Cerenia as part of pre-med

RE: Cerenia as part of pre-med

Clive Ansell — Thu, 12 Oct 2017 16:50:26 GMT

[quote user="robloxley"]So is there any answer from the OP as to why it was given, maybe there's something new to learn?[/quote]

Given at the request of the referral centre prior to anaesthesia for all major investigations or procedures, the evening prior too.

Their statement;

"it has been shown to reduce the vomiting associated with opioids, is thought to reduce the incidence of oesophageal reflux, has a mild analgesic effect so reduces the concentration of volatile anaesthesia needed, and gets patients eating faster postoperatively."

RE: Cerenia as part of pre-med

Martin Atkinson — Thu, 12 Oct 2017 15:42:10 GMT

[quote user="Eilidh Corr"]It's interesting about the analgesic effects of maropitant though - some animals do appear so much more comfortable once it's on board it doesn't seem unreasonable that it's doing more than just relieving nausea.[/quote]I have found that animals which I suspect are suffering from nausea do appear very much more comfortable after Cerenia. I hadn't considered that it may also be acting as an analgesic but from my own experience as I suffer horribly from motion sickness and react badly to opioids I would rather be in pain than feel nauseous so if animals feel anything like that we may gain the impression its acting as an analgesic as well.

RE: Cerenia as part of pre-med

Rob Loxley — Thu, 12 Oct 2017 14:31:50 GMT

[quote user="mariette asselbergs"]I don't do orthopedics but I don't think it has any analgesic effects there[/quote]

So is there any answer from the OP as to why it was given, maybe there's something new to learn?

RE: Cerenia as part of pre-med

Eilidh Corr — Thu, 12 Oct 2017 09:16:39 GMT

My money is on the client expressing concern about travel sickness. Sometimes simple things are simple ...

It's interesting about the analgesic effects of maropitant though - some animals do appear so much more comfortable once it's on board it doesn't seem unreasonable that it's doing more than just relieving nausea.

RE: Cerenia as part of pre-med

mariette asselbergs — Wed, 11 Oct 2017 20:51:36 GMT

I don't do orthopedics but I don't think it has any analgesic effects there.

Mariette

RE: Cerenia as part of pre-med

Rob Loxley — Tue, 10 Oct 2017 23:11:10 GMT

[quote user="mariette asselbergs"]it also is ISO sparing and an abdominal analgesic and it acts anti protein P. I work in OOH and use it pre op in GDVs, foreign body obstruction, brachycephalics and sometimes in cystitis/blocked cats[/quote]

and for orthopaedic procedures?

RE: Cerenia as part of pre-med

Linda Filshie — Tue, 10 Oct 2017 22:48:59 GMT

[quote user="Charlotte Marshall"]

I recently went to an anaesthesia CPD day where they were suggesting cerenia pre op for brachycephalics because they said they were more likely to get gastric reflux under GA.

[/quote]

I wasn't aware cerenia had an effect on the cardiac sphincter (thought it mainly acted on the CTZ centrally)- did they highlight any literature on this?

RE: Cerenia as part of pre-med

mariette asselbergs — Tue, 10 Oct 2017 21:54:35 GMT

Cerenia is not only antiemetic, it also is ISO sparing and an abdominal analgesic and it acts anti protein P. I work in OOH and use it pre op in GDVs, foreign body obstruction, brachycephalics and sometimes in cystitis/blocked cats.

Mariette

RE: Cerenia as part of pre-med

Francisco Gomez — Tue, 10 Oct 2017 08:30:15 GMT

Pain relief: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626099/

RE: Cerenia as part of pre-med

Charlotte Marshall — Tue, 10 Oct 2017 08:12:40 GMT

I recently went to an anaesthesia CPD day where they were suggesting cerenia pre op for brachycephalics because they said they were more likely to get gastric reflux under GA.

RE: Cerenia as part of pre-med

Beats — Mon, 09 Oct 2017 19:01:52 GMT

[quote user="Robin Grimmer"]

[quote user="Beats"]

I tend to give omeprazole the night before for older/brachicephalic dogs and before longer procedures.

[/quote]

Why?

[/quote]

In the hope that it is still decreasing gastric pH by the time of anesthesia. Sometimes I pop an omeprazole in a compliant brachycephalic on admission also, particularly if it has history of regurgitation and clinical suspicion of hiatal hernia or similar.

Less-acidic gastric pH = potentially less acid burn to esophagus when cardiac sphincter relaxes = potentially lower risk of post-op esophagitis = potential

Seems worth 10p-20p to me, but I appreciate there's no hard evidence I know of that a capsule with dinner the night before makes a blind bit of (beneficial) difference by time of GA...

RE: Cerenia as part of pre-med

Yantha Smyth — Mon, 09 Oct 2017 18:24:50 GMT

Could it be the dog gets travel sick, and they are intending for cerenia to be pre-emptive for travel to them on the day?

RE: Cerenia as part of pre-med

Robin Grimmer — Mon, 09 Oct 2017 17:10:10 GMT

[quote user="Beats"]

I tend to give omeprazole the night before for older/brachicephalic dogs and before longer procedures.

[/quote]

Why?

Never given Cerenia pre or post op. Stopped using metoclopramide in rabbits. I think avoiding post op ileus in rabbits is all about a swift anaesthetic recovery, good analgesia and surgical technique avoiding stress ie away from dogs and home asap.

RE: Cerenia as part of pre-med

Martin Atkinson — Mon, 09 Oct 2017 16:17:02 GMT

[quote user="Clive Ansell"]Are there many folk out there using Cerenia, or any other antiemetic, routinely as part of their pre med regime in cats and dogs?[/quote]No, I've never found a need for any anti-emetic, the only time routine anti-emetics are given is for chemotherapy. At a time when complaints over vets fees are ripe (cf the other current thread) Cerenia is too expensive to flash about routinely.

[quote user="Clive Ansell"]Do many routinely give metoclopramide for rabbit anaesthetics? [/quote] Used to but largely from feedback on this thread don't anymore and would use ranitidine as a pro-kinetic if I was going to give anything.

RE: Cerenia as part of pre-med

Beats — Mon, 09 Oct 2017 15:39:46 GMT

I tend to give omeprazole the night before for older/brachicephalic dogs and before longer procedures.

I do sometimes give cerenia pre-op, but not often.

RE: Cerenia as part of pre-med

Thomas Johnson — Mon, 09 Oct 2017 15:02:38 GMT

[quote user="Clive Ansell"]

Are there many folk out there using Cerenia, or any other antiemetic, routinely as part of their pre med regime in cats and dogs?

The reason I ask is that a referral centre has asked that a dog going for an orthopaedic investigation is given Cerenia the night before its anaesthetic the next day.

Not something I have encountered before. I can't remember the last time I had an issue with a patient vomiting during anaesthesia or on recovery.

[/quote]

We don't, and I also can't remember the last time a patient vomited under anaesthesia, there was a bitch spay last week that was drooling and looked nauseous in recovery, I thought about giving it some Cerenia but it settled quite quickly on its own.

[quote user="Clive Ansell"]Do many routinely give metoclopramide for rabbit anaesthetics? [/quote]

I used to, but don't at the moment, and haven't found rabbits more likely to develop ileus post-anaesthetic.

RE: Cerenia as part of pre-med

Neil Wheadon — Mon, 09 Oct 2017 14:58:27 GMT

[quote user="Clive Ansell"]Do many routinely give metoclopramide for rabbit anaesthetics? [/quote]

Many places do for the mild pro-kinetic effect

Neil