Ultrasound-guided modified subcostal transversus abdominis plane block and influence of recumbency position on dye spread in equine cadavers

Freitag, Flávio Augusto Vieira; Amora, Dorli da S.; Muehlbauer, Eloisa; Dornbusch, Peterson Triches; Machado, Marcello; Montiani‐Ferreira, Fabiano; Farias, Édison Luiz Prisco; Valverde, Alexander; Moreno, Juan Carlos Duque

doi:10.1016/j.vaa.2021.03.006

Cited by 10 publications

(23 citation statements)

References 19 publications

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“…Ltda) delivered by inhalation. Horses admitted to UFPR veterinary hospital (cases 1, 2 and 3) were also submitted to transversus abdominis plane (TAP) block with bupivacaine hydrochloride (Bupican; Claris Injectables Limited) prior to the creation of the abdominal incision (Freitag et al, 2021; Küls et al, 2020).…”

Section: General Pre‐operative and Surgical Proceduresmentioning

confidence: 99%

Use of a pneumatic device for intraluminal enterolith fragmentation in horses

Machado Amaral Rosa

Dornbusch

Moreno

et al. 2023

Equine Veterinary Education

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Summary Horses with enterolithiasis may develop clinical signs of colic due to partial or complete obstruction of the right dorsal, transverse or small colon. Laparotomy followed by enterotomy at the site of obstruction or mobilisation of enteroliths to intestinal segments deemed more appropriate for incision is indicated in these cases. However, surgical removal of enteroliths lodged in nonexteriorisable intestinal segments and/or not amenable to mobilisation may be labour intensive and dangerous. Pneumatic impact (or ballistic) lithotripsy is a potential tool for surgical resolution of simple and complex cases of enterolithiasis in horses. This study describes the use of a pneumatic lithotripsy device for intraluminal enterolith fragmentation in five cases of enterolithiasis. Seven calculi were successfully fragmented. In four cases, fragmentation was achieved at the site of obstruction and fragments exteriorised through an enterotomy incision created for device introduction or advanced towards the rectum and removed. In two cases, enteroliths were manipulated back to the pelvic flexure, fragmented and removed. Findings of this study suggest that intraluminal enterolith fragmentation can be used to avoid long enterotomy incisions and facilitate removal of calculi lodged in bowel segments that cannot be exteriorised. However, it is important to be aware of the risks of enterolith fragmentation in nonexternalisable bowel segments that cannot be visualised for intestinal viability assessment.

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Section: General Pre‐operative and Surgical Proceduresmentioning

confidence: 99%

Use of a pneumatic device for intraluminal enterolith fragmentation in horses

Machado Amaral Rosa

Dornbusch

Moreno

et al. 2023

Equine Veterinary Education

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“…The TAP block was performed in both left and right hemi‐abdominal walls with a modified subcostal approach (Freitag et al., 2021) with two‐site injections. Injection was performed with a spinal needle (Spinocan 22G, 40 mm, B. Braun) inserted under US guidance with a linear probe (8–12 Hz; Aplio a450, Canon Medical Systems) covered with a sterile cover containing ultrasound gel.…”

Section: Treatmentmentioning

confidence: 99%

“…The transversus abdominis plane (TAP) block is a fascial plane block that desensitises the nerves innervating the skin, subcutaneous tissue, muscles and parietal peritoneum of the abdominal wall (Evans & de Lahunta, 2013; Portela et al., 2014). It involves the injection of local anaesthetic into the fascial plane between the transversus abdominis muscle and either the internal oblique abdominis muscle or the rectus abdominis muscle where the ventral branches of the thoracolumbar spinal nerves are located, depending on where the anaesthetic solution is deposited (Freitag et al., 2021; Küls et al., 2020). TAP block has become increasingly popular in human medicine, as it provides intra‐ and postoperative analgesia for surgical procedures of the abdomen (Johns et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

“…In veterinary medicine, this block has been described in the cadavers of dogs, calves, ponies, horses and pigs (Baldo et al., 2018; Bruggink et al., 2012; Calice et al., 2021; Drozdzynska et al., 2017; Freitag et al., 2021; Mirra et al., 2018; Schroeder et al., 2011).…”

Section: Introductionmentioning

confidence: 99%

“…As previously described, the transversus abdominis plane block in experimental or cadaveric studies in horses has been employed by different approaches (Baldo et al., 2018; Freitag et al., 2021; Küls et al., 2020). To the author's knowledge, this is the first description of TAP block performed in a foal using four injection points (two per hemi‐abdomen).…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound‐guided modified subcostal transversus abdominis plane block in a foal undergoing omphalectomy

López‐Ramis,

Santiago‐Llorente,

Manso‐Díaz

et al. 2023

Equine Veterinary Education

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SummaryA 7‐day‐old, 60 kg, Purebred Spanish Horse filly was referred with the mare to Complutense University of Madrid, Veterinary teaching hospital for elective omphalectomy. Upon admission, clinical examination was unremarkable except for a thickening of the umbilical area. Haematology and biochemistry values were within the normal range. On abdominal ultrasound (US) examination, a well‐defined, rounded (24 mm of diameter) area that contained heterogeneous material with numerous hyperechoic foci with acoustic shadowing was seen within the inner portion of the umbilical pedicle, between both umbilical arteries. Surgical correction with omphalectomy was scheduled. To provide perioperative analgesia, the transversus abdominis plane (TAP) block was considered. Under general anaesthesia, TAP block was performed in both left and right hemi‐abdominal walls with a modified subcostal approach with two‐site injections. A spinal needle was inserted under US guidance. During surgery, end‐tidal concentration of isoflurane was maintained at 0.7%–0.9%. Surgery was completed uneventfully and no signs of nociceptive input were observed, suggesting an adequate level of analgesia. Therefore, this TAP block technique may be considered to provide analgesia for surgical procedures involving the abdominal wall in foals.

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Anesthetic Management of Foals

Lascola¹,

Clark‐Price²

2022

Equine Anesthesia and Co‐Existing Disease

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Ultrasound-guided modified subcostal transversus abdominis plane block and influence of recumbency position on dye spread in equine cadavers

Cited by 10 publications

References 19 publications

Use of a pneumatic device for intraluminal enterolith fragmentation in horses

Use of a pneumatic device for intraluminal enterolith fragmentation in horses

Ultrasound‐guided modified subcostal transversus abdominis plane block in a foal undergoing omphalectomy

Anesthetic Management of Foals

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