Effectiveness of a paraverterbral nerve block versus local portal blocks for laparoscopic closure of the nephrosplenic space: A pilot study.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
14
01
2020
revised:
22
03
2020
accepted:
02
05
2020
pubmed:
29
5
2020
medline:
18
11
2020
entrez:
29
5
2020
Statut:
ppublish
Résumé
To compare the effectiveness of a paravertebral nerve block vs local portal blocks for laparoscopic closure of the nephrosplenic space in standing sedated research horses. Randomized clinical trial. Twelve horses were randomly allocated to two groups (n = 6 per group), paravertebral block of nerves T Horses were sedated with dexmedetomidine (4 μg/kg IV and constant rate infusion [CRI] of 2.5 μg/kg/h) and morphine (50 μg/kg IV and CRI of 30 μg/kg/h). According to group allocation, 20 mL of either lidocaine or saline was injected into each paravertebral nerve site or into each local portal site to facilitate laparoscopy for closure of the nephrosplenic space. The overall quality of sedation, analgesia, behavior exhibited during surgery, and ease to perform the surgery were blindly scored by using a visual analog scale (VAS). Time to complete local anesthesia was similar for both blocks, and there was no difference in VAS scores between groups. Total duration of surgery was also similar between the paravertebral (79 ± 16 min) and local portal blocks (85 ± 25 min) groups. The paravertebral nerve block and the local portal blocks provided similar conditions during surgery and can be used interchangeably for closure of the nephrosplenic space. The paravertebral nerve block can be readily performed and may be useful in surgical procedures.
Substances chimiques
Anesthetics, Local
0
Lidocaine
98PI200987
Types de publication
Journal Article
Randomized Controlled Trial, Veterinary
Langues
eng
Sous-ensembles de citation
IM
Pagination
1007-1014Subventions
Organisme : Equine Guelph Research, Ontario Veterinary College, University of Guelph
Informations de copyright
© 2020 The American College of Veterinary Surgeons.
Références
Burba DJ, Moore RM. Renosplenic entrapment: a review of clinical presentation and treatment. Equine Vet Educ. 1997;9:180-184.
Baird AN, Cohen ND, Taylor TS, Watkins JP, Schumacher J. Renosplenic entrapment of the large colon in horses: 57 cases (1983-1988). J Am Vet Med Assoc. 1991;198:1423-1426.
Hardy J, Minton M, Robertson JT, Beard WL, Beard LA. Nephrosplenic entrapment in the horse: a retrospective study of 174 cases. Equine Vet J. 2000;32:95-97.
Röcken M, Schubert C, Mosel G, Litzke LF. Indications, surgical technique, and long-term experience with laparoscopic closure of the nephrosplenic space in standing horses. Vet Surg. 2005;34:637-641.
Nelson BB, Ruple Czerniak AA, Hendrickson DA, Hackett ES. Laparoscopic closure of the nephrosplenic space in horses with nephrosplenic colonic entrapment: factors associated with survival and colic recurrence. Vet Surg. 2016;45(S1):O60-O69.
Mariën T, Adriaenssen A, Hoeck F, Segers L. Laparoscopic closure of the renosplenic space in standing horses. Vet Surg. 2001;30:559-563.
Driscoll N, Baia P, Fischer AT Jr, Brauer T, Klohnen A. Large colon resection and anastomosis in horses: 52 cases (1996-2006). Equine Vet J. 2008;40:342-347.
Southwood LL. Large colon. In: Auer JA, Stick JA, eds. Equine Surgery E-Book. St Louis, MO: Elsevier Health Sciences; 2018:591-621.
Desmaizières LM, Martinot S, Lepage OM, Bareiss E, Cadoré JL. Complications associated with cannula insertion techniques used for laparoscopy in standing horses. Vet Surg. 2003;32:501-506.
Farstvedt E, Hendrickson D. Laparoscopic closure of the nephrosplenic space for prevention of recurrent nephrosplenic entrapment of the ascending colon. Vet Surg. 2005;34:642-645.
Albanese V, Hanson RR, McMaster MA, Koehler JW, Caldwell FJ. Use of a barbed knotless suture for laparoscopic ablation of the nephrosplenic space in 8 horses. Vet Surg. 2016;45:824-830.
Burke MJ, Parente EJ. Prosthetic mesh for obliteration of the nephrosplenic space in horses: 26 clinical cases. Vet Surg. 2016;45:201-207.
Bracamonte JL, Duke-Novakovski T. A pilot study evaluating laparoscopic closure of the nephrosplenic space using an endoscopic suturing device in standing horses. Can Vet J. 2016;57:651-654.
Gandini M, Nannarone S, Giusto G, et al. Laparoscopic nephrosplenic space ablation with barbed suture in eight horses. J Am Vet Med Assoc. 2017;250:431-436.
Skarda RT. Local anesthesia in cattle, sheep, goats, and pigs. In: Muir WW, Hubbell JAE, Skarda RT, Bednarski RM, eds. Handbook of Veterinary Anesthesia. 2nd ed. St Louis, MO: Mosby-Year Book; 1995:53-77.
Skarda RT. Local anesthetics and local anesthetic techniques in horses. In: Muir WW, Hubbell JAE, eds. Equine Anesthesia-Monitoring and Emergency Therapy. Hoboken, NJ: John Wiley & Sons; 1991:199-246.
Moon PF, Suter CM. Paravertebral thoracolumbar anaesthesia in 10 horses. Equine Vet J. 1993;25:304-308.
Roecken M. Closure of the nephrosplenic space. In: Ragle CA, ed. Advances in Equine Laparoscopy. Hoboken, NJ: John Wiley & Sons; 2012:119-128.
Santos LC, Gallacher K. Nerve stimulation-guided thoracolumbar paravertebral block for flank laparotomy in a horse. Vet Anaesth Analg. 2017;44:187-188.
Henneke DR, Potter GD, Kreider JL, Yeates BF. Relationship between condition score, physical measurements and body fat percentage in mares. Equine Vet J. 1983;15:371-372.
Solano AM, Valverde A, Desrochers A, Nykamp S, Boure LP. Behavioural and cardiorespiratory effects of a constant rate infusion of medetomidine and morphine for sedation during standing laparoscopy in horses. Equine Vet J. 2009;41:153-159.
Virgin J, Hendrickson D, Wallis T, Rao S. Comparison of intraoperative behavioral and hormonal responses to noxious stimuli between mares sedated with caudal epidural detomidine hydrochloride or a continuous intravenous infusion of detomidine hydrochloride for standing laparoscopic ovariectomy. Vet Surg. 2010;39:754-760.
Freeman SL, England GC. Investigation of romifidine and detomidine for the clinical sedation of horses. Vet Rec. 2000;147:507-511.
Marly C, Bettschart-Wolfensberger R, Nussbaumer P, Moine S, Ringer SK. Evaluation of a romifidine constant rate infusion protocol with or without butorphanol for dentistry and ophthalmologic procedures in standing horses. Vet Anaesth Analg. 2014;41:491-497.
Rioja GE. Local anesthetics. In: Grimm KA, Lamont LA, Tranquilli WJ, Greene SA, Robertson SA, eds. Veterinary Anesthesia and Analgesia: The Fifth Edition of Lumb and Jones. Hoboken, NJ: John Wiley & Sons; 2015:332-354.
Moore DC, Brindenbaugh LD, Bridenbaugh PO, Tucker GT. Bupivacaine for peripheral nerve block: a comparison with mepivacaine, lidocaine, and tetracaine. Anesthesiology. 1970;32:460-463.
Tucker GT, Moore DC, Bridenbaugh PO, Bridenbaugh LD, Thompson GE. Systemic absorption of mepivacaine in commonly used regional block procedures. Anesthesiology. 1972;37:277-287.