Tierärztliche Hochschule Hannover Vergleichende Studie zur
Tierärztliche Hochschule Hannover Vergleichende Studie zur
Tierärztliche Hochschule Hannover Vergleichende Studie zur
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Publikation 2<br />
whether movement by the animals in Group EPI represent a reaction to an aversive<br />
sensation caused by surgical intervention or if they are an expression of discomfort<br />
being restrained in an unfamiliar proprioceptive state. In an attempt to prevent<br />
misinterpretation of the VAS, we recorded specific reactions only to pre-defined intraoperative<br />
procedures which are commonly regarded as painful (e.g. the incision of<br />
the skin or sutures of muscular tissue).<br />
As expected the INH anaesthesia was rapidly adjustable and an adequate depth of<br />
anaesthesia was easy to maintain, which is supported by the low VAS. By inference,<br />
intra-operative agitations reflect an unpleasant and aversive sensory experience<br />
(pain) suffered by the calf (Anil et al. 2002). According to the VAS, the EPI<br />
anaesthesia did not alleviate intraoperative pain as much as INH anaesthesia, but<br />
provided superior analgesia compared to the INJ anaesthesia. However, low VAS<br />
scores alone are insufficient to indicate low pain sensation, as immobility in inhalation<br />
anaesthesia is due to depression of spinal alpha-motor neurons and not due to<br />
analgesia alone.<br />
Cortisol levels increased in response to the surgical procedure in all three groups,<br />
indicating that neither inhalation anaesthesia, nor injection anaesthesia or epidural<br />
anaesthesia were able to prevent the surgical stress response. A total suppression of<br />
the endocrine stress response is unachievable, because general anaesthesia has<br />
little effect on the direct release of cytokines into the bloodstream (acute phase<br />
response) after local trauma and injury (Imura et al. 1991; Desborough 2000).<br />
Increased cortisol levels are not a specific indicator for pain, as they are also<br />
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