Thu 23 February 2012
Evaluation of two sedation protocols for use before diagnostic intra-articular anaesthesia in lame dogs.
JSAP 2011 Dec 52 12 638-44
Objectives: To assess the influence of two sedation protocols on the degree of lameness in dogs. Methods: Fifty lame dogs were allocated to one of two sedation protocols. Group ACPM (acepromazine + methadone; n=25) was sedated with acepromazine and methadone. Group MED (medetomidine antagonised with atipamezole; n=25) was sedated with medetomidine and reversed with atipamezole. Each dog was evaluated for lameness before and after sedation using videotapes. Four experienced clinicians allocated global lameness scores before and after sedation to each dog using a numerical rating scale. Results: In 80% of the dogs in group ACPM and in 72% in group MED lameness was not affected by the sedation. In 12% of the dogs in group ACPM and 20% of the dogs in group MED the observers noticed an increase of lameness of 1 or 2 degrees on a scale of 0 to 10. In 8% of the dogs in both groups lameness decreased with 1 degree. Clinical Relevance: A possible diagnostic test for investigation of obscure lameness is intra-articular anaesthesia. Sedation is necessary to allow intra-articular injection. This study provided evidence that the effect of sedation with the proposed protocols on the degree of lameness is negligible.
OrthoVet Books

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Manual of equine lameness
1st ed, 454 pages, 750 ill., John Wiley & Sons, October 2011
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Diagnosis and management of lameness in the horse
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SCOTT
Feline orthopedics
1st ed., 384 pages, 350 ill., Blackwell Science, May 2007
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LEWIS
Self-assessment colour review of small animal orthopaedics
1st ed., 192 pages, 500 ill., Manson Publishing/The Veterinary Press, June 1998
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AO Principles of equine osteosynthesis
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