The Trunk

and, Matt R. Read; Schroeder, Carrie A.

doi:10.1002/9781118783382.ch12

Cited by 12 publications

(8 citation statements)

References 70 publications

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“…The transverse abdominis plane (TAP) block entails the ultrasound-guided injection of local anesthetic in the interfascial plane between the internal oblique and the transverse abdominis muscles. Described in both humans and small animals [7,8], this technique aims to desensitize the ipsilateral hemiabdomen (abdominal skin, subcutaneous tissue, mammary glands, abdominal muscles and underlying parietal peritoneum) by blocking the peripheral nerves running within the target plane [9]. The abdominal wall in dogs is innervated by the ventromedial branches of the thoracic nerves from T7 to T13, and the lumbar nerves from L1 to L3 [10].…”

Section: Introductionmentioning

confidence: 99%

Use of Transversus Abdominis Plane and Intercostal Blocks in Bitches Undergoing Laparoscopic Ovariectomy: A Randomized Controlled Trial

Paolini

Santoro

Bianchi

et al. 2022

Veterinary Sciences

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In humans and dogs, loco-regional anesthesia is associated with lower peri-operative opioid consumption and less related side effects. The combination of transversus abdominis plane (TAP) and intercostal blocks can be used to desensitize the entire abdominal wall in dogs. The aim of this study was to evaluate the effectiveness of TAP and intercostal blocks in bitches undergoing laparoscopic ovariectomy. Twenty client-owned bitches were enrolled in this double-blinded randomized controlled trial. After premedication with dexmedetomidine, methadone and ketamine, the animals were randomized into two groups. Dogs in the TAP group received intercostal blocks from T8 to T10 and a TAP block with ropivacaine. Dogs in the FEN group received a fentanyl bolus and a constant rate infusion for the entire duration of the procedure. Intra-operative cardiovascular stability, post-operative pain scores, rescue opioid requirement, dysphoria during recovery, time to attain sternal recumbency and interest in food at 6 h post-extubation were compared. Bitches in the TAP group received a statistically significant lower amount of rescue fentanyl intra-operatively and methadone post-operatively. Pain scores were lower in the TAP group until 6 h post-extubation. No difference was found for dysphoric recoveries, time to attain sternal recumbency and appetite at 6 h post-extubation. No adverse event was recorded for any of the dogs. The combination of TAP and intercostal blocks can be part of an effective multi-modal analgesic strategy in bitches undergoing laparoscopic ovariectomy.

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Section: Introductionmentioning

confidence: 99%

Use of Transversus Abdominis Plane and Intercostal Blocks in Bitches Undergoing Laparoscopic Ovariectomy: A Randomized Controlled Trial

Paolini

Santoro

Bianchi

et al. 2022

Veterinary Sciences

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“…Sua dose terapêutica é de 3 mg/kg e a dose tóxica convulsivante de 4,9 mg/kg (SKARDA, 1996). Entretanto, a dose mais baixa de bupivacaina também se mostrou eficaz (0,2 mL/kg) por ponto de injeção para analgesia trans e pos operatória (READ & SCHROEDER, 2013).…”

Section: Sequência Do Bloqueio Anestésicounclassified

“…Através da utilização do aparelho ultrassonográfico (General Eletric Logiq 500; Shimadzu 1100), aumentam-se as chances de sucesso do bloqueio, diminui as chances de punção vascular e peritoneal e facilita a identificação das estruturas, não sendo recomendando realizar o bloqueio às cegas, por causa da fina espessura da parede corporal abdominal de cães e gatos (CAMPOY et al, 2017b). O bloqueio deve ser feito bilateralmente para que seja efetivo em abordagens abdominais na linda média (READ & SCHROEDER, 2013).…”

Section: Técnica Convencionalunclassified

Bloqueio do Plano Transverso do Abdomen Guiado por Ultrassom: Revisão de Literatura

Cota¹,

Klaumann²

2020

BJD

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Hartur Nunes Cota Graduado em Medicina Veterinária pelo Centro Veterinário do Planalto Central Aparecido dos Santos; Especialização LATU SENSO em anestesiologia veterinária. Responsável pelo serviço de anestesiologia e controle da dor na clínica veterinária SONHO DE BICHO, clínica veterinária ZEUS, clínica veterinária Vetkey bull e segundo anestesista do hospital veterinário de taguatinga -Brasília -DF (2019). Tem experiência na área de clínica médica, cirurgia e emergência de pequenos animais, buscando enfase em anestesiologia animal (2015).

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“…Start by counting the ribs from 13 backwards to locate the chosen intercostal space. Before incision it is also advised to perform intercostal nerve blocks, in order to benefit of pre‐emptive local anaesthetic action (Read and Schroeder, ).…”

Section: Techniquementioning

confidence: 99%

“…These are effective for providing local anaesthesia to the lateral thoracic walls for several hours, with improved postoperative ventilation without the need of using high doses of systemic opioids. The local anaesthetic most commonly used is bupivacaine (0.5 ml bupivacaine 0.5% per site in patients up to 10 kg, and 0.5–2 ml bupivacaine 0.5% per site in patients greater than 10 kg), which is injected dorsally, just below the epaxial muscle insertion, at the caudal border of the ribs (Read and Schroeder, ). Bupivacaine can alternatively be administered intrapleurally along the thoracostomy tube (the total dose of 2mg/kg every 4 hours can also be divided between intrapleural and intercostal blockade).…”

Section: Techniquementioning

confidence: 99%