{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:58:23Z","timestamp":1790816303901,"version":"4.1.0"},"reference-count":46,"publisher":"American Veterinary Medical Association (AVMA)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>This study aimed to compare the outcomes between surgeries performed by either experienced or inexperienced surgeons by assessing intraoperative nociception and perioperative analgesia.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>16 healthy, client-owned female cats were randomly allocated into 2 groups of 8: one undergoing surgery by an experienced surgeon (GES group) and the other by inexperienced surgeons (GIS group). Both groups received IM premedication with acepromazine (0.05 mg\/kg) and methadone (0.3 mg\/kg). After 20 minutes, venipuncture and induction with propofol (dose-response, IV) were performed. Maintenance was achieved with inhaled isoflurane. Intraoperative vital parameters were monitored, and fentanyl (2.5 \u00b5g\/kg, IV) was administered as rescue analgesia when needed. Postoperatively, pain was assessed with a visual analog scale and the multidimensional pain scale of the Universidade Estadual Paulista in Botucatu; morphine (0.2 mg\/kg, IM) was used for rescue analgesia, as necessary.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>In the GIS group, significant increases in heart rate and systolic blood pressure were noted during surgery, especially during pedicle clamping. Respiratory rate and end-tidal isoflurane levels were higher in the GIS group at specific surgical stages. Survival analysis indicated that the GIS group had a greater need for fentanyl. Postoperative pain scores were generally low, but a higher proportion of GIS cats required rescue analgesia.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Surgeon experience influences intraoperative parameters and fentanyl consumption. Inexperienced surgeons contribute to increased postoperative pain and poorer wound healing outcomes in cats undergoing elective ovariohysterectomy.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Ovariohysterectomy is a common procedure in veterinary practice, and surgical expertise significantly impacts pain management and recovery. Yet, its effects have been underexplored, potentially compromising animal welfare.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.24.05.0293","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T19:28:17Z","timestamp":1729106897000},"page":"1622-1631","source":"Crossref","is-referenced-by-count":4,"title":["Surgeon experience affects perioperative pain in cats undergoing elective ovariohysterectomy: a randomized clinical trial"],"prefix":"10.2460","volume":"262","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3488-3393","authenticated-orcid":true,"given":"Lorenzo S. B.","family":"Cavagnari","sequence":"first","affiliation":[{"name":"Department of Veterinary Medicine, Center for Agroveterinary Sciences, Santa Catarina State University, Lages, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0343-7411","authenticated-orcid":true,"given":"Vanessa S.","family":"Padilha","sequence":"additional","affiliation":[{"name":"Department of Biosciences and One Health, School of Rural Sciences, Curitibanos Campus, Federal University of Santa Catarina, Curitibanos, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6163-9508","authenticated-orcid":true,"given":"Ronise","family":"Tocheto","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Campos Novos Campus, University of West Santa Catarina, Campos Novos, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5061-1200","authenticated-orcid":true,"given":"Bruna D. C.","family":"Regalin","sequence":"additional","affiliation":[{"name":"Veterinary Hospital, Federal University of Jata\u00ed, Jata\u00ed, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1761-9405","authenticated-orcid":true,"given":"Helena M. C.","family":"Pissetti","sequence":"additional","affiliation":[{"name":"Focus College, Cascavel, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7355-6064","authenticated-orcid":true,"given":"Felipe","family":"Comassetto","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Center for Agroveterinary Sciences, Santa Catarina State University, Lages, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7596-730X","authenticated-orcid":true,"given":"Nilson","family":"Oleskovicz","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, Center for Agroveterinary Sciences, Santa Catarina State University, Lages, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"11","key":"ref1","series-title":"J Am Vet Med Assoc","first-page":"1409","article-title":"Ovariohysterectomy versus ovariectomy for elective sterilization of female dogs and cats: is removal of the uterus necessary?","volume":"239","author":"DeTora M","year":"2011","unstructured":"DeTora M, McCarthy RJ. Ovariohysterectomy versus ovariectomy for elective sterilization of female dogs and cats: is removal of the uterus necessary? J Am Vet Med Assoc. 2011;239(11):1409-1412. doi:10.2460\/javma.239.11.1409"},{"issue":"4","key":"ref2","series-title":"N Z Vet J","first-page":"210","article-title":"Experience and confidence of final year veterinary students in performing desexing surgeries","volume":"66","author":"Gates MC","year":"2018","unstructured":"Gates MC, Odom TF, Sawicki RK. Experience and confidence of final year veterinary students in performing desexing surgeries. N Z Vet J. 2018;66(4):210-215. doi:10.1080\/00480169.2018.1464977"},{"issue":"6","key":"ref3","series-title":"Surg Endosc","first-page":"1944","article-title":"The value of surgical experience: excess costs associated with the Roux-en-Y gastric bypass learning curve","volume":"33","author":"Doumouras AG","year":"2019","unstructured":"Doumouras AG, Saleh F, Gmora S, Anvari M, Hong D. 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