Literature DB >> 26900762

Comparison of lidocaine, levobupivacaine or ropivacaine for distal paravertebral thoracolumbar anesthesia in ewes.

Alice R Oliveira1, Marcelo A Araújo1, Paulo Ha Jardim1, Stephanie C Lima1, Paula V Leal1, Fabrício O Frazílio2.   

Abstract

OBJECTIVE: To compare the effects of lidocaine, levobupivacaine, or ropivacaine on the onset time and duration of anesthesia of the flank of ewes, using the distal paravertebral thoracolumbar approach. STUDY
DESIGN: Randomized experimental study. ANIMALS: Twenty-six healthy mixed-breed ewes (46 ± 3.1 kg).
METHODS: Thoracolumbar paravertebral nerve blocks were performed using the distal approach in sheep for ruminal fistulation. The 13th thoracic (T13), first lumbar (L1) and second lumbar (L2) nerves were infiltrated with 2% lidocaine (group GLI, n = 9), 0.5% levobupivacaine (group GLE, n = 8) or 0.5% ropivacaine (group GRO, n = 9); 1.5 mL on the dorsal branch and 2.5 mL on the ventral branch, total volume of 12 mL per ewe. Anesthesia onset time and duration were assessed by application of superficial and deep pin pricks, and skin clamping with a hemostat. Heart rate, respiratory rate, rectal temperature and systemic arterial pressures were recorded prior to nerve block (T0), after the anesthetic agent injection and onset time (T1) and predetermined time points during the surgical procedure (T2-T6).
RESULTS: Incomplete nerve blocks were present in five of the 26 ewes enrolled in the study and they were not included in the statistical analyzes. Onset times in GLI, GLE and GRO were 1.5 ± 0.5, 3.1 ± 1.5 and 2.1 ± 0.8 minutes, respectively, with GLE significantly longer than GLI. The durations of anesthesia for GLI, GLE and GRO were 80 ± 27, 649 ± 68 and 590 ± 40 minutes, respectively, with the duration of GLI significantly shorter than GLE and GRO. There were no clinically important changes in cardiopulmonary variables. CONCLUSION AND CLINICAL RELEVANCE: Administration of levobupivacaine and ropivacaine at the distal paravertebral site to block nerves T13, L1 and L2 produced a longer duration of anesthesia of the ewe's flanks compared with lidocaine.
© 2016 Association of Veterinary Anaesthetists and the American College of Veterinary Anesthesia and Analgesia.

Entities:  

Keywords:  cardiopulmonary; paravertebral; regional anesthesia; sheep

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Year:  2016        PMID: 26900762     DOI: 10.1111/vaa.12353

Source DB:  PubMed          Journal:  Vet Anaesth Analg        ISSN: 1467-2987            Impact factor:   1.648


  2 in total

1.  Anatomical landmarks for a proximal paravertebral thoracolumbar block in sheep: Cadaver and in-vivo study.

Authors:  Perla Velazquez-Delgado; Eduardo Gutierrez-Blanco; Antonio Ortega-Pacheco; Jose Leonardo Guillermo-Cordero; Brighton T Dzikiti; Alexander Valverde
Journal:  Can J Vet Res       Date:  2022-10       Impact factor: 0.897

2.  Postoperative Pain Control by Intercostal Nerve Block After Augmentation Mammoplasty.

Authors:  Chang Min Kang; Woo Jeong Kim; Sean Hyuck Yoon; Chul Bum Cho; Jeong Su Shim
Journal:  Aesthetic Plast Surg       Date:  2017-08-08       Impact factor: 2.326

  2 in total

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