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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 />

34

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