Preview

Russian Journal of Veterinary Pathology

Advanced search

THE METHOD OF BRACHIAL PLEXUS BLOCK IN DOGS UNDER THE CONTROL OF ELECTRONEUROSTIMULATION AND SONOGRAPHY

https://doi.org/10.25690/VETPAT.2022.75.55.006

Abstract

The paper presents a comparative description of the block methods of the brachial plexus in dogs under the control of neurostimulation and sonography. It should be noted that during conduction anesthesia using ultrasound scanning, the problem of constant and long-term visualization of the needle position remains. At the same time, in order to reduce the subjective factor, a method of electrical nerve stimulation was developed, which allows "to find” target nerves by visualizing the motor responses of muscles until the injection of local anesthetics. To confirm the identification of the nerve plexus structures, we used 2 methods: ultrasound leveling for group 1 and double control - ultrasound leveling and electrical stimulation - for the 2nd group. The study involved 28 dogs. The effectiveness of the development of a complete blockade was evaluated based on changes in hemodynamics and respiratory changes in response to a deep pain sensitivity test on each finger of the anesthetized limb. As a result of our study, the double control method showed the most diagnostic accuracy in identifying all the nerve structures of the brachial plexus and amounted to 100 %. In the ultrasound-guided group, the effectiveness of surgical anesthesia was lower and amounted to 86 % for blockade of the brachial plexus by axillary access and 72 % for the paravertebral cervical method.

About the Authors

M. O. Voronova
«Biocontrol»
Russian Federation


E. A. Kornyushenkov
«Biocontrol»
Russian Federation


Y. A. Vatnikov
«Peoples' Friendship University of Russia»
Russian Federation


References

1. Нейроаксиальные методы обезболивания в хирургии: пособие для врачей / сост. А. В. Маньков, В. И. Горбачев. - Иркутск, 2010. - 56 с

2. Надирадзе З. З. Проведение блокады плечевого сплетения под контролем ультразвуковой визуализации и нейростимуляции / З. З. Надирадзе, А. В. Михайлов и др. / Бюллетень ВСНЦ СО РАМН. - Иркутск. - 2014. - № 3 (97). - С. 46-50

3. Skarda R. T. Local and regional anesthetic and analgesic techniques: Dogs / R. T. Skarda // Williams & Wilkins. - Baltimore. - 1996. - P. 426-447

4. Wagner A. E. Clinical evaluation of perioperative administration of gabapentin as an adjunct for postoperative analgesia in dogs undergoing amputation of a forelimb / A. E. Wagner, P. M. Mich, S. R. Uhrig, P. W. Hellyer //j. Am. Vet. Med. Assoc. - Apr 1, 2010. - # 236 (7). - P. 751-757

5. Campoy L. Small animal regional anesthesia and analgesia / L. Campoy, R. Matt // A John Wiley & Sons, Inc., Publication. - 2013. - P. 141-152

6. Orebaugh S. L. Adverse outcomes associated with stimulator-based peripheral nerve blocks with versus without ultrasound visualization / S. L. Orebaugh, B. A. Williams, M. Vallejo [et al.] // Reg Anesth Pain Med 34. - 2009. - P. 71-80

7. Robards C.Intraneural injection with low-current stimulation during popliteal sciatic nerve block / C. Robards, A. Hadzic, L. Somasundaram [et al.] // Anesth. Analg. - 109. - 2009. - P. 673-677

8. Chan V. W. Ultra- sound guidance improves success rate of axillary brachialplexus block / V. W. Chan, A. Perlas, C. J. McCartney [et al.] // Can. J. Anaesth. - 2007. - 54. - P. 176-182

9. Akasaka M. Comparison of ultrasound- and electrostimulation-guided nerve blocks of brachial plexus in dogs Veterinary / M. Akasaka, M. Shimizu // Anaesthesia and Analgesia. - 2017. - 44. - P. 625-635

10. Andreae M. H. Local anaesthetics and regional anaesthesia for preventing chronic pain after surgery / M. H. Andreae, D. A. Andreae // Cochrane Database Syst. Rev. - 2012

11. Perris T. M. The road to success: A review of 1000 axillary brachial plexus blocks; Anaesthesia peri-operative medicine, critical care and pain / T. M. Perris, J. M. Watt // - December, 2003. - Vol. 58. - Issue 12. - P. 1220-1224

12. Henkel Gretchen. Susceptibility of nerve fibers to local anesthesia: «Size Principle» challenged / G. Henkel. Anesthesiology. - December, 2001. - Vol. 95. - 5A-6A. - 1441 pp

13. Otero P. E. Small regional Anesthesia / P. E. Otero, D. A. Portela // Inter-Medica. - Argentina. - 2018. - P. 53-70


Review

For citations:


Voronova M.O., Kornyushenkov E.A., Vatnikov Y.A. THE METHOD OF BRACHIAL PLEXUS BLOCK IN DOGS UNDER THE CONTROL OF ELECTRONEUROSTIMULATION AND SONOGRAPHY. Russian Journal of Veterinary Pathology. 2022;(1):41-48. (In Russ.) https://doi.org/10.25690/VETPAT.2022.75.55.006

Views: 91


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2949-4826 (Online)