Evidence map›Paper›PMID 39134625›Full record

ArticleScientific reports2024

Refining pain management in mice by comparing multimodal analgesia and NSAID monotherapy for neurosurgical procedures.

Anna Munk, Vanessa Philippi, Verena Buchecker, Marion Bankstahl, Aylina Glasenapp, Andreas Blutke, Effrosyni Michelakaki, Steven Roger Talbot, Jörg Huwyler, Paulin Jirkof and 4 more

Abstract readComparative Study
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Predictive Accuracy of Methods Commonly Used for Evaluating Animal Distress.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  3. Carprofen and buprenorphine delivery using micropipette-guided drug administration (MDA) in mice.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Anna MunkInstitute of Pharmacology, Toxicology, and Pharmacy, Ludwig-Maximilians-Universität München, Koeniginstr. 16, 80539, Munich, Germany.
Vanessa PhilippiInstitute of Pharmacology, Toxicology, and Pharmacy, Ludwig-Maximilians-Universität München, Koeniginstr. 16, 80539, Munich, Germany.
Verena BucheckerInstitute of Pharmacology, Toxicology, and Pharmacy, Ludwig-Maximilians-Universität München, Koeniginstr. 16, 80539, Munich, Germany.
Marion BankstahlInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, Germany.
Aylina GlasenappInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, Germany.
Andreas BlutkeInstitute of Veterinary Pathology, Ludwig-Maximilians-Universität München, Munich, Germany.
Effrosyni MichelakakiInstitute of Veterinary Pathology, Ludwig-Maximilians-Universität München, Munich, Germany.
Steven Roger TalbotInstitute for Laboratory Animal Science, Hannover Medical School, Hanover, Germany.
Jörg HuwylerDepartment of Pharmaceutical Sciences, University of Basel, Basel, Switzerland.
Paulin JirkofOffice for Animal Welfare and 3R, University of Zurich, Zurich, Switzerland.
Marcin KopaczkaDepartment of Electrical Engineering, RWTH Aachen University, Aachen, Germany.
Dorit MerhofDepartment of Informatics and Data Science, University of Regensburg, Regensburg, Germany.
Rupert PalmeDepartment of Biological Sciences and Pathobiology, Experimental Endocrinology, University of Veterinary Medicine, Vienna, Austria.
Heidrun PotschkaInstitute of Pharmacology, Toxicology, and Pharmacy, Ludwig-Maximilians-Universität München, Koeniginstr. 16, 80539, Munich, Germany. potschka@pharmtox.vetmed.uni-muenchen.de.

Funding

Deutsche Forschungsgemeinschaft FOR 2591, GZ: BA5768/2-1Deutsche Forschungsgemeinschaft FOR 2591, GZ: ME3737/24-1Deutsche Forschungsgemeinschaft FOR 2591, GZ: PO681/9-2Deutsche Forschungsgemeinschaft FOR 2591, GZ: TA2072/1-1
6 · The paper itself

Abstract

While neurosurgical interventions are frequently used in laboratory mice, refinement efforts to optimize analgesic management based on multimodal approaches appear to be rather limited. Therefore, we compared the efficacy and tolerability of combinations of the non-steroidal anti-inflammatory drug carprofen, a sustained-release formulation of the opioid buprenorphine, and the local anesthetic bupivacaine with carprofen monotherapy. Female and male C57BL/6J mice were subjected to isoflurane anesthesia and an intracranial electrode implant procedure. Given the multidimensional nature of postsurgical pain and distress, various physiological, behavioral, and biochemical parameters were applied for their assessment. The analysis revealed alterations in Neuro scores, home cage locomotion, body weight, nest building, mouse grimace scales, and fecal corticosterone metabolites. A composite measure scheme allowed the allocation of individual mice to severity classes. The comparison between groups failed to indicate the superiority of multimodal regimens over high-dose NSAID monotherapy. In conclusion, our findings confirmed the informative value of various parameters for assessment of pain and distress following neurosurgical procedures in mice. While all drug regimens were well tolerated in control mice, our data suggest that the total drug load should be carefully considered for perioperative management. Future studies would be of interest to assess potential synergies of drug combinations with lower doses of carprofen.

Indexed as

Anti-Inflammatory Agents, Non-SteroidalMice, Inbred C57BLNeurosurgical ProceduresPain ManagementPostoperative PainAnalgesiaAnalgesics, OpioidAnimalsBupivacaineBuprenorphineCarbazolesDrug Therapy, CombinationFemaleMaleMiceAnalgesics, OpioidAnti-Inflammatory Agents, Non-SteroidalBupivacaineBuprenorphineCarbazolescarprofen3RCraniotomyMultimodal analgesiaPostsurgical painSeverity assessment

Identifiers

PMID39134625
PMCPMC11319454

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.