Clinical efficacy of ultrasound-guided bilateral erector spinae plane block for standing lumbar spinous osteotomy in a horse

Chiavaccini, Ludovica; Cavalcanti, Mariana; Gasperi, Diego De; Portela, Diego A.

doi:10.1016/j.vaa.2022.06.001

Cited by 3 publications

(7 citation statements)

References 5 publications

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“…Similar findings have been reported for the use of ESP in horses 23 . Epidural spreading was reported in the cadaveric study in 20% of horses; however, in standing sedation they did not report ataxia or recumbency 25 . Based on this knowledge, it can be inferred that epidural spreading occurs often but without the knowledge of the clinician.…”

Section: Discussionsupporting

confidence: 85%

“…23 Epidural spreading was reported in the cadaveric study in 20% of horses; however, in  of  standing sedation they did not report ataxia or recumbency. 25 Based on this knowledge, it can be inferred that epidural spreading occurs often but without the knowledge of the clinician. Moreover, segmental lumbar epidural anaesthesia has previously been reported for flank anaesthesia in cattle, with no severe ataxia or recumbency reported in those animals.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the clinical application and efficacy of the ESP block also remain under debate, 30 and further research is needed to fully understand the mechanism of action and potential benefits of this technique. In veterinary medicine, this block has recently been investigated in several species, including dogs, 20,21 cats, 22 pigs, 19 horses 23–25 and cows 26 . Epidural spreading has been described in cadaveric studies using the US‐guided ESP block (67%), as well as the blind paravertebral (53%) techniques in cattle 26 .…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18] This block has been investigated in pigs, 19 dogs, 20,21 cats 22 and recently in horses. [23][24][25] A recent cadaveric study by d' Anselme et al 26 demonstrated the feasibility of an ultrasound-guided erector spinae plane block in cows. Compared to the traditional blind technique, the study found that the ESP block offers several advantages consistent with those reported for other facial plane blocks.…”

Section: Introductionmentioning

confidence: 99%

“…For the proximal paravertebral approach, the erector spinae plane (ESP) block, introduced in humans in 2016 by Forero et al., 15 has been suggested as an equivalent ultrasound‐guided technique 16–18 . This block has been investigated in pigs, 19 dogs, 20,21 cats 22 and recently in horses 23–25 …”

Section: Introductionmentioning

confidence: 99%

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Clinical application of a described erector spinae plane block for locoregional anaesthesia technique in a cow undergoing standing laparotomy

d'Anselme,

Gamsjäger,

Ringer

et al. 2023

Vet Record Case Reports

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A 5‐year‐old post‐parturient Holstein Friesian cow, with a history of decreased milk production, decreased appetite and metritis, was referred for left abomasal displacement, which was corrected by right paralumbar omentopexy. After aseptic preparation of the right flank, an erector spinae plane block was performed under ultrasound guidance, using 20 mL of lidocaine 2% per point of injection, at the level of the thoracic vertebra 13, and the lumbar vertebrae 1 and 2 to provide flank anaesthesia. The cow reacted to the last 2 cm of the oblique skin incision, that corresponded to the most caudal portion of the flank. After local infiltration of the distal incision with 20 mL lidocaine 2%, the procedure was uneventful, with no anaesthesia‐related complications and no reactions to surgical stimulation. The present report describes the clinical application of the erector spinae plane block to provide flank anaesthesia in a cow undergoing standing laparotomy.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Clinical application of a described erector spinae plane block for locoregional anaesthesia technique in a cow undergoing standing laparotomy

d'Anselme,

Gamsjäger,

Ringer

et al. 2023

Vet Record Case Reports

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International survey of equine orthopaedic specialists reveals diverse treatment strategies for horses with overriding spinous processes

Treß,

Lischer,

Merle

et al. 2024

Veterinary Record

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BackgroundOverriding spinous processes, also known as ‘kissing spines’, are one of the most common causes of back pain in horses. The aim of this study was to investigate which options for diagnosis and treatment are preferred by equine orthopaedic specialists and assess which techniques are used for local injection.MethodsAn online survey was distributed among members of the European/American College of Veterinary Surgeons, the European/American College of Veterinary Sports Medicine and Rehabilitation, the International Society of Equine Locomotor Pathology and nationally recognised advanced equine orthopaedic practitioners.ResultsThe survey was completed by 353 respondents. The injection techniques most commonly used involve placing two needles abaxial to the interspinous space (42%) under ultrasonographic guidance (32%) or one needle in the midline (35%) between two spinous processes. The most popular combination for overriding dorsal spinous process therapy was local injection (26.7%) combined with controlled exercise (25.5%). Manual therapy was considered by 42% of European and 25% of American specialists (p = 0.01). Surgical intervention as a first‐line treatment was recommended mainly by specialists working in the United States, the UK or Ireland (p = 0.001). Overall, most equine orthopaedic veterinarians (71%; n = 201) preferred conservative management and recommended surgery only for horses that did not respond to conservative therapy.LimitationsRespondents’ personal bias may have skewed the findings.ConclusionsDespite a growing body of evidence, the therapeutic approach to ‘kissing spines’ in horses is influenced by professional specialisation and regional preferences. Variations in injection techniques and differing criteria for surgical intervention warrant further investigation.

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Objective methods of nerve localisation to facilitate performing locoregional anaesthetic techniques for horses undergoing surgical procedures

Louro,

Loomes,

Bardell

2024

Equine Veterinary Education

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SummaryPerineural anaesthesia is a useful technique in equine surgery, providing pre‐emptive targeted anaesthesia of the surgical site, reducing volatile anaesthetic requirements, improving recovery quality and providing postoperative pain relief. Surgery under standing sedation in horses has increased in popularity, mandating the need for effective locoregional anaesthesia and analgesic techniques. Nerve location techniques offer greater accuracy than blind techniques when placing injectate. These methods can help to avoid structures such as blood vessels and minimise direct nerve damage during needle placement, reducing the risk of procedure‐related complications. This review will discuss the most pertinent research in the veterinary literature where objective methods of nerve location have been used to perform peripheral nerve blocks in horses. The efficacy of using objective methods to perform nerve blocks in equine anaesthesia is discussed by the authors, providing useful information to equine anaesthetists, and potentially improve the quality of anaesthesia and analgesia in horses.

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Clinical efficacy of ultrasound-guided bilateral erector spinae plane block for standing lumbar spinous osteotomy in a horse

Cited by 3 publications

References 5 publications

Clinical application of a described erector spinae plane block for locoregional anaesthesia technique in a cow undergoing standing laparotomy

Clinical application of a described erector spinae plane block for locoregional anaesthesia technique in a cow undergoing standing laparotomy

International survey of equine orthopaedic specialists reveals diverse treatment strategies for horses with overriding spinous processes

Objective methods of nerve localisation to facilitate performing locoregional anaesthetic techniques for horses undergoing surgical procedures

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