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Clinical blood gas indices and histopathological effects of intrathecal injection of tolfenamic acid and lidocaine Hcl in donkeys
The present study aimed to investigate the clinical blood gas indices and histopathological consequences after intrathecal injection of tolfenamic acid and lidocaine Hcl and moreover, to elucidate the spinal safety of tolfenamic acid as a cyclooxygenase inhibitor in donkeys. Ten clinically healthy d...
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Published in: | Comparative clinical pathology 2020-02, Vol.29 (1), p.83-93 |
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description | The present study aimed to investigate the clinical blood gas indices and histopathological consequences after intrathecal injection of tolfenamic acid and lidocaine Hcl and moreover, to elucidate the spinal safety of tolfenamic acid as a cyclooxygenase inhibitor in donkeys. Ten clinically healthy donkeys were divided into two groups, 5 animals each. The first group received lidocaine Hcl 2% and the second one received tolfenamic acid 4% intrathecally. The physical parameters and ataxia, analgesia, and motor blockade scores were recorded. Blood gases and acid base balance indices and histopathological examination were done. Blood pH level was significantly decreased (
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doi_str_mv | 10.1007/s00580-019-03025-7 |
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P
< 0.05) and the blood pCO
2
level was significantly increased (
P
< 0.05) 15 min after intrathecal injection of tolfenamic acid. Additionally, there was a significant difference in the motor block scores between the two groups at 2 and 4 h post-injection. Histopathological findings of the spinal cord of tolfenamic acid–injected group revealed neurodegeneration and necrosis which were manifested clinically by paraplegia. In conclusion, the present study uncovered the analgesic and motor effects of commercially prepared tolfenamic acid following intrathecal injection in donkeys. Nevertheless, it is unsafe because of its neurotoxic effect on the spinal cord which was manifested clinically by paraplegia of donkeys. On the other hand, intrathecal administration of lidocaine Hcl was safe and causes nonserious cardiopulmonary changes.</description><identifier>ISSN: 1618-5641</identifier><identifier>EISSN: 1618-565X</identifier><identifier>DOI: 10.1007/s00580-019-03025-7</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Acids ; Analgesia ; Ataxia ; Blood ; Gases ; Hematology ; Injection ; Lidocaine ; Medical malpractice ; Medicine ; Medicine & Public Health ; Neurodegeneration ; Neurotoxicity ; Oncology ; Original Article ; Pain perception ; Paralysis ; Paraplegia ; Pathology ; Prostaglandin endoperoxide synthase ; Spinal cord</subject><ispartof>Comparative clinical pathology, 2020-02, Vol.29 (1), p.83-93</ispartof><rights>Springer-Verlag London Ltd., part of Springer Nature 2019</rights><rights>Comparative Clinical Pathology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1857-5e2cea0b49158e79a6e1cd8feb99e0de418cc303b4f1727baf6a97d49f0be50b3</cites><orcidid>0000-0002-3992-4417</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Abdelhakiem, Mohammed A. H.</creatorcontrib><creatorcontrib>Abdelbaset, Abdelbaset Eweda</creatorcontrib><creatorcontrib>Abd-Elkareem, Mahmoud</creatorcontrib><creatorcontrib>Rawy, Mohamed S.</creatorcontrib><creatorcontrib>Mahmoud, Hamdy F. F.</creatorcontrib><title>Clinical blood gas indices and histopathological effects of intrathecal injection of tolfenamic acid and lidocaine Hcl in donkeys</title><title>Comparative clinical pathology</title><addtitle>Comp Clin Pathol</addtitle><description>The present study aimed to investigate the clinical blood gas indices and histopathological consequences after intrathecal injection of tolfenamic acid and lidocaine Hcl and moreover, to elucidate the spinal safety of tolfenamic acid as a cyclooxygenase inhibitor in donkeys. Ten clinically healthy donkeys were divided into two groups, 5 animals each. The first group received lidocaine Hcl 2% and the second one received tolfenamic acid 4% intrathecally. The physical parameters and ataxia, analgesia, and motor blockade scores were recorded. Blood gases and acid base balance indices and histopathological examination were done. Blood pH level was significantly decreased (
P
< 0.05) and the blood pCO
2
level was significantly increased (
P
< 0.05) 15 min after intrathecal injection of tolfenamic acid. Additionally, there was a significant difference in the motor block scores between the two groups at 2 and 4 h post-injection. Histopathological findings of the spinal cord of tolfenamic acid–injected group revealed neurodegeneration and necrosis which were manifested clinically by paraplegia. In conclusion, the present study uncovered the analgesic and motor effects of commercially prepared tolfenamic acid following intrathecal injection in donkeys. Nevertheless, it is unsafe because of its neurotoxic effect on the spinal cord which was manifested clinically by paraplegia of donkeys. On the other hand, intrathecal administration of lidocaine Hcl was safe and causes nonserious cardiopulmonary changes.</description><subject>Acids</subject><subject>Analgesia</subject><subject>Ataxia</subject><subject>Blood</subject><subject>Gases</subject><subject>Hematology</subject><subject>Injection</subject><subject>Lidocaine</subject><subject>Medical malpractice</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurodegeneration</subject><subject>Neurotoxicity</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain perception</subject><subject>Paralysis</subject><subject>Paraplegia</subject><subject>Pathology</subject><subject>Prostaglandin endoperoxide synthase</subject><subject>Spinal cord</subject><issn>1618-5641</issn><issn>1618-565X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kD9PwzAQxSMEEqXwBZgsMQfOcZw_I6qAIlViAYnNcuxz65LaxU6HjnxznBbBxnSnu997d3pZdk3hlgLUdxGAN5ADbXNgUPC8PskmtKJNziv-fvrbl_Q8u4hxDUB5w9gk-5r11lkle9L13muylJFYp63CSKTTZGXj4LdyWPneLw8cGoNqiMSbBA4hrXAcW7dOY-vduBh8b9DJjVVEKqsPTr3VXknrkMzViBPt3Qfu42V2ZmQf8eqnTrO3x4fX2TxfvDw9z-4XuaINr3OOhUIJXdmmz7FuZYVU6cZg17YIGkvaKMWAdaWhdVF30lSyrXXZGuiQQ8em2c3Rdxv85w7jINZ-F1w6KYqiqmjy5SxRxZFSwccY0IhtsBsZ9oKCGKMWx6hFilocohZ1ErGjKCbYLTH8Wf-j-gZ7joQC</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Abdelhakiem, Mohammed A. 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H. ; Abdelbaset, Abdelbaset Eweda ; Abd-Elkareem, Mahmoud ; Rawy, Mohamed S. ; Mahmoud, Hamdy F. 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H.</creatorcontrib><creatorcontrib>Abdelbaset, Abdelbaset Eweda</creatorcontrib><creatorcontrib>Abd-Elkareem, Mahmoud</creatorcontrib><creatorcontrib>Rawy, Mohamed S.</creatorcontrib><creatorcontrib>Mahmoud, Hamdy F. F.</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Comparative clinical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdelhakiem, Mohammed A. H.</au><au>Abdelbaset, Abdelbaset Eweda</au><au>Abd-Elkareem, Mahmoud</au><au>Rawy, Mohamed S.</au><au>Mahmoud, Hamdy F. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical blood gas indices and histopathological effects of intrathecal injection of tolfenamic acid and lidocaine Hcl in donkeys</atitle><jtitle>Comparative clinical pathology</jtitle><stitle>Comp Clin Pathol</stitle><date>2020-02-01</date><risdate>2020</risdate><volume>29</volume><issue>1</issue><spage>83</spage><epage>93</epage><pages>83-93</pages><issn>1618-5641</issn><eissn>1618-565X</eissn><abstract>The present study aimed to investigate the clinical blood gas indices and histopathological consequences after intrathecal injection of tolfenamic acid and lidocaine Hcl and moreover, to elucidate the spinal safety of tolfenamic acid as a cyclooxygenase inhibitor in donkeys. Ten clinically healthy donkeys were divided into two groups, 5 animals each. The first group received lidocaine Hcl 2% and the second one received tolfenamic acid 4% intrathecally. The physical parameters and ataxia, analgesia, and motor blockade scores were recorded. Blood gases and acid base balance indices and histopathological examination were done. Blood pH level was significantly decreased (
P
< 0.05) and the blood pCO
2
level was significantly increased (
P
< 0.05) 15 min after intrathecal injection of tolfenamic acid. Additionally, there was a significant difference in the motor block scores between the two groups at 2 and 4 h post-injection. Histopathological findings of the spinal cord of tolfenamic acid–injected group revealed neurodegeneration and necrosis which were manifested clinically by paraplegia. In conclusion, the present study uncovered the analgesic and motor effects of commercially prepared tolfenamic acid following intrathecal injection in donkeys. Nevertheless, it is unsafe because of its neurotoxic effect on the spinal cord which was manifested clinically by paraplegia of donkeys. On the other hand, intrathecal administration of lidocaine Hcl was safe and causes nonserious cardiopulmonary changes.</abstract><cop>London</cop><pub>Springer London</pub><doi>10.1007/s00580-019-03025-7</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-3992-4417</orcidid></addata></record> |
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subjects | Acids Analgesia Ataxia Blood Gases Hematology Injection Lidocaine Medical malpractice Medicine Medicine & Public Health Neurodegeneration Neurotoxicity Oncology Original Article Pain perception Paralysis Paraplegia Pathology Prostaglandin endoperoxide synthase Spinal cord |
title | Clinical blood gas indices and histopathological effects of intrathecal injection of tolfenamic acid and lidocaine Hcl in donkeys |
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