Evaluation of different methods of environmental enrichment to control anxiety in dogs undergoing hemilaminectomy after acute intervertebral disc extrusion: a randomized double-blinded study

The goal of this randomized, double-blinded, placebo-controlled study was to evaluate the effect of environmental enrichment (EE) on post-operative pain and anxiety in dogs following hemilaminectomy for acute intervertebral disc extrusion (IVDE). Twenty healthy client-owned dogs undergoing a hemilam...

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Published in:Frontiers in veterinary science Vol. 10; p. 1124982
Main Authors: Pennington, Ellery, Springer, Cary, Albright, Julia, Castel, Aude
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 30-05-2023
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Summary:The goal of this randomized, double-blinded, placebo-controlled study was to evaluate the effect of environmental enrichment (EE) on post-operative pain and anxiety in dogs following hemilaminectomy for acute intervertebral disc extrusion (IVDE). Twenty healthy client-owned dogs undergoing a hemilaminectomy for IVDE with the same immediate post-operative analgesia protocol were randomly assigned to either the EE or standard environment (SE) group post-operatively. Recovery was achieved in an intensive care room (SE) or a separate quiet room (EE) equipped with white noise and classical music. EE dogs were also exposed to dog-appeasing pheromones, essential oil scents, and positive human interactions and were provided meals through food toys. A blinded evaluator assessed all dogs using the modified Glasgow Composite Pain Scale (mGCPS) on presentation and at several time points post-operatively. A rescue injection of the opioid methadone was given to the dogs with an mGCPS score of ≥5/20. Dogs received the antidepressant trazodone when anxious behaviors (5 mg/kg) were observed. The mGCPS scores, the latencies to receive the first methadone and trazodone doses and to eat the first meal, the number of methadone and trazodone doses, and the number of meals ingested in the first 24 and 48 h post-surgery were compared using Wilcoxon tests, and Benjamini-Hochberg correction for false discovery rate was applied. Although median mGCPS scores did not differ between the groups, compared to SE dogs ( = 10), EE dogs ( = 6) received trazodone earlier ( = 0.019), were administered fewer methadone injections at 24 h ( = 0.043), and ate more at 48 h post-surgery ( = 0.007). Therefore, EE and anti-anxiety medications could be beneficial in improving the wellbeing of dogs post-operatively.
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Reviewed by: Vera Baumans, Utrecht University, Netherlands; Peter William Hellyer, Colorado State University, United States; Daniel Mota-Rojas, Metropolitan Autonomous University, Mexico; Andrew Bell, University of Glasgow, United Kingdom
Present address: Aude Castel, Département des Sciences Cliniques, Faculté de Médecine Vétérinaire, Université de Montréal, Montreal, QC, Canada
Edited by: Lee Niel, University of Guelph, Canada
ISSN:2297-1769
2297-1769
DOI:10.3389/fvets.2023.1124982