Bernat Martínez I Ferré1, Maja Drozdzynska2, Enzo Vettorato3. 1. Dick White Referrals, Six Mile Bottom, Cambridgeshire, CB80UH, UK. bernat.martinez@linnaeusgroup.co.uk. 2. Small Animal Specialist Hospital, North Ryde, Sydney, NSW, 2113, Australia. 3. Dick White Referrals, Six Mile Bottom, Cambridgeshire, CB80UH, UK.
Abstract
BACKGROUND: To describe the use of a bilateral thoracic (T5 - T9) ultrasound-guided erector spinae plane block (UG-ESPB) in dogs undergoing sternotomy anaesthetised with propofol and dexmedetomidine continuous infusions. METHODS: Demographic information, perioperative anaesthetic and analgesic drugs, the prevalence of hypotension and nociceptive events, and their treatment, were recorded and analysed. Local anaesthetic injection point, volume and concentration were reported for each dog. In attempt to differentiate somatic nociception from visceral nociception, the surgery was divided into three timeframes: from the skin incision to the thoracic cavity opening; from the latter to the beginning of its closure; from thoracic cavity closure to the end of surgery. RESULTS: Overall, 10 dogs were included and four experienced nociception: somatic nociception was recorded in one dog, whereas visceral nociception was recorded in four dogs. The overall fentanyl consumption to control nociception was 0.3 µg/kg/h. No adverse events associated with the UG-ESPB were reported. CONCLUSION: The bilateral UG-ESPB could be used as a part of a multimodal analgesic technique in dogs undergoing sternotomies. However, more clinical studies are warranted to assess its safety and effects.
BACKGROUND: To describe the use of a bilateral thoracic (T5 - T9) ultrasound-guided erector spinae plane block (UG-ESPB) in dogs undergoing sternotomy anaesthetised with propofol and dexmedetomidine continuous infusions. METHODS: Demographic information, perioperative anaesthetic and analgesic drugs, the prevalence of hypotension and nociceptive events, and their treatment, were recorded and analysed. Local anaesthetic injection point, volume and concentration were reported for each dog. In attempt to differentiate somatic nociception from visceral nociception, the surgery was divided into three timeframes: from the skin incision to the thoracic cavity opening; from the latter to the beginning of its closure; from thoracic cavity closure to the end of surgery. RESULTS: Overall, 10 dogs were included and four experienced nociception: somatic nociception was recorded in one dog, whereas visceral nociception was recorded in four dogs. The overall fentanyl consumption to control nociception was 0.3 µg/kg/h. No adverse events associated with the UG-ESPB were reported. CONCLUSION: The bilateral UG-ESPB could be used as a part of a multimodal analgesic technique in dogs undergoing sternotomies. However, more clinical studies are warranted to assess its safety and effects.
Authors: Oscar Bautista Díaz Delgado; Luis Filipe Louro; Guido Rocchigiani; Ranieri Verin; William Humphreys; Mark Senior; Ivo Campagna Journal: Vet Anaesth Analg Date: 2021-03-19 Impact factor: 1.648
Authors: Diego A Portela; Marta Romano; Gustavo A Zamora; Fernando Garcia-Pereira; Luisito S Pablo; Bonnie J Gatson; Alana N Johnson; Pablo E Otero Journal: Vet Anaesth Analg Date: 2020-11-02 Impact factor: 1.648
Authors: Pablo E Otero; Santiago E Fuensalida; Pedro C Russo; Natali Verdier; Carlos Blanco; Diego A Portela Journal: Reg Anesth Pain Med Date: 2020-01-06 Impact factor: 6.288
Authors: Diego A Portela; Douglas Castro; Marta Romano; Aitor Gallastegui; Fernando Garcia-Pereira; Pablo E Otero Journal: Vet Anaesth Analg Date: 2019-10-30 Impact factor: 1.648