia, as shown by lower scores on both the Feline Grimace Scale (FGS) and the Glasgow Composite Measure Pain Scale-Feline (CMPS-Feline). During treatment, the cat developed hypersalivation, which persisted after catheter removal at 72 h. Eventually, the cat's condition deteriorated, with signs of sepsis leading to euthanasia due to a poor prognosis. Potential contributors to the cat's decline included systemic infection, local anaesthetic systemic toxicity, or opioid-related effects. This report describes the placement of an extradural catheter in a cat, highlighting the potential of CEI in feline pain management while emphasising the need for further research on its pharmacokinetics and safety.

Details

Title: Continuous Extradural Infusion of Ropivacaine in a Cat with Severe Abdominal Trauma
Authors/Creators: Dany Elzahaby - University of Bern
Isabelle Iff - Kantonsschule Olten
Publication Details: Animals (Basel), Vol.15(16), 2378
Publisher: MDPI
Number of pages: 9
Identifiers: 991005850288407891
Murdoch Affiliation: Murdoch University; The Animal Hospital At Murdoch University
Language: English
Resource Type: Journal article

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Citation topics: 1 Clinical & Life Sciences; 1.43 Anesthesiology; 1.43.1642 Veterinary Anesthesia
Web Of Science research areas: Agriculture, Dairy & Animal Science; Veterinary Sciences; Zoology
ESI research areas: Plant & Animal Science