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2011 | 55 | 3 |
Tytuł artykułu

Comparison of the efficiency of anatomical and ultrasound-guided method for the Th4 –Th7 intercostal nerve block in dogs

Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this study was the assessment of the usefulness of the ultrasound-guided method during injections into the Th₄- Th₇ intercostal nerve area in dogs, as well as comparison of the liquid deposition precision obtained using anatomical and ultrasound- guided methods. The study has been performed on fresh cadavers of 20 dogs. A mixture of black ink and iodinated contrast medium was injected. The procedure was performed by anatomical method at the right side and ultrasound-guided at the left side. Subsequently, thoracic radiograph in dorsal recumbency and post-mortem examination were performed. A spread of the contrast media mixture was assessed on radiographs and during post-mortem examinations. Eighty injections were done in 20 dogs with the use of each method. The assessment method of the accurate placement of the contrast medium mixture in the area of the intercostal nerve, based on X-ray examination, was consistent with necropsy findings. Probability of the precise liquid placement was two times greater in case of ultrasound-guided method than in case of anatomical one. These differences were statistically significant. Ultrasound viewing improved considerably the precision of injection of the contrast medium mixture in the area of intercostal nerves. This technique is simple and easy to master and it increases effectiveness and safety of performed procedures. The comparison of both methods on cadavers enables a choice of an appropriate anaesthesia technique in living animals.
Wydawca
-
Rocznik
Tom
55
Numer
3
Opis fizyczny
p.507-511,fig.,ref.
Twórcy
autor
  • Division of Small Animal Surgery and Anesthesiology, Department of Small Animal Diseases, Faculty of Veterinary Medicine, Warsaw University of Life Sciences (SGGW), 02-776 Warsaw, Poland
autor
autor
autor
Bibliografia
  • 1. Bagshaw H.S., Lavrenza M.P., Seiler G.S.: A technique for ultrasound-guided paravertebral brachial plexus injections in dogs. Vet Radiol Ultrasound 2009, 50, 649- 654.
  • 2. Barrington M.J., Ivanusic J.J., Rozen W.M., Hebbard P.: Spread of injectate after ultrasound-guided subcostal transversus abdominis plane block: a cadaveric study Anesthesia 2009, 64, 745-750.
  • 3. Bloc S., Mercadal L., Dessieux T., Garnier T., Estebe J.P., Le Naoures A., Komly B., Leclerc P., Morel B., Ecoffey C., Dhonneur G.: The learning process of the hydrolocalization technique performed during ultrasound- guided regional anesthesia. Acta Anaest Scand 2010, 54, 421-425.
  • 4. Campoy L., Bezuidenhout J., Gleed R.D., Martin-Flores M., Raw R.M., Santare C.L., Jay A.R., Wang A.L.: Ultrasound-guided approach for axillary brachial plexus, femoral nerve, and sciatic nerve blocks in dogs. Vet Anaest Analg 2010, 37, 144-153.
  • 5. Chapman G.A., Johnson D., Bodenheim A.R.: Visualisation of needle position using ultrasonography. Anesthesia 2006, 61, 148-158.
  • 6. Costa-Farre C., Blanch X.S., Cruz J.I., Franch J.: Ultrasound guidance for the performance of sciatic and saphenous nerve blocks in dogs. Vet J 2009, (in press) doi: 10.1016/j.tvjl.2009.10.016.
  • 7. Crosslay A.W.A., Hosie H.E.: Radiographic study of intercostal nerve blockade in healthy volunteers. Br J Anaesth 1987, 59, 149-154.
  • 8. Duke T.: Local and regional anesthetic and analgesic techniques in the dog and cat: Part II, infiltration and nerve blocks. Can Vet J 2000, 41, 949-952
  • 9. Echeverry D.F., Gil F., Lavedo F., Ayala MD., Belda E., Soler M., Agut A.: Ultrasound-guided block of the sciatic and femoral nerves in dogs: a descriptive study. Vet J 2010, 186, 210-215
  • 10. Harmon D.C., Shorten G.D.: Intercostal, intrapleural and peripheral blockade of the thorax and abdomen. In: Cousins and Brindenbang's Neural Blockade in Clinical Anesthesia and Pain Medicine. Edited by Cousins M.J., Carr D.B., Horlocker T.T., Brindenbaugh P.O., Lippincot Williams&Wilkins, Philadelphia, USA, 2009, p. 390.
  • 11. Hura G., Knapik P., Sorek-Kubicka G., Maciejewski D.: Regional anaesthesia for breast cancer surgery. A review. Anest Intesyw Ter 2004, 4, 298-303.
  • 12. Kita J., Kaba J., Frymus T., Krzyżańska K: Podstawy epidemiologii weterynaryjnej. Edited by SGGW, Warszawa, 2008, pp. 143-144.
  • 13. Marhofer P.: Zastosowanie ultrasonografii w blokadach nerwów obwodowych. Zasady i praktyka. Edited by Med- Media, Warszawa, 2010.
  • 14. Marhofer P., Harrop-Griffiths W., Kettner S.C., Kirchmair L.: Fifteen years of ultrasound guidance in regional anesthesia: Part 1. Br J Anaesth 2010, 104, 538- 546.
  • 15. Nakamura T., Popitz-Bergez F., Birknes J., Strichartz G. R.: The critical role of concentration for lidocaine block of peripheral nerve in vivo: studies of function and drug uptake in the rat. Anesthesiology 2003, 99, 1189-1197.
  • 16. Olech W., Wieczorek M.: Zastosowanie metod statystyki w doświadczalnictwie zootechnicznym. Ed. SGGW, Warszawa, 2002, pp. 152-153.
  • 17. Orton E.C.: Thoracic approaches. In: Small Animal Thoracic Surgery. Edited by Williams & Wilkins, Malvern, USA, 1995, p. 62.
  • 18. Skarda R.T., Tranquilli W.J.: Local and regional anesthetic and analgesic techniques: dogs. In: Lumb & Jones ' Veterinary Anesthesia and Analgesia. Edited by Tranquilli W.J., Thurmon J.C., Grimm K.A., Blackwell Publishing, Ames, USA, 2007, p. 568.
  • 19. Tranquilli W.J., Grimm K.A., Lamont L.A.: Pain Management for the Small Animal Practitioner. Edited by Teton New Media, Jackson, USA, 2000, pp. 59-61.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.dl-catalog-4c8a76a3-b4ff-4f40-8c1c-5a9174f62b83
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