The effect of erector spinae plane block on perioperative analgesic consumption and complications in dogs undergoing hemilaminectomy surgery: a retrospective cohort study

Portela, Diego A.; Romano, Marta; Zamora, Gustavo A.; Garcia‐Pereira, Fernando; Pablo, Luisito S.; Gatson, Bonnie J.; Johnson, Alana N.; Otero, Pablo E.

doi:10.1016/j.vaa.2020.10.005

Cited by 27 publications

(38 citation statements)

References 17 publications

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“…36,37 It is indicated for treatment of acute post-operative pain after thoracic, abdominal, spinal and hip surgeries. 6,16,[26][27][28][29][30]38,39 In veterinary medicine, Herron et al 18 and Portela et al 22 retrospectively reported the use of the ESP block in 84 and 42 dogs, respectively, undergoing hemilaminectomy. However, it has never been reported as intraoperative analgesia for patients undergoing lateral thoracotomy in human or veterinary medicine.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasound‐guided erector spinae plane (ESP) block was first described in humans in 2016 16 . Since then, it has also been described in dogs, pigs and horses 17–24 . This technique consists of infiltration of local anaesthetic solution in the interfascial plane between the transverse processes of the thoracic vertebrae and the erector spinae muscle group 25 .…”

Section: Introductionmentioning

confidence: 99%

“…16 Since then, it has also been described in dogs, pigs and horses. [17][18][19][20][21][22][23][24] This technique consists of infiltration of local anaesthetic solution in the interfascial plane between the transverse processes of the thoracic vertebrae and the erector spinae muscle group. 25 The erector spinae muscles include the iliocostalis, spinalis and longissimus muscles, all covered by a common fascia.…”

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The combination of an ultrasound‐guided erector spinae plane (ESP) block and epidural morphine as effective intra‐operative adjuncts to opioid premedication in six dogs undergoing lateral thoracotomy

Fernández

Huuskonen

Potter

2021

Vet Record Case Reports

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Six dogs were presented to the University College Dublin Veterinary Hospital for either left or right lateral thoracotomy. After opioid premedication and induction of general anaesthesia, ultrasound-guided erector spinae plane (ESP) block with bupivacaine 0.5% (0.5 mL/kg) or bupivacaine 0.25% (1 mL/kg) was performed in all cases before the surgical procedure along with morphine (0.2 mg/kg) administered epidurally. This combination of local techniques was a successful adjunct to systemic analgesia in these six dogs undergoing lateral thoracotomy, reducing considerably the need for systemic opioids intra-and post-operatively. Ultrasound-guided ESP block with bupivacaine and epidurally administered morphine provided good multimodal intra-operative analgesia for dogs undergoing lateral thoracotomy. BACKGROUNDLateral thoracotomy is one of the most painful but commonly performed surgical procedure to manage diseases within the thoracic cavity in small animals. 1,2 In humans it is known that adequate intra-and post-operative analgesia is essential to allow for early mobilization and discharge and also to reduce the incidence of chronic neuropathic pain development. [3][4][5][6] In human and veterinary medicine, both systemic administration of opioids and locoregional anaesthesia have been used to manage intra-and post-operative pain after lateral thoracotomy. 3,7,8 The use of locoregional anaesthesia reduces systemic opioid requirement and provides analgesia without central respiratory depression or sedation, thus improving ventilation and allowing a more accurate clinical assessment of the patient. 9,10 Thoracic epidural catheter is the "gold standard" analgesic technique in humans, 11 and its effectiveness in providing analgesia in lateral thoracotomies has also been reported in veterinary medicine. 12,13 However, the technique itself and the epidural administration of local anaesthetics may have certain complications and contraindications. 12,14,15 In dogs, these can include mechanical or chemical injury of the spinal cord, motor function impairment, and sympathetic blockade leading to hypotension. 12 Vomiting has also beenThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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The combination of an ultrasound‐guided erector spinae plane (ESP) block and epidural morphine as effective intra‐operative adjuncts to opioid premedication in six dogs undergoing lateral thoracotomy

Fernández

Huuskonen

Potter

2021

Vet Record Case Reports

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“…6 - 8 The clinical data obtained from this report suggest that the ESP block is a feasible technique, and is potentially effective in providing perioperative analgesia for lumbar spinal surgery in cats, which is in line with the results observed in human and canine reports. 9 – 13 , 18 …”

Section: Discussionmentioning

confidence: 99%

“… 14 – 17 Portela et al evaluated its clinical effect in dogs undergoing hemilaminectomy surgery, revealing satisfactory analgesia associated with significantly lower administration of intra- and postoperative opioids and intraoperative adjuvant analgesics, and a reduced incidence of intraoperative cardiovascular complications. 18 …”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats

Salvatierra

Linares²,

Motta³

et al. 2021

Journal of Feline Medicine and Surgery Open Reports

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Case series summary The erector spinae plane (ESP) block consists of an interfascial injection of local anaesthetic between the erector spinae muscle group and the transverse processes of the thoracic vertebrae. This block targets the dorsal rami of the thoracic spinal nerves to desensitise the cutaneous area near the dorsal midline, the paraspinal muscles, the dorsal vertebral laminae and the facet joints. The purpose of this case series is to describe the perioperative analgesic effect and complications of ultrasound-guided ESP block with bupivacaine in three cats undergoing spinal surgery. Only one cardiovascular response was recorded in this case series. Just one cat received intraoperative rescue analgesia. Cats 1 and 2 recorded just one high pain score in the first 24 h postoperatively, and cat 3 recorded three high pain scores. The total amount of methadone given in the 24 h postoperatively was 0.6 mg/kg in cat 1, 0.9 mg/kg in cat 2 and 0.8 mg/kg in cat 3. All three cats suffered mild and transient intraoperative complications, which were easily addressed. There were no postoperative complications. Relevance and novel information This case series documents a novel locoregional anaesthesia technique as an alternative to traditional systemic analgesia. The technique is part of a multimodal analgesia approach for spinal surgery in cats. Perioperative analgesic effect and complications presented in this case series are evaluated and discussed.

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Anesthetic considerations for specific procedures

Shelby¹,

McKune²

2022

Small Animal Anesthesia Techniques

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The effect of erector spinae plane block on perioperative analgesic consumption and complications in dogs undergoing hemilaminectomy surgery: a retrospective cohort study

Cited by 27 publications

References 17 publications

The combination of an ultrasound‐guided erector spinae plane (ESP) block and epidural morphine as effective intra‐operative adjuncts to opioid premedication in six dogs undergoing lateral thoracotomy

The combination of an ultrasound‐guided erector spinae plane (ESP) block and epidural morphine as effective intra‐operative adjuncts to opioid premedication in six dogs undergoing lateral thoracotomy

Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats

Anesthetic considerations for specific procedures

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