Evaluation of ultrasound-guided pecto-intercostal block in canine cadavers

Escalante, Gabriela C.; Ferreira, Tiago; Hershberger-Braker, Karen L.; Schroeder, Carrie A.

doi:10.1016/j.vaa.2021.12.007

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…1 Other local anaesthetic techniques have been clinically described in veterinary medicine to provide analgesia to the ventral chest wall, including thoracic paravertebral block, 6 erector spinae plane block 7 and pecto-intercostal block. 8 The transversus thoracic muscle plane (TTP) block is a regional anaesthesia technique used in human medicine with the main objective of providing perioperative analgesia in patients undergoing procedures such as sternotomy, sternal retraction, internal mammary artery harvesting, chest tubes placement and cardiac surgery. 9,10 Several studies about this technique in human medicine have shown that the injection of local anaesthetics between the transversus thoracic and intercostal muscles at the level of the fourth and fifth ribs next to the sternum will cause spread of the solution along the TTP, providing analgesia to the nerves innervating the aforementioned area.…”

Section: Introductionmentioning

confidence: 99%

“…The thoracic epidural anaesthesia has also been reported, although it carries technique‐ and drug‐related risks of severe complications 1 . Other local anaesthetic techniques have been clinically described in veterinary medicine to provide analgesia to the ventral chest wall, including thoracic paravertebral block, 6 erector spinae plane block 7 and pecto‐intercostal block 8 …”

Section: Introductionmentioning

confidence: 99%

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Thoracic transversus plane block as part of a multimodal analgesia plan in a cat undergoing sternotomy

Pérez

Martínez

Jiménez

2023

Vet Record Case Reports

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A 12‐year‐old, neutered, male, domestic shorthair cat presented for investigation of acute‐onset respiratory distress and cough. Computed tomography scan showed bilateral pleural effusion and dorsal elevation of the trachea compatible with a mass effect. A median sternotomy was performed. Anaesthetic protocol consisted of premedication with intravenous methadone (0.2 mg/kg), induction with alfaxalone to effect and maintenance with isoflurane in oxygen. Transversus thoracic muscle plane block was performed injecting 0.4 mL/kg of 0.25% bupivacaine per side. Fentanyl (2 μg/kg) was administered as rescue analgesia once during surgery. The Glasgow Composite Pain Scale was assessed postoperatively. Methadone was given as rescue analgesia postoperatively when Glasgow pain score was greater than 5/20. The first administration of methadone was required at 8 hours after the transversus thoracic muscle plane block was performed. This case showed that the ultrasound‐guided transversus thoracic muscle plane block is a feasible technique in feline patients as part of a multimodal analgesia plan in a cat undergoing sternotomy.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Thoracic transversus plane block as part of a multimodal analgesia plan in a cat undergoing sternotomy

Pérez

Martínez

Jiménez

2023

Vet Record Case Reports

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show abstract

“…In veterinary medicine, thoracic epidural [ 6 ], thoracic paravertebral block [ 7 , 8 , 9 , 10 , 11 ], erector spinae plane block [ 12 , 13 , 14 ], intercostal blocks [ 6 , 15 ], transversus thoracis plane (TTP) block [ 16 , 17 ] and pecto-intercostal block [ 18 ] could be useful, providing analgesia to the ventral chest wall.…”

Section: Introductionmentioning

confidence: 99%

A Two-Point Ultrasound-Guided Injection Technique for the Transversus Thoracis Plane Block: A Canine Cadaveric Study

Alaman

Bonastre²,

González‐Marrón³

et al. 2022

Animals

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The transversus thoracis plane (TTP) block desensitizes the intercostal nerves that run through this plane, providing analgesia to the ventral thoracic wall. Two canine cadavers were used to assess the feasibility of the transverse approach for the TTP (t-TTP) under ultrasound guidance to inject a solution at the third and sixth intercostal spaces. Eight cadavers were used to compare the spread and number of intercostal nerves that were stained when a low volume (LV) 0.5 mL kg−1 or a high volume (HV) 1 mL kg−1 of a dye-lidocaine solution was injected into the same hemithorax, injecting the volume equally at these intercostal spaces using the transverse approach. Fisher’s exact test and Wilcoxon signed-rank test were used to contrast the spread of the different volume solutions. The injectate spread along the TTP after all injections, dying a median number (range) of 3 (2–5) and 6 (5–6) nerves with LV and HV, respectively (p = 0.011). The two-point injection of HV, using the t-TTP approach, is a feasible technique that provides a consistent staining from T2 to T7 intercostal nerves. The injection of HV instead of LV increases the spread and enhances the number of stained intercostal nerves.

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Ultrasound-guided transversus thoracis plane block as part of multimodal analgesia in a dog undergoing median sternotomy

Barrientos

Merlin²

2022

Veterinary Anaesthesia and Analgesia

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Evaluation of ultrasound-guided pecto-intercostal block in canine cadavers

Cited by 4 publications

References 22 publications

Thoracic transversus plane block as part of a multimodal analgesia plan in a cat undergoing sternotomy

Thoracic transversus plane block as part of a multimodal analgesia plan in a cat undergoing sternotomy

A Two-Point Ultrasound-Guided Injection Technique for the Transversus Thoracis Plane Block: A Canine Cadaveric Study

Ultrasound-guided transversus thoracis plane block as part of multimodal analgesia in a dog undergoing median sternotomy

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