Peer-reviewed veterinary case report
Accidental artery puncture during nerve block in a dog
By Paul M G McCarthy & Arthur Yuk Kong Chau·Published in Veterinary Record Case Reports·2020·View original on Semantic Scholar →
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Original publication title: Accidental arterial catheterisation during a maxillary nerve block using a modified infraorbital approach in a dog
- Species:
- dog
Plain-English summary
A 9-year-old Maltese terrier cross was brought in because his chronic cough had recently worsened. During a dental procedure, a veterinarian attempted a nerve block using a new technique but accidentally inserted a catheter into an artery instead of the intended area. This is the first reported case of this complication, highlighting the importance of being cautious with this method. Fortunately, the vet was able to manage the situation quickly.
People also search for: dog chronic cough treatment · Maltese terrier dental procedure risks · dog cough worsening原因
Abstract
The maxillary nerve block (MNB) is a local anaesthetic technique used in dentistry and oromaxillofacial surgery, with recent popular use for minimising adverse reactions during rhinoscopy. A modified approach via the infraorbital foramen using an intravenous catheter has been recently described in the veterinary literature to minimise potential nerve block associated complications. This case report describes inadvertent arterial catheterisation using the aforementioned technique in a 5.4-kg, 9-year-old male neutered Maltese terrier cross that was presented for diagnostic workup of a chronic cough that had recently worsened. To the authors’ knowledge, this is the first case report of such a complication. It is recommended for veterinary practitioners to be aware of accidental arterial puncture and catheterisation whenever a modified infraorbital approach to the MNB is performed in order to facilitate rapid intervention and management.
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Search related cases →Original publication on Semantic Scholar: https://www.semanticscholar.org/paper/d1af6484396e86de28f7175da35f032f2d3579e4