Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial

Detalhes bibliográficos
Autor(a) principal: Credie, L. F.G.A. [UNESP]
Data de Publicação: 2022
Outros Autores: Luna, S. P.L. [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.tvjl.2022.105791
http://hdl.handle.net/11449/230318
Resumo: Correctly identifying the puncture site and needle position in obese dogs can be challenging to achieve epidural anaesthesia. The current study aimed to evaluate a real-time ultrasound-guided technique, to perform epidural anaesthesia in obese or appropriate body condition score dogs, based on visualization of local anaesthetic flow during its injection, compared to the traditional method of palpation of anatomical landmarks. Seventy-two client-owned dogs were evaluated in a prospective, comparative, randomized clinical trial, allocated into four groups of 18 dogs. For the Palpation-guided 1 (PG1) and 2 (PG2) groups, epidural anaesthesia was based on palpating anatomical landmarks. Dogs with a body condition score (BCS) 1-5/9 were included in the PG1 (non-obese), and those with a BCS 6-9/9 in PG2 (obese) groups. In the Ultrasound-guided 1 (USG1 - BCS 1-5/9) and 2 (USG2 – BCS 6-9/9) groups, epidural anaesthesia was guided by ultrasound (US). The flow of anaesthetic through the epidural canal was observed in all dogs by US. There were fewer needle-to-bone contacts in the US-guided groups when performing epidural anaesthesia; this only occurred on the vertebral laminae, never in the vertebral canal. Ultrasound guidance enabled local anaesthetic injection into the epidural space without the need for palpation of anatomical landmarks to guide needle placement. Blood reflux occurred in 11.1% (PG1), 22.2% (PG2), 5.5% (USG1), and 0% (USG2) of the dogs. Ultrasound-guided punctures led to fewer vascular punctures. Epidural anaesthesia was effective in all animals, and no complications were observed.
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spelling Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trialDogsEpidural spaceRegional anaesthesiaUltrasonographyUltrasound-guidedCorrectly identifying the puncture site and needle position in obese dogs can be challenging to achieve epidural anaesthesia. The current study aimed to evaluate a real-time ultrasound-guided technique, to perform epidural anaesthesia in obese or appropriate body condition score dogs, based on visualization of local anaesthetic flow during its injection, compared to the traditional method of palpation of anatomical landmarks. Seventy-two client-owned dogs were evaluated in a prospective, comparative, randomized clinical trial, allocated into four groups of 18 dogs. For the Palpation-guided 1 (PG1) and 2 (PG2) groups, epidural anaesthesia was based on palpating anatomical landmarks. Dogs with a body condition score (BCS) 1-5/9 were included in the PG1 (non-obese), and those with a BCS 6-9/9 in PG2 (obese) groups. In the Ultrasound-guided 1 (USG1 - BCS 1-5/9) and 2 (USG2 – BCS 6-9/9) groups, epidural anaesthesia was guided by ultrasound (US). The flow of anaesthetic through the epidural canal was observed in all dogs by US. There were fewer needle-to-bone contacts in the US-guided groups when performing epidural anaesthesia; this only occurred on the vertebral laminae, never in the vertebral canal. Ultrasound guidance enabled local anaesthetic injection into the epidural space without the need for palpation of anatomical landmarks to guide needle placement. Blood reflux occurred in 11.1% (PG1), 22.2% (PG2), 5.5% (USG1), and 0% (USG2) of the dogs. Ultrasound-guided punctures led to fewer vascular punctures. Epidural anaesthesia was effective in all animals, and no complications were observed.Medical School Sao Paulo State University (Unesp) Department of Anaesthesiology, Professor Mario Rubens Guimarães Montenegro Avenue, n/nSchool of Veterinary Medicine and Animal Science Sao Paulo State University (Unesp) Department of Veterinary Surgery and Anaesthesiology, Rua Prof. Doutor Walter Mauricio Correa, s/n, Unesp Campus de BotucatuMedical School Sao Paulo State University (Unesp) Department of Anaesthesiology, Professor Mario Rubens Guimarães Montenegro Avenue, n/nSchool of Veterinary Medicine and Animal Science Sao Paulo State University (Unesp) Department of Veterinary Surgery and Anaesthesiology, Rua Prof. Doutor Walter Mauricio Correa, s/n, Unesp Campus de BotucatuUniversidade Estadual Paulista (UNESP)Credie, L. F.G.A. [UNESP]Luna, S. P.L. [UNESP]2022-04-29T08:39:18Z2022-04-29T08:39:18Z2022-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.tvjl.2022.105791Veterinary Journal, v. 280.1532-29711090-0233http://hdl.handle.net/11449/23031810.1016/j.tvjl.2022.1057912-s2.0-85123865576Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengVeterinary Journalinfo:eu-repo/semantics/openAccess2022-04-29T08:39:18Zoai:repositorio.unesp.br:11449/230318Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T16:08:47.138123Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
title Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
spellingShingle Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
Credie, L. F.G.A. [UNESP]
Dogs
Epidural space
Regional anaesthesia
Ultrasonography
Ultrasound-guided
title_short Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
title_full Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
title_fullStr Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
title_full_unstemmed Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
title_sort Real-time ultrasound-guided lumbosacral epidural anaesthesia in obese or appropriate body condition score dogs: A randomized clinical trial
author Credie, L. F.G.A. [UNESP]
author_facet Credie, L. F.G.A. [UNESP]
Luna, S. P.L. [UNESP]
author_role author
author2 Luna, S. P.L. [UNESP]
author2_role author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
dc.contributor.author.fl_str_mv Credie, L. F.G.A. [UNESP]
Luna, S. P.L. [UNESP]
dc.subject.por.fl_str_mv Dogs
Epidural space
Regional anaesthesia
Ultrasonography
Ultrasound-guided
topic Dogs
Epidural space
Regional anaesthesia
Ultrasonography
Ultrasound-guided
description Correctly identifying the puncture site and needle position in obese dogs can be challenging to achieve epidural anaesthesia. The current study aimed to evaluate a real-time ultrasound-guided technique, to perform epidural anaesthesia in obese or appropriate body condition score dogs, based on visualization of local anaesthetic flow during its injection, compared to the traditional method of palpation of anatomical landmarks. Seventy-two client-owned dogs were evaluated in a prospective, comparative, randomized clinical trial, allocated into four groups of 18 dogs. For the Palpation-guided 1 (PG1) and 2 (PG2) groups, epidural anaesthesia was based on palpating anatomical landmarks. Dogs with a body condition score (BCS) 1-5/9 were included in the PG1 (non-obese), and those with a BCS 6-9/9 in PG2 (obese) groups. In the Ultrasound-guided 1 (USG1 - BCS 1-5/9) and 2 (USG2 – BCS 6-9/9) groups, epidural anaesthesia was guided by ultrasound (US). The flow of anaesthetic through the epidural canal was observed in all dogs by US. There were fewer needle-to-bone contacts in the US-guided groups when performing epidural anaesthesia; this only occurred on the vertebral laminae, never in the vertebral canal. Ultrasound guidance enabled local anaesthetic injection into the epidural space without the need for palpation of anatomical landmarks to guide needle placement. Blood reflux occurred in 11.1% (PG1), 22.2% (PG2), 5.5% (USG1), and 0% (USG2) of the dogs. Ultrasound-guided punctures led to fewer vascular punctures. Epidural anaesthesia was effective in all animals, and no complications were observed.
publishDate 2022
dc.date.none.fl_str_mv 2022-04-29T08:39:18Z
2022-04-29T08:39:18Z
2022-02-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.tvjl.2022.105791
Veterinary Journal, v. 280.
1532-2971
1090-0233
http://hdl.handle.net/11449/230318
10.1016/j.tvjl.2022.105791
2-s2.0-85123865576
url http://dx.doi.org/10.1016/j.tvjl.2022.105791
http://hdl.handle.net/11449/230318
identifier_str_mv Veterinary Journal, v. 280.
1532-2971
1090-0233
10.1016/j.tvjl.2022.105791
2-s2.0-85123865576
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Veterinary Journal
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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