{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T02:44:37Z","timestamp":1781232277843,"version":"3.54.1"},"reference-count":35,"publisher":"American Veterinary Medical Association (AVMA)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To compare analgesic efficacy and fetal effects between transdermal administration of fentanyl and IM administration of buprenorphine in pregnant sheep.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>12 healthy pregnant ewes.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>Before study initiation, each ewe was confirmed pregnant with a single fetus between 113 and 117 days of gestation. Ewes were randomly assigned to receive buprenorphine (0.01 mg\/kg, IM, q 8 h for 48 hours beginning 1 hour before anesthesia induction; n = 6) or fentanyl (a combination of transdermal fentanyl patches sufficient to deliver a dose of 2 \u03bcg of fentanyl\/kg\/h applied between the dorsal borders of the scapulae 24 hours before anesthesia induction; 6). Ewes were anesthetized and underwent a surgical procedure to instrument the fetus with an arterial catheter and place a catheter in utero for collection of amniotic fluid samples. Physiologic variables and behavioral changes indicative of pain were assessed, and amniotic fluid and blood samples from ewes and fetuses were collected for determination of drug concentrations at predetermined times.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Both protocols provided acceptable postoperative analgesia with no adverse effects observed in the ewes or fetuses. Compared with the buprenorphine protocol, the fentanyl protocol induced more profound analgesia, decreased the requirement for isoflurane during surgery, and was associated with a shorter anesthesia recovery time. Fetal indices did not differ significantly between the 2 analgesic protocols.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results indicated that both protocols provided acceptable analgesia. However, the fentanyl protocol was superior in regard to the extent of analgesia induced, inhalant-sparing effects, and anesthesia recovery time.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/ajvr.81.7.581","type":"journal-article","created":{"date-parts":[[2020,6,25]],"date-time":"2020-06-25T15:27:12Z","timestamp":1593098832000},"page":"581-593","source":"Crossref","is-referenced-by-count":4,"title":["Comparison of analgesic efficacy and fetal effects between transdermal administration of fentanyl and intramuscular administration of buprenorphine in pregnant sheep"],"prefix":"10.2460","volume":"81","author":[{"given":"Ashley L.","family":"Padgett","sequence":"first","affiliation":[{"name":"1Department of Veterinary Physiology and Pharmacology and Michael E. DeBakey Institute, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio L.","family":"Lepiz","sequence":"additional","affiliation":[{"name":"2Department of Small Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn E.","family":"Mackay","sequence":"additional","affiliation":[{"name":"3Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin J.","family":"Driskill","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Physiology and Pharmacology and Michael E. DeBakey Institute, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan V.","family":"Ivanov","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Physiology and Pharmacology and Michael E. DeBakey Institute, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia R.","family":"Fajt","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Physiology and Pharmacology and Michael E. DeBakey Institute, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan M.","family":"Konarik","sequence":"additional","affiliation":[{"name":"4Veterinary Medical Diagnostic Laboratory, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis P.","family":"Mays","sequence":"additional","affiliation":[{"name":"4Veterinary Medical Diagnostic Laboratory, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon E.","family":"Washburn","sequence":"additional","affiliation":[{"name":"1Department of Veterinary Physiology and Pharmacology and Michael E. 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model","volume":"47","author":"Washburn","year":"2013"},{"key":"ref4","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1111\/vaa.12103","article-title":"Thermal and mechanical nociceptive threshold testing in pregnant sheep","volume":"41","author":"Musk","year":"2014"},{"key":"ref5","series-title":"AJP Rep","doi-asserted-by":"publisher","first-page":"e215","DOI":"10.1055\/s-0037-1608783","article-title":"Buprenorphine for medication-assisted treatment of opioid use disorder in pregnancy: relationship to neonatal opioid withdrawal syndrome","volume":"7","author":"Chavan","year":"2017"},{"key":"ref6","series-title":"Contemp Top Lab Anim Sci","first-page":"13","article-title":"Species-specific assessment of pain in laboratory animals","volume":"42","author":"Stasiak","year":"2003"},{"key":"ref7","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"1382","DOI":"10.1016\/j.vaa.2017.05.001","article-title":"The uptake of transdermal fentanyl in a pregnant sheep model","volume":"44","author":"Musk","year":"2017"},{"key":"ref8","series-title":"Acta Anaesthesiol Scand","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1111\/j.1399-6576.1980.tb01584.x","article-title":"Double-blind, multiple-dose comparison of buprenorphine and morphine in postoperative pain","volume":"24","author":"Tigerstedt","year":"1980"},{"key":"ref9","series-title":"Clin Pharmacokinet","doi-asserted-by":"publisher","first-page":"422","DOI":"10.2165\/00003088-198308050-00004","article-title":"Clinical pharmacokinetics of fentanyl and its newer derivatives","volume":"8","author":"Mather","year":"1983"},{"key":"ref10","series-title":"J Pain Symptom Manage","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1016\/j.jpainsymman.2004.07.005","article-title":"Buprenorphine: considerations for pain management","volume":"29","author":"Johnson","year":"2005"},{"key":"ref11","series-title":"Basic Clin Pharmacol 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Res","doi-asserted-by":"publisher","first-page":"1127","DOI":"10.2460\/ajvr.71.10.1127","article-title":"Pharmacokinetics of fentanyl administered transdermally and intravenously in sheep","volume":"71","author":"Ahern","year":"2010"},{"key":"ref15","series-title":"J Am Assoc Lab Anim Sci","first-page":"550","article-title":"Pharmacokinetics of a transdermal fentanyl solution in Suffolk sheep (Ovis aries)","volume":"56","author":"Jen","year":"2017"},{"key":"ref16","series-title":"Amino Acids","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s00726-012-1453-1","article-title":"Acute alcohol exposure, acidemia or glutamine administration impacts amino acid homeostasis in ovine maternal and fetal plasma","volume":"45","author":"Washburn","year":"2013"},{"key":"ref17","series-title":"J Vet Pharmacol Ther","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1111\/jvp.12744","article-title":"Pharmacokinetics of tulathromycin in fetal sheep and pregnant ewes","volume":"42","author":"MacKay","year":"2019"},{"key":"ref18","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1111\/vaa.12101","article-title":"Comparison of invasive and oscillometric blood pressure measurement techniques in anesthetized sheep, goats, and cattle","volume":"41","author":"Aarnes","year":"2014"},{"key":"ref19","series-title":"J Exp Anim Sci","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1016\/S0939-8600(00)80005-X","article-title":"Comparison of the postoperative analgesic effects of buprenorphine and piritramide following experimental orthopaedic surgery in sheep","volume":"41","author":"Otto","year":"2000"},{"key":"ref20","series-title":"Veterinary anesthesia and analgesia: the fifth edition of Lumb and Jones","first-page":"920","article-title":"Ruminants","author":"Riebold","year":"2015"},{"key":"ref21","series-title":"Lab Anim","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1177\/0023677212473712","article-title":"Intraperitoneal medetomidine: a novel analgesic strategy for postoperative pain management in pregnant sheep","volume":"47","author":"Murdoch","year":"2013"},{"key":"ref22","series-title":"Can J Vet Res","first-page":"250","article-title":"Plasma concentrations of buprenorphine following a single subcutaneous administration of a sustained release formulation of buprenorphine in sheep","volume":"80","author":"Zullian","year":"2016"},{"key":"ref23","series-title":"Vet Rec","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1136\/vr.163.7.210","article-title":"Maintenance of anaesthesia in sheep with isoflurane, desflurane or sevoflurane","volume":"163","author":"Mohamadnia","year":"2008"},{"key":"ref24","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1111\/vaa.12216","article-title":"Anaesthetic and cardiorespiratory effects of a constant rate infusion of fentanyl in isoflurane-anaesthetized sheep","volume":"42","author":"Funes","year":"2015"},{"key":"ref25","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/j.vaa.2018.02.009","article-title":"Adverse reactions to fentanyl transdermal patches in calves: a preliminary clinical and pharmacokinetic study","volume":"45","author":"Smith","year":"2018"},{"key":"ref26","series-title":"Vet Anaesth Analg","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1111\/j.1467-2995.2012.00779.x","article-title":"Pharmacokinetic and pharmacodynamic modelling of intravenous, intramuscular and subcutaneous buprenorphine in conscious cats","volume":"40","author":"Steagall","year":"2013"},{"key":"ref27","series-title":"Br J Pharmacol","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1111\/j.1476-5381.1987.tb11353.x","article-title":"Investigation of the antinociceptive activity of buprenorphine in sheep","volume":"92","author":"Nolan","year":"1987"},{"key":"ref28","series-title":"J Am Assoc Lab Anim Sci","first-page":"763","article-title":"Pharmacokinetics and antinociceptive activity of sustained-release buprenorphine in sheep","volume":"54","author":"Walkowiak","year":"2015"},{"key":"ref29","series-title":"Anesth Analg","first-page":"329","article-title":"Fentanyl blood concentration-analgesic response relationship in the treatment of postoperative pain","volume":"67","author":"Gourlay","year":"1988"},{"key":"ref30","series-title":"Res Vet Sci","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/j.rvsc.2015.04.006","article-title":"Transdermal fentanyl and its use in ovine surgery","volume":"100","author":"Christou","year":"2015"},{"key":"ref31","series-title":"Eur J Pharm Biopharm","doi-asserted-by":"publisher","first-page":"449","DOI":"10.1016\/j.ejpb.2013.01.018","article-title":"The transdermal delivery of 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