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Peer-reviewed veterinary case report

Pain relief during dog wrist fusion surgery: IV regional anesthesia

By De Marzo, C et al.·Published in Research in veterinary science·2012·Dipartimento dell'Emergenza e dei Trapianti di Organi (D.E.T.O.), Italy·View original on PubMed

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Original publication title: Comparison of intra-operative analgesia provided by intravenous regional anesthesia or brachial plexus block for pancarpal arthrodesis in dogs.

Species:
dog
Movement & jointsDogs

Plain-English summary

A group of 20 dogs undergoing surgery to fuse their wrist joints (pancarpal arthrodesis) received either intravenous regional anesthesia (IVRA) or a brachial plexus block (BPB) for pain relief during the procedure. All dogs were sedated and placed under general anesthesia, and neither group needed additional pain medication during surgery. The results showed that both methods provided effective pain control without significant differences in recovery times or vital signs. This means that either technique can be safely used for similar surgeries in dogs.

People also search for: dog wrist surgery pain relief · pancarpal arthrodesis anesthesia options · dog surgery recovery time

Abstract

The aim of this study was to compare intravenous regional anesthesia (IVRA) and brachial plexus block (BPB) for intra-operative analgesia in dogs undergoing pancarpal arthrodesis (PA). Twenty dogs scheduled for PA were intramuscularly sedated with acepromazine (0.03 mg/kg), general anesthesia was intravenously (IV) induced with thiopental (10 mg/kg) and, after intubation, maintained with isoflurane in oxygen. In 10 dogs (GIVRA) IVRA was performed on the injured limb administering 0.6 ml/kg of 0.5% lidocaine. In 10 dogs (GBPB) the BPB was performed at the axillary level with the help of a nerve stimulator and 0.3 ml/kg of a 1:1 solution of 2% lidocaine and 1% ropivacaine was injected. During surgery fentanyl (0.002 mg/kg IV) was administered if there was a 15% increase of HR and/or MAP compared to the values before surgical stimulation. All the standard cardiovascular and respiratory parameters were continuously monitored during surgery. The duration of surgery and the time of extubation were recorded. Data were compared with a 1-way ANOVA test (P<0.05). No patients required fentanyl administration during surgery. All the recorded parameters were similar in the two groups. The two techniques were similar in providing intra-operative analgesia in dogs undergoing orthopaedic surgery.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/22464864/