The use of multimodal analgesia in the management of suspected extremity compartment syndrome in the pelvic limb of a horse

Bruniges, N ORCID: 0000-0003-2561-3930, Milner, P and Bardell, D ORCID: 0000-0003-1573-1706 (2019) The use of multimodal analgesia in the management of suspected extremity compartment syndrome in the pelvic limb of a horse. EQUINE VETERINARY EDUCATION, 31 (7). pp. 354-362.

Text The use of multimodal analgesia in the management of suspected extremity compartment syndrome in the pelvic limb of a horse EVE.pdf - Author Accepted Manuscript Download (823kB)

Abstract

<jats:title>Summary</jats:title><jats:p>A 12‐year‐old Thoroughbred cross Dartmoor mare was referred to the clinic with marked lameness and swelling involving the left stifle region. There was poor initial response to medical management and arthroscopic examination of the stifle joint was performed under general anaesthesia. Following surgery, the lameness and swelling worsened and extremity compartment syndrome was suspected. A multimodal analgesia protocol was instigated to provide adequate analgesia and improved mobility, aiding the use of physical therapy in resolving the swelling. This report demonstrates the successful combination of nonsteroidal anti‐inflammatories, paracetamol, ketamine infusion and epidural opioid administration to manage the clinical signs. The mare was discharged from hospital after 15 days and at short‐term follow‐up (3 months), there was no reported residual swelling or lameness.</jats:p>

Item Type:	Article
Uncontrolled Keywords:	horse, extremity compartment syndrome (ECS), ketamine, paracetamol, epidural, opioids, multimodal analgesia
Depositing User:	Symplectic Admin
Date Deposited:	13 Mar 2019 09:39
Last Modified:	19 Sep 2023 01:12
DOI:	10.1111/eve.12797
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3034074