A retrospective study of efficacy and side effects of intrathecal administration of hyperbaric bupivacaine and morphine solution in 39 dogs undergoing hind limb orthopaedic surgery

Sarotti, Diego; Rabozzi, Roberto; Franci, Paolo

doi:10.1111/j.1467-2995.2012.00787.x

Cited by 18 publications

(31 citation statements)

References 10 publications

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“…The median time from SA to documented walking was longer than that reported after hyperbaric SA (5 hours) (Sarotti et al . ) and shorter than reported (12 ± 3 hours) after extradural administration of bupivacaine and morphine in dogs (Campoy et al . ).…”

Section: Discussionmentioning

confidence: 59%

“…Furthermore, the definition of ability to walk was different to that used by Sarotti et al . (), who considered dogs able to walk when ataxia was still present. In this study, there was a reliance on events recorded after recovering from general anaesthesia, and ability to walk was defined as a dog able to stand without help, and able to walk without ataxia.…”

Section: Discussionmentioning

confidence: 99%

“…, Sarotti et al . , ). Compared to isobaric SA, SSA decreases the incidence of hypotension in humans (Casati & Fanelli ).…”

Section: Introductionmentioning

confidence: 99%

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Retrospective clinical evaluation of hypobaric spinal anaesthesia in dogs undergoing pelvic limb orthopaedic surgery

Gennaro¹,

Vettorato²,

Corletto³

2014

J of Small Animal Practice

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

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Retrospective clinical evaluation of hypobaric spinal anaesthesia in dogs undergoing pelvic limb orthopaedic surgery

Gennaro¹,

Vettorato²,

Corletto³

2014

J of Small Animal Practice

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“…Calculating the injection volume on vertebral column length can be an alternative approach in overweight-obese patients. This approach has already been described in dogs (Otero and others 2009, Sarotti and others 2011, 2013). However, so far, no mathematical model that relates cephalad progression of solutions and total vertebral column length has been described in cats.…”

Section: Discussionmentioning

confidence: 98%

Total spinal anaesthesia following spinal lumbosacral injection of bupivacaine 0.5 per cent in a cat

Casoni

Rohrbach

Spadavecchia

2014

Vet Record Case Reports

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A 16-year-old castrated male cat underwent general anaesthesia twice within three weeks for perineal urethrostomy and its surgical revision. The cat was affected by compensated hyperthrophic cardiomyopathy. The first anaesthesia was uneventful; in the second anaesthesia a lumbosacral spinal injection of bupivacaine 0.5 per cent was carried out during inhalant anaesthesia. Immediately after completion of injection, respiratory arrest, bilateral mydriasis and cardiovascular collapse occurred. Supportive measures restored normotension and normal cardiac rhythm. Inhalation of isoflurane was immediately interrupted after respiratory arrest. Nevertheless, the cat remained comatose for two hours and it was transferred to the intensive care unit under oxygen supplementation by mask once responsive to visual stimuli. Twenty-four hours later, neurological exam did not reveal any deficit and the cat recovered completely.

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“…Although there is a lack of evidence in the literature, presumably, some perioperative complications that affect subjects undergoing a regional block could be influenced by the anesthetic protocol used. The most frequent complication requiring anesthetist attention during the perioperative period in healthy dogs undergoing neuraxial anesthesia is cardiovascular depression [22], However, Bosmans et al [1] also reported a remarkably high incidence of arousal/movement (A/M) episodes (4/23) when performing neuraxial anesthesia in isoflurane-anesthetized dogs. Even though the veterinary literature does not provide more information on this complication, the authors’ clinical impression is that when anesthesia is maintained with a volatile agent in non or lightly premedicated dogs, the A/M incidence is close to or superior to that found by Bosmans et al [1] in dogs undergoing a regional block.…”

mentioning

confidence: 99%

Impact evaluation of two different general anesthesia protocols (TIVA with propofol vs isoflurane) on the total number of interventions to treat cardiovascular depression or arousal/movement episodes in dogs undergoing orthopedic surgery receiving an intrathecal anesthesia

Sarotti¹,

Rabozzi²,

Franci

2016

The Journal of Veterinary Medical Science

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The aim of this prospective, randomized clinical trial was to compare the total number of anesthetic interventions (TNAI) performed by the anesthetist to treat cardiovascular depression or arousal/movement episodes in dogs receiving intrathecal and general anesthesia (GA), maintained using propofol-based TIVA (group P) or isoflurane (group I). Mean arterial pressure (MAP) before (T0) and 12 min after intrathecal anesthesia (T1) and intraoperative vasoactive consumption were also compared. The TNAI to deepen the anesthetic plane or to treat hemodynamic depression in the pre-surgical and intra-surgical period was calculated in forty-two client-owned dogs randomly assigned to group P or I. Ten dogs for each group complied with the inclusion criteria and were analyzed. In pre-surgical period, the TNAI was higher in Group I [2 (0–5)] than Group P [0 (0–2)] (P=0.022), and ephedrine consumption was also higher in Group I [75 (0–200) µg/kg)] than Group P [(0 (0–50)] (P=0.016). MAP (mmHg) in Group P was 79 (66–95) at T0 and 65 (59–86) at T1 and 67.5 (50–73) and 57 (53–66) in Group I, respectively. At T0 and T1, MAP was higher in Group P (P=0.005 and P=0.006, respectively). No differences were found between the two groups in the intrasurgical period (P>0.05). This study shows that the GA protocol can have a relevant impact on the TNAI performed by the anesthetist in the pre-surgical period of anesthesia, to treat cardiovascular depression or arousal/movement episodes in dogs receving intrathecal anesthesia.

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A retrospective study of efficacy and side effects of intrathecal administration of hyperbaric bupivacaine and morphine solution in 39 dogs undergoing hind limb orthopaedic surgery

Cited by 18 publications

References 10 publications

Retrospective clinical evaluation of hypobaric spinal anaesthesia in dogs undergoing pelvic limb orthopaedic surgery

Retrospective clinical evaluation of hypobaric spinal anaesthesia in dogs undergoing pelvic limb orthopaedic surgery

Total spinal anaesthesia following spinal lumbosacral injection of bupivacaine 0.5 per cent in a cat

Impact evaluation of two different general anesthesia protocols (TIVA with propofol vs isoflurane) on the total number of interventions to treat cardiovascular depression or arousal/movement episodes in dogs undergoing orthopedic surgery receiving an intrathecal anesthesia

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