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

Abstract

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.

Use of an ultrasound‐guided block of the radial, ulnar, median and musculocutaneous nerves in seven calves undergoing tenotomy or carpus arthrodesis surgery

“…This report describes a successful desensitisation of the R nerve by a lateral approach and the UMM nerves by a medial approach at mid‐humeral level, guided by ultrasound in calves. A similar approach was successfully applied in an alpaca undergoing radial fracture repair, 10 while a lateral approach to both R and UMM nerves has been reported in one calf 9 . There are no further reports regarding use of RUMM block in ruminants, and the potential advantages or disadvantages of each technique remain to be investigated.…”

“…A similar approach was successfully applied in an alpaca undergoing radial fracture repair, 10 while a lateral approach to both R and UMM nerves has been reported in one calf. 9 There are no further reports regarding use of RUMM block in ruminants, and the potential advantages or disadvantages of each technique remain to be investigated.…”

“…Several techniques have been described to desensitise different regions of the forelimb in dogs and cats, using either peripheral nerve stimulation or ultrasound guidance. 1 With respect to ruminants, besides traditional 'blind' techniques, the literature is sparse, 2,3 limited to only one brief study for brachial plexus block in calves 4 and a few reports using peripheral nerve stimulation in sheep [5][6][7][8] or ultrasound guidance in one calf 9 and one alpaca. 10 A common conclusion among the authors is that further studies are needed in these species.…”

Amputatie ter hoogte van de carpus en prothese bij een cria

“…Deze techniek zorgt voor desensitisatie van het onderste lidmaat distaal van de elleboog. Deze techniek werd reeds gebruikt voor ingrepen zoals tenectomie bij kalveren of bij een radiusfractuur bij alpaca's (Alonso et al, 2023;Trujanovic et al, 2020). Om de optimale lokalisering van de zenuw te bekomen, werd deze block zoals in de voorliggende studie onder echobegeleiding uitgevoerd.…”

Diagnostic Value of Color Doppler Ultrasound Combined with Superb Microvascular Imaging in the Detection of Small Renal Tumors Less than 3 cm Treated with Jinkui Shenqi Pills

“…Superb microvascular imaging (SMI) is a new type of imaging technology that detects human blood flow and displays the flow in a visual form, which can diagnose the vascular diseases of patients directly and accurately. It has been reported that the sensitivity and specificity of SMI in the detection and diagnosis of small renal tumors are relatively high, which can greatly improve the detection rate and accuracy of small renal tumors [7][8][9]. To further study the application value of color Doppler ultrasound combined with SMI in the diagnosis of small renal tumors, patients with small renal tumors were selected as the research objects to compare the specificity, sensitivity, positive and negative detection results, and detection accuracy between color Doppler ultrasound and SMI combined with color Doppler ultrasound, aiming to clarify the application value and diagnostic effect of color Doppler ultrasound combined with SMI in clinical practice, with details reported as below.…”