Analgesia multimodal y anestesia regional

Tornero, Carlos; Rodríguez, L.E. Fernández; Valls, Jaime

doi:10.1016/j.redar.2017.01.008

Cited by 6 publications

(1 citation statement)

References 35 publications

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“…Locoregional techniques are commonly used in conjuction with systemically administered analgesic drugs in order to reduce the total dose of these drugs and provide multimodal analgesia. 3 The sensory innervation of the thoracic limb is mainly provided by the radial, ulnar, median and musculocutaneous (RUMM) nerves, originating from the brachial plexus 4 5 A variety of techniques and approaches for desensitisation of these nerves have been described in veterinary species, one of them being the 'RUMM block', which leads to the desensitisation of the RUMM nerves, thereby effectively desensitising the thoracic limb distal to the midhumerus.…”

Section: Introductionmentioning

confidence: 99%

Development of a lateral ultrasound‐guided approach for the radial, ulnar, median and musculocutaneous (RUMM) nerve block in a calf undergoing surgical fixation of the antebrachium

Trujanovic

Otero

Menzies

et al. 2020

Vet Record Case Reports

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A 26-day-old Pustertaler Sprinzer calf was referred to the ruminant clinic of the Veterinary University of Vienna for internal fixation of a suspected traumatic radius–ulnar fracture of the left forelimb. Preanaesthetic medication consisted of xylazine 0.06 mg/kg and ketamine 6 mg/kg intramuscularly, followed by induction of anaesthesia with ketamine 2.7 mg/kg intravenously. Anaesthesia was maintained with isoflurane in oxygen. A modified lateral ultrasound-guided radial, ulnar, median and musculocutaneous (RUMM) block was performed using 0.3 ml/kg bupivacaine 0.5 per cent. Total surgical time was 385 minutes. Vital parameters remained stable throughout surgery, with no rescue analgesia required at any point. Recovery from anaesthesia was uneventful. The calf received morphine 0.1 mg/kg intramuscularly every four hours for the following four days. Additionally, carprofen 1.4 mg/kg intramuscularly was administered once daily for the following seven days. Fifty-one days after surgical stabilisation, the plate was removed, and the calf was discharged home. The described modified lateral RUMM block using bupivacaine 0.5 per cent provided analgesia for at least 6.5 hours.

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Section: Introductionmentioning

confidence: 99%