Peer-reviewed veterinary case report
Pain control with erector spinae block in dogs having back surgery
By Bendinelli, Cristiano et al.·Published in Veterinary anaesthesia and analgesia·2024·Clinica Veterinaria NVA (Neurologi Veterinari Associati), Italy·View original on PubMed →
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Original publication title: Erector spinae plane block in dogs undergoing hemilaminectomy: A prospective randomized clinical trial.
- Species:
- dog
Plain-English summary
A group of 60 dogs undergoing a spinal surgery called hemilaminectomy received either an erector spinae plane (ESP) block, a constant infusion of fentanyl, or a single dose of methadone for pain management. Those that received the ESP block needed less pain medication during surgery and had similar pain scores afterward compared to the other groups. The ESP block also helped reduce the risk of needing extra pain relief during the operation. Overall, the dogs that received the ESP block had a smoother experience with less reliance on opioids.
People also search for: dog hemilaminectomy pain management · erector spinae block for dogs · dog surgery recovery time
Abstract
OBJECTIVE: To compare the perioperative cumulative opioid consumption and the incidence of cardiovascular complications in dogs undergoing hemilaminectomy in which either an erector spinae plane (ESP) block or systemic opioids were administered. STUDY DESIGN: Prospective randomized clinical trial. ANIMALS: A total of 60 client-owned dogs. METHODS: Dogs were randomized to one of three groups: an ESP block (group ESP), a constant rate infusion of fentanyl (group FNT, positive control) or a single dose of methadone as premedication (group MTD, negative control). Intraoperative nociceptive response was treated with fentanyl [1 μg kg, intravenously (IV)] boli. Before closure of the surgical site, morphine (0.1 mg kg) was applied to the dura mater. The cumulative dose of opioids was recorded and compared between groups. The incidence of intraoperative bradycardia and/or hypotension and the time to extubation were compared between groups. The short form of the Glasgow Composite Pain Scale (SF-GCPS) was used to score nociception before anaesthetic induction and 1, 2, 6, 12,18 and 24 hours postoperatively. Methadone 0.2 mg kgwas administered IV if the SF-GCPS score was ≥ 5. RESULTS: Group MTD required more intraoperative rescue analgesia than groups ESP (p = 0.008) and FNT (p = 0.001). The total cumulative intraoperative dose of fentanyl was higher in groups FNT (p < 0.0001) and MTD (p = 0.002) than in group ESP. The incidence of cardiovascular complications was similar between groups. Extubation time was longer in group MTD (p = 0.03). Postoperatively, the time to first rescue analgesia was longer in group ESP than in group MTD (p = 0.03). The cumulative postoperative opioid consumption and pain scores were similar between groups. CONCLUSIONS AND CLINICAL RELEVANCE: The ESP block resulted in a reduced intraoperative opioid consumption compared with the control positive and negative groups.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38553382/