Intraoperative antinociception and postoperative analgesia following epidural anesthesia versus femoral and sciatic nerve blockade in dogs undergoing stifle joint surgery

Caniglia, Andrea M.; Driessen, Bernd; Puerto, David A.; Bretz, Brian; Boston, Raymond C.; Larenza, M. Paula

doi:10.2460/javma.241.12.1605

Cited by 46 publications

(41 citation statements)

References 37 publications

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“…; Caniglia et al. ). This higher dose was chosen in order to ensure an adequate volume of injectate using a higher concentration of bupivacaine (0.75%) and also to prolong the duration of sensory blockade.…”

Section: Discussionmentioning

confidence: 97%

“…; Caniglia et al. ). In the present study, the absence of a statistically significant change in HR and blood pressure throughout the duration of surgery is probably indicative of antinociception at least partially provided by nerve blockade.…”

Section: Discussionmentioning

confidence: 97%

“…Techniques for performing such nerve blocks using electro-stimulation and ultrasound-guidance have been described in dogs (Mahler & Adogwa 2008;Campoy et al 2010;Echeverry et al 2010;Costa-Farr e et al 2011). Studies in dogs have demonstrated that femoral and sciatic nerve blocks provide intraoperative antinociception and postoperative analgesia similar to epidural anesthesia in animals undergoing stifle surgery (Campoy et al 2012;Caniglia et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, analgesics administered preoperatively may obscure the contribution of nerve blockade to intraoperative antinociception and postoperative analgesia. Clinical studies often quantify the analgesic efficacy of peripheral regional blockade by analyzing the number and frequency of administrations of rescue analgesia required postoperatively (Campoy et al 2012;Caniglia et al 2012;Vettorato et al 2012). However, animals in these studies received preoperative opioids, which may have masked the full analgesic benefits provided by F+S nerve blockade.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Use of a perfusion index to confirm the presence of sciatic nerve blockade in dogs

Gatson

Garcia‐Pereira

James

et al. 2016

Veterinary Anaesthesia and Analgesia

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of a perfusion index to confirm the presence of sciatic nerve blockade in dogs

Gatson

Garcia‐Pereira

James

et al. 2016

Veterinary Anaesthesia and Analgesia

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“…Injections of local anaesthetics at the femoral and the sciatic nerves have been shown to be as effective as an epidural injection of the same drugs to treat post‐operative pain (Caniglia et al . ). The technique of ultrasound‐guided injection of local anaesthetics at the sciatic and the femoral nerves for hind limb surgery has been described (Campoy et al .…”

Section: Introductionmentioning

confidence: 97%

Use of a perineural coiled catheter at the sciatic nerve in dogs after tibial plateau levelling osteotomy – preliminary observations

Marolf

Luyet

Spadavecchia

et al. 2015

Veterinary Medicine & Sci

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The analgesic effects of peripheral nerve blocks can be prolonged with the placement of perineural catheters allowing repeated injections of local anaesthetics in humans. The objectives of this study were to evaluate the clinical suitability of a perineural coiled catheter (PCC) at the sciatic nerve and to evaluate pain during the early post‐operative period in dogs after tibial plateau levelling osteotomy. Pre‐operatively, a combined block of the sciatic and the femoral nerves was performed under sonographic guidance (ropivacaine 0.5%; 0.3 mL kg−1 per nerve). Thereafter, a PCC was placed near the sciatic nerve. Carprofen (4 mg kg−1 intravenously) was administered at the end of anaesthesia. After surgery, all dogs were randomly assigned to receive four injections of ropivacaine (group R; 0.25%, 0.3 mL kg−1) or NaCl 0.9% (group C; 0.3 mL kg−1) every 6 h through the PCC. Pain was assessed by use of a visual analogue scale (VAS) and a multi‐dimensional pain score (4Avet) before surgery (T‐1), for 390 min (T0, T30, T60, T120, T180, T240, T300, T360 and T390) as well as 1 day after surgery (Day 1). Methadone (0.1 mg kg−1) was administered each time the VAS was ≥40 mm or the 4Avet was ≥5. At T390 dogs received buprenorphine (0.02 mg kg−1). Data were compared using Mann–Whitney rank sum tests and repeated measures analysis of variance. Regardless of group allocation, 55% of dogs required methadone. VAS was significantly lower at T390 (P = 0.003), and at Day 1 (P = 0.002) and so was 4Avet at Day 1 (P = 0.012) in group R than in group C. Bleeding occurred in one dog at PCC placement and PCC dislodged six times of 47 PCCs placed. Minor complications occurred with PCC but allowed four repeated administrations of ropivacaine or saline over 24 h in 91.5% of the cases.

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Retrospective assessment of the relationship between intraoperative nociception and postoperative analgesia requirements in dogs undergoing thoracic surgery

Corrêa¹,

Grados²

2021

Veterinary Record

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Background The analgesia management of thoracic surgery can be challenging and debate exists regarding the efficacy of pre‐emptive analgesia and its relationship with postoperative pain. The aim of this study was to assess the relationship between intraoperative nociception and postoperative pain in dogs undergoing thoracic surgery. If proven, effective prevention of intraoperative nociception could imply prospective lower postoperative analgesia requirements. Methods The study was retrospective and observational. Clinical records from dogs undergoing thoracic surgery (2015–2019) were reviewed and cases were allocated to one of two groups: NOCI‐FREE – dogs with no evidence of intraoperative nociception; NOCI – dogs that required intraoperative rescue analgesia to address a nociceptive response. Pre‐anaesthetic medication, locoregional analgesia, intraoperative infusions and rescue analgesia were used. Additionally, postoperative pain scores and analgesia plans were registered and compared between groups. Results Our study failed to identify a difference in the postoperative pain scores and analgesia requirements between dogs having signs of intraoperative nociception and those without. Additionally, the use of postoperative analgesic preventive infusions and rescue analgesia was similar for both NOCI and NOCI‐FREE. Being on an intraoperative infusion of opioids, dexmedetomidine or lidocaine was identified as a protective factor for nociception [OR = 11; (4.15–29.7)]. Conclusions In the population studied, it appears that dogs showing signs of nociception intraoperatively do not necessarily show higher pain scores nor do they need additionally pain relief in the postoperative period.

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Intraoperative antinociception and postoperative analgesia following epidural anesthesia versus femoral and sciatic nerve blockade in dogs undergoing stifle joint surgery

Abstract: Femoral and sciatic nerve blocks provided intraoperative antinociception and postoperative analgesia similar to epidural anesthesia in dogs undergoing stifle joint surgery.

Cited by 46 publications

References 37 publications

Use of a perfusion index to confirm the presence of sciatic nerve blockade in dogs

Use of a perfusion index to confirm the presence of sciatic nerve blockade in dogs

Use of a perineural coiled catheter at the sciatic nerve in dogs after tibial plateau levelling osteotomy – preliminary observations

Retrospective assessment of the relationship between intraoperative nociception and postoperative analgesia requirements in dogs undergoing thoracic surgery

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