Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%.
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| Data de Publicação: | 2015 |
| Tipo de documento: | Dissertação |
| Idioma: | por |
| Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFRRJ |
| Texto Completo: | https://rima.ufrrj.br/jspui/handle/20.500.14407/14224 |
Resumo: | A anestesia peridural em gatos, pela abordagem sacrococcígea, parece ser uma alternativa mais segura que a lombossacral. Nesta espécie, a medula espinhal termina ao nível sacral, por isso acredita-se que a abordagem caudal reduza a incidência da punção medular e a administração subaracnóide inadvertida, quando o propósito é realizar a anestesia peridural. O objetivo desse estudo foi avaliar os efeitos da anestesia peridural guiada pela neuroestimulação pela abordagem sacrococcígea com dois volumes diferentes de bupivacaína a 0,5%. Foram utilizados 18 gatos hígidos divididos em três grupos com seis animais, grupo controle (GC) e tratados GI e GII. No exame pré-anestésico (M0), foram avaliados os sinais vitais, o estado de consciência e realizado o exame neurológico periférico. Este último foi classificado por escore em suas funções sensitivas e motoras, divididas por região corpórea na sequência: cauda e períneo, membro pélvico, abdômen, tórax e membro torácico. Os testes sensitivos foram avaliados quanto à resposta ao estímulo mecânico nociceptivo em dermátomos correspondentes aos nervos pudendo, peroneu, tibial, cutâneo femoral lateral, inervação cutânea do tórax e abdômen e nervo radial nessa ordem. Os testes motores foram classificados quanto ao relaxamento muscular da cauda e membros, reflexo miotático patelar, teste de propriocepção e habilidade em caminhar, se manter em pé e movimentar a cauda. Todos os animais foram sedados com xilazina 1 mg.kg-1 pela via intravenosa (IV). Após cinco minutos (M1), constatando-se a sedação, a punção peridural foi realizada via sacrococcígea guiada pela neuroestimulação com corrente elétrica fixa em 0,7mA, 2Hz e 0,1ms. Os volumes administrados foram respectivamente 0,2 ml.kg-1 (GI) e 0,4 ml.kg-1 (GII) e imediatamente aplicada ioimbina 0,2 mg.kg-1 (IV). Através da repetição dos testes neurológicos foram determinados os tempos de latência e duração do bloqueio anestésico sensitivo e motor com os animais conscientes. A avaliação do grupo controle (GC) descartou a influência do protocolo de sedação na avaliação do bloqueio anestésico. Na região da cauda e períneo o tempo médio de latência foi inferior a dois minutos em todos os testes. Já o bloqueio sensitivo permaneceu por 125,0±64,1 minutos no GI e 165,0±25,1 minutos no GII, enquanto o bloqueio motor variou entre 75,0±50,2 e 87,5±55,7 minutos para o GI e entre 120,0±31,9 e 130,0±30,1 minutos para o GII. Verificou-se que, na região dos membros pélvicos, o bloqueio completo ocorreu de forma homogênea quando utilizado o maior volume (GII). Neste segmento, a latência para atingir o bloqueio sensitivo variou entre 2,7±0,8 e 4,0±2,1 minutos. Para o bloqueio motor variou entre 3,5±0,8 e 4,8±1,2 minutos. Já a duração do bloqueio sensitivo variou entre 55,0±49,9 e 102,5±36,0 minutos. Por fim, o bloqueio motor entre 24,0±13,4 e 85,0±43,1 minutos. Nenhum dos animais apresentou bloqueio ao nível dos membros torácicos. A avaliação da região torácica e abdominal não foi conclusiva com a metodologia adotada. A anestesia peridural pela abordagem sacrococcígea demonstrou ser uma alternativa viável em gatos. A bupivacaína a 0,5% promoveu o bloqueio anestésico predominantemente sensitivo, segmentar e proporcional ao volume administrado |
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Costa, Gilberto AraújoPaiva, Jonimar Pereira023.431.727-22http://lattes.cnpq.br/0555358847663175Otero, Pablo EzequielMarucio, Rodrigo LuizAscoli, Fabio OteroSilva, Marta Fernanda Albuquerque da227.985.648-40http://lattes.cnpq.br/39946217595390572023-12-22T02:57:41Z2023-12-22T02:57:41Z2015-01-26COSTA, Gilberto Araújo. Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%.. 2015. 112 f. Dissertação (Programa de Pós-Graduação em Medicina Veterinária (Patologia e Ciências Clínicas)) - Universidade Federal Rural do Rio de Janeiro, Seropédica.https://rima.ufrrj.br/jspui/handle/20.500.14407/14224A anestesia peridural em gatos, pela abordagem sacrococcígea, parece ser uma alternativa mais segura que a lombossacral. Nesta espécie, a medula espinhal termina ao nível sacral, por isso acredita-se que a abordagem caudal reduza a incidência da punção medular e a administração subaracnóide inadvertida, quando o propósito é realizar a anestesia peridural. O objetivo desse estudo foi avaliar os efeitos da anestesia peridural guiada pela neuroestimulação pela abordagem sacrococcígea com dois volumes diferentes de bupivacaína a 0,5%. Foram utilizados 18 gatos hígidos divididos em três grupos com seis animais, grupo controle (GC) e tratados GI e GII. No exame pré-anestésico (M0), foram avaliados os sinais vitais, o estado de consciência e realizado o exame neurológico periférico. Este último foi classificado por escore em suas funções sensitivas e motoras, divididas por região corpórea na sequência: cauda e períneo, membro pélvico, abdômen, tórax e membro torácico. Os testes sensitivos foram avaliados quanto à resposta ao estímulo mecânico nociceptivo em dermátomos correspondentes aos nervos pudendo, peroneu, tibial, cutâneo femoral lateral, inervação cutânea do tórax e abdômen e nervo radial nessa ordem. Os testes motores foram classificados quanto ao relaxamento muscular da cauda e membros, reflexo miotático patelar, teste de propriocepção e habilidade em caminhar, se manter em pé e movimentar a cauda. Todos os animais foram sedados com xilazina 1 mg.kg-1 pela via intravenosa (IV). Após cinco minutos (M1), constatando-se a sedação, a punção peridural foi realizada via sacrococcígea guiada pela neuroestimulação com corrente elétrica fixa em 0,7mA, 2Hz e 0,1ms. Os volumes administrados foram respectivamente 0,2 ml.kg-1 (GI) e 0,4 ml.kg-1 (GII) e imediatamente aplicada ioimbina 0,2 mg.kg-1 (IV). Através da repetição dos testes neurológicos foram determinados os tempos de latência e duração do bloqueio anestésico sensitivo e motor com os animais conscientes. A avaliação do grupo controle (GC) descartou a influência do protocolo de sedação na avaliação do bloqueio anestésico. Na região da cauda e períneo o tempo médio de latência foi inferior a dois minutos em todos os testes. Já o bloqueio sensitivo permaneceu por 125,0±64,1 minutos no GI e 165,0±25,1 minutos no GII, enquanto o bloqueio motor variou entre 75,0±50,2 e 87,5±55,7 minutos para o GI e entre 120,0±31,9 e 130,0±30,1 minutos para o GII. Verificou-se que, na região dos membros pélvicos, o bloqueio completo ocorreu de forma homogênea quando utilizado o maior volume (GII). Neste segmento, a latência para atingir o bloqueio sensitivo variou entre 2,7±0,8 e 4,0±2,1 minutos. Para o bloqueio motor variou entre 3,5±0,8 e 4,8±1,2 minutos. Já a duração do bloqueio sensitivo variou entre 55,0±49,9 e 102,5±36,0 minutos. Por fim, o bloqueio motor entre 24,0±13,4 e 85,0±43,1 minutos. Nenhum dos animais apresentou bloqueio ao nível dos membros torácicos. A avaliação da região torácica e abdominal não foi conclusiva com a metodologia adotada. A anestesia peridural pela abordagem sacrococcígea demonstrou ser uma alternativa viável em gatos. A bupivacaína a 0,5% promoveu o bloqueio anestésico predominantemente sensitivo, segmentar e proporcional ao volume administradoCoordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESSacrococcygeal approach appear to be a safer alternative to epidural anesthesia in cats than the lumbosacral approach. In this species the spinal cord ends at the sacral level. Therefore it is believed that the caudal approach reduces the incidence of inadvertent medular puncture or subarachnoid drug injection instead of to perform epidural anesthesia. The aim of this study was to evaluate the effects of epidural anesthesia guided by neurostimulation by sacrococcygeal approach with two different volumes of 0.5% bupivacaine. There were included 18 healthy cats divided into three groups of 6 animals, control group (CG) and case groups GI and GII. In the pre-anesthetic examination time (M0) there were assessed the vital signs, consciousness and performed peripheral neurological examination. It was classified with scores for sensory and motor functions, divided by body region, following: tail and perineum, pelvic limb, abdomen, chest and forelimb. Sensory tests were assessed for responses to noxious mechanical stimuli in dermatomes corresponding to the pudendal nerves, peroneu, tibial, lateral femoral cutaneous, radial nerve and cutaneous innervation of the chest and abdomen. Motor tests were classified according to tail and limbs muscle relaxation; patellar stretch reflex, proprioception test, the ability to walk, stand upright and move the tail. All animals were sedated with xylazine 1 mg.kg-1 via intravenous (IV). Five minutes later (M1), they were checked for sedation and had the epidural puncture via sacrococcygeal guided by neurostimulation with electric current fixed at 0,7mA, 2 Hz and 0.1ms. The volumes administered were respectively 0.2 ml.kg-1 (GI) and 0.4 ml.kg-1 (GII), followed by yohimbine 0.2 mg.kg-1 (IV). The neurological tests were used to determinate the times of onset, duration of sensory and motor block anesthesia with the animals conscious. The control group evaluation (CG) ruled out the influence of sedation protocol in the evaluation of anesthetic block. In the tail and perineum regions, the average time lag was less than two minutes in all tests and the sensitive blockade remained for 125.0 ± 64.1 minutes in GI and 165.0 ± 25.1 minutes in GII, while the motor blockade ranged from 75.0 ± 50.2 and 87.5 ± 55.7 minutes for GI and between 120.0 ± 31.9 and 130.0 ± 30.1 minutes for GII. Complete blockage was found in the hind limbs regions in both groups, only with the greatest volume (GII). In this segment the latency necessary to reach the sensory block, ranged from 2.7 ± 0.8 to 4.0 ± 2.1 minutes, and, for the motor block, ranged from 3.5 ± 0.8 to 4.8 ± 1.2 minutes, while the duration of the sensory block ranged from 55.0 ± 49.9 to 102.5 ± 36.0 minutes and the engine block between 24.0 ± 13.4 and 85.0 ± 43.1 minutes. None of the animals showed blockage at the level of thoracic limbs. However, the methodology adopted shown to be inconclusive for abdominal and thoracic regions evaluation. Epidural anesthesia by sacrococcygeal approach has proven to be a viable alternative in cats. The 0.5% bupivacaine promoted the segmental anesthetic block, proportional to the administered dose.application/pdfporUniversidade Federal Rural do Rio de JaneiroPrograma de Pós-Graduação em Medicina Veterinária (Patologia e Ciências Clínicas)UFRRJBrasilInstituto de Veterináriaacesso epidural sacrococcígeoanestésico localneuroestimulaçãofelinosepidural sacrococcygeal approachlocal anestheticneurostimulationcatsMedicina VeterináriaAvaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%.Sensory and motor evaluation of cats under epidural anestesia guided by nerostimulation through sacrococcygeal approach, with different volumes of 0.5% bupivacaineinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisAFOLABI, B. B.; LESI, F. E. A. 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| dc.title.por.fl_str_mv |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| dc.title.alternative.eng.fl_str_mv |
Sensory and motor evaluation of cats under epidural anestesia guided by nerostimulation through sacrococcygeal approach, with different volumes of 0.5% bupivacaine |
| title |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| spellingShingle |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. Costa, Gilberto Araújo acesso epidural sacrococcígeo anestésico local neuroestimulação felinos epidural sacrococcygeal approach local anesthetic neurostimulation cats Medicina Veterinária |
| title_short |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| title_full |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| title_fullStr |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| title_full_unstemmed |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| title_sort |
Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%. |
| author |
Costa, Gilberto Araújo |
| author_facet |
Costa, Gilberto Araújo |
| author_role |
author |
| dc.contributor.author.fl_str_mv |
Costa, Gilberto Araújo |
| dc.contributor.advisor1.fl_str_mv |
Paiva, Jonimar Pereira |
| dc.contributor.advisor1ID.fl_str_mv |
023.431.727-22 |
| dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/0555358847663175 |
| dc.contributor.referee1.fl_str_mv |
Otero, Pablo Ezequiel |
| dc.contributor.referee2.fl_str_mv |
Marucio, Rodrigo Luiz |
| dc.contributor.referee3.fl_str_mv |
Ascoli, Fabio Otero |
| dc.contributor.referee4.fl_str_mv |
Silva, Marta Fernanda Albuquerque da |
| dc.contributor.authorID.fl_str_mv |
227.985.648-40 |
| dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3994621759539057 |
| contributor_str_mv |
Paiva, Jonimar Pereira Otero, Pablo Ezequiel Marucio, Rodrigo Luiz Ascoli, Fabio Otero Silva, Marta Fernanda Albuquerque da |
| dc.subject.por.fl_str_mv |
acesso epidural sacrococcígeo anestésico local neuroestimulação felinos epidural sacrococcygeal approach local anesthetic neurostimulation cats |
| topic |
acesso epidural sacrococcígeo anestésico local neuroestimulação felinos epidural sacrococcygeal approach local anesthetic neurostimulation cats Medicina Veterinária |
| dc.subject.cnpq.fl_str_mv |
Medicina Veterinária |
| description |
A anestesia peridural em gatos, pela abordagem sacrococcígea, parece ser uma alternativa mais segura que a lombossacral. Nesta espécie, a medula espinhal termina ao nível sacral, por isso acredita-se que a abordagem caudal reduza a incidência da punção medular e a administração subaracnóide inadvertida, quando o propósito é realizar a anestesia peridural. O objetivo desse estudo foi avaliar os efeitos da anestesia peridural guiada pela neuroestimulação pela abordagem sacrococcígea com dois volumes diferentes de bupivacaína a 0,5%. Foram utilizados 18 gatos hígidos divididos em três grupos com seis animais, grupo controle (GC) e tratados GI e GII. No exame pré-anestésico (M0), foram avaliados os sinais vitais, o estado de consciência e realizado o exame neurológico periférico. Este último foi classificado por escore em suas funções sensitivas e motoras, divididas por região corpórea na sequência: cauda e períneo, membro pélvico, abdômen, tórax e membro torácico. Os testes sensitivos foram avaliados quanto à resposta ao estímulo mecânico nociceptivo em dermátomos correspondentes aos nervos pudendo, peroneu, tibial, cutâneo femoral lateral, inervação cutânea do tórax e abdômen e nervo radial nessa ordem. Os testes motores foram classificados quanto ao relaxamento muscular da cauda e membros, reflexo miotático patelar, teste de propriocepção e habilidade em caminhar, se manter em pé e movimentar a cauda. Todos os animais foram sedados com xilazina 1 mg.kg-1 pela via intravenosa (IV). Após cinco minutos (M1), constatando-se a sedação, a punção peridural foi realizada via sacrococcígea guiada pela neuroestimulação com corrente elétrica fixa em 0,7mA, 2Hz e 0,1ms. Os volumes administrados foram respectivamente 0,2 ml.kg-1 (GI) e 0,4 ml.kg-1 (GII) e imediatamente aplicada ioimbina 0,2 mg.kg-1 (IV). Através da repetição dos testes neurológicos foram determinados os tempos de latência e duração do bloqueio anestésico sensitivo e motor com os animais conscientes. A avaliação do grupo controle (GC) descartou a influência do protocolo de sedação na avaliação do bloqueio anestésico. Na região da cauda e períneo o tempo médio de latência foi inferior a dois minutos em todos os testes. Já o bloqueio sensitivo permaneceu por 125,0±64,1 minutos no GI e 165,0±25,1 minutos no GII, enquanto o bloqueio motor variou entre 75,0±50,2 e 87,5±55,7 minutos para o GI e entre 120,0±31,9 e 130,0±30,1 minutos para o GII. Verificou-se que, na região dos membros pélvicos, o bloqueio completo ocorreu de forma homogênea quando utilizado o maior volume (GII). Neste segmento, a latência para atingir o bloqueio sensitivo variou entre 2,7±0,8 e 4,0±2,1 minutos. Para o bloqueio motor variou entre 3,5±0,8 e 4,8±1,2 minutos. Já a duração do bloqueio sensitivo variou entre 55,0±49,9 e 102,5±36,0 minutos. Por fim, o bloqueio motor entre 24,0±13,4 e 85,0±43,1 minutos. Nenhum dos animais apresentou bloqueio ao nível dos membros torácicos. A avaliação da região torácica e abdominal não foi conclusiva com a metodologia adotada. A anestesia peridural pela abordagem sacrococcígea demonstrou ser uma alternativa viável em gatos. A bupivacaína a 0,5% promoveu o bloqueio anestésico predominantemente sensitivo, segmentar e proporcional ao volume administrado |
| publishDate |
2015 |
| dc.date.issued.fl_str_mv |
2015-01-26 |
| dc.date.accessioned.fl_str_mv |
2023-12-22T02:57:41Z |
| dc.date.available.fl_str_mv |
2023-12-22T02:57:41Z |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
| format |
masterThesis |
| status_str |
publishedVersion |
| dc.identifier.citation.fl_str_mv |
COSTA, Gilberto Araújo. Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%.. 2015. 112 f. Dissertação (Programa de Pós-Graduação em Medicina Veterinária (Patologia e Ciências Clínicas)) - Universidade Federal Rural do Rio de Janeiro, Seropédica. |
| dc.identifier.uri.fl_str_mv |
https://rima.ufrrj.br/jspui/handle/20.500.14407/14224 |
| identifier_str_mv |
COSTA, Gilberto Araújo. Avaliação sensitiva e motora de gatos submetidos à anestesia peridural guiada por neuroestimulação pela abordagem sacrococcígea com diferentes volumes de bupivacaína 0,5%.. 2015. 112 f. Dissertação (Programa de Pós-Graduação em Medicina Veterinária (Patologia e Ciências Clínicas)) - Universidade Federal Rural do Rio de Janeiro, Seropédica. |
| url |
https://rima.ufrrj.br/jspui/handle/20.500.14407/14224 |
| dc.language.iso.fl_str_mv |
por |
| language |
por |
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