Use of ultrasonography to confirm epidural catheter position in a cat

Machin, Hanna; Merlin, Tristan; Viscasillas, Jaime

doi:10.1016/j.vaa.2018.03.012

Cited by 2 publications

(2 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…29 Access to the epidural space at this level was crucial to avoid intrathecal injection of the drugs. 28 In addition, the epidural catheter was placed ultrasound-guided, 5 to avoid the penetration of the dural sac, and a posterior epidurogram was confirmed by board-certified radiologists (ECVDI).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Suspected local anaesthetic systemic toxicity (LAST) after several bupivacaine injections through an epidural catheter in a cat

Quesada

Pelligand

Doig³

et al. 2021

Vet Record Case Reports

View full text Add to dashboard Cite

A 9-year-old male neutered domestic short hair cat was referred to our practice after a road traffic accident. On presentation, the cat was obtunded, with bilateral hindlimb fractures. The fractures were surgically repaired, and an epidural catheter was placed for perioperative pain management. Postoperative analgesia consisted of bupivacaine administered intermittently through the epidural catheter. In the days after surgery, the cat became duller and more obtunded, and marked bilateral mydriasis with absence of a pupillary reflex was noted. After ruling out different causes for mydriasis and weaning the cat from systemic opioids, local anaesthetic systemic toxicity (LAST) emerged the primary differential diagnosis. Bupivacaine plasma concentrations were measured and found a fourfold increase in concentration over that reported after a perineural block. Mydriasis and absent pupillary light reflex, among other clinical signs, could be early indicators of LAST secondary to accumulation of the local anaesthetic in patients with an epidural catheter.

show abstract

Section: Discussionmentioning

confidence: 99%

“…At the end of the procedure, an epidural catheter (Perifix ONE Paed Set 20, B. Braun, UK) was placed using ultrasound 5 and radiographical guidance (Figure 1). The catheter was prefilled with contrast media (Iohexol Omnipaque 300 mg; Healthcare, UK), and inserted between the second and third coccygeal vertebrae.…”

Section: Case Presentationmentioning

confidence: 99%

Suspected local anaesthetic systemic toxicity (LAST) after several bupivacaine injections through an epidural catheter in a cat

Quesada

Pelligand

Doig³

et al. 2021

Vet Record Case Reports

View full text Add to dashboard Cite

show abstract

Ultrasonographic Imaging Protocol and Sonoanatomy of the Lumbar Spine in Healthy Dogs

Abako

Holak

Bajon

et al. 2022

Animals

View full text Add to dashboard Cite

Ultrasound is an imaging technique commonly used in veterinary medicine. Ultrasound devices are widely available, their means of examination are relatively short and cheap, and they do not generate ionizing radiation. In addition, ultrasound generally does not need to be performed under general anesthesia. This study was performed on 23 canine cadavers with full clinical histories and with no confirmed pathological changes in the spine region. The imaging modalities were established in dogs in lateral recumbency, with the selected side being the uppermost angle, in a neutral position. All dogs were examined in the transverse and longitudinal planes. Sacral crest, intertransverse ligament, vertebral canal floor, vertebral body, and intervertebral discs were only visible in the longitudinal plane. Vertebral arch, supraspinal ligament, dorsal wall of the vertebral canal and muscles were visualized only in the transverse plane. This article provides a brief and relatively easy-to-perform protocol for ultrasound imaging of the lumbar spine of dogs. In addition, it presents a detailed description of the sonoanatomy of the area under investigation.

show abstract

Use of ultrasonography to confirm epidural catheter position in a cat

Cited by 2 publications

References 4 publications

Suspected local anaesthetic systemic toxicity (LAST) after several bupivacaine injections through an epidural catheter in a cat

Suspected local anaesthetic systemic toxicity (LAST) after several bupivacaine injections through an epidural catheter in a cat

Ultrasonographic Imaging Protocol and Sonoanatomy of the Lumbar Spine in Healthy Dogs

Contact Info

Product

Resources

About