Continuous Perineural Block of the Palmar Nerves: A New Technique for Pain Relief in the Distal Equine Forelimb

Zarucco, Laura; Driessen, Bernd; Scandella, M.; Seco, Olga; Cozzi, Francesca; Orsini, James A.

doi:10.1053/j.ctep.2007.05.007

Cited by 13 publications

(11 citation statements)

References 29 publications

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“…The placement of perineural catheters for continuous administration of local anaesthetics to a target nerve or plexus to treat postoperative pain is widely applied in human beings (Ilfeld and others 2002, Liu and Salinas 2003, Richman and others 2006). Perineural catheters have also been successfully used in equine patients and a technique to provide continuous infusion to the palmar nerves of the front limbs of horses providing effective analgesia has been described (Zarucco and others 2007, 2010). Furthermore it has been demonstrated that continuous administration of a low concentration of bupivacaine and epinephrine at the palmar nerves of the thoracic limb can provide effective analgesia by decreasing nerve conduction velocity (Zarucco and others 2010).…”

Section: Discussionmentioning

confidence: 99%

Repeated perineural administrations of ropivacaine at the tibial nerve following a degloving injury in a horse

Marolf

Spadavecchia

Fouché

et al. 2016

Vet Record Case Reports

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The authors report a case of interventional pain management in a mare after a major degloving injury of the left hindlimb. Despite immediate surgical wound closure under general anaesthesia and multimodal systemic pain therapy during the first three weeks after surgery, the horse progressively developed signs of persistent pain. As placement of an epidural catheter was not successful, a perineural catheter was placed at the tibial nerve allowing repeated administrations of ropivacaine 0.5 per cent every six hours for nine days, leading to a reduction of pain signs. This improvement has been observed clinically as well as a reduction of pain scores recorded 30 minutes after ropivacaine injections. For the remaining 24 days of hospital stay, analgesia was provided by oral meloxicam administration and morphine administered through a newly placed epidural catheter. The horse was discharged from the hospital with minor signs of pain 57 days after injury.

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Section: Discussionmentioning

confidence: 99%

Repeated perineural administrations of ropivacaine at the tibial nerve following a degloving injury in a horse

Marolf

Spadavecchia

Fouché

et al. 2016

Vet Record Case Reports

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“…bupivacaine or ropivacaine 0.125-0.25 %) over a period of multiple days. 148,149 The therapy can continue for longer periods by exchange catheters every 4-8 days. With this technique significant pain relief can be obtained in horses refractory to systemic analgesic therapy and therefore suffering from unrelenting pain during a period of early or active chronic laminitis.…”

Section: Loco-regional Anesthesia and Analgesiamentioning

confidence: 99%

“…With this technique significant pain relief can be obtained in horses refractory to systemic analgesic therapy and therefore suffering from unrelenting pain during a period of early or active chronic laminitis. 149 The technique offers the advantage of titrating the analgesic effect by adjusting the concentration of the local anesthetic solution and/or the rate of drug administration to a desired level of comfort without causing complete sensory blockade. The CPNB catheters can also be placed more proximal on the limb in close proximity of the ulnar and median nerves.…”

Section: Loco-regional Anesthesia and Analgesiamentioning

confidence: 99%

Neuropathic Pain Management in Chronic Laminitis

Driessen

Bauquier

Zarucco

2010

Veterinary Clinics of North America: Equine Practice

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“…) but the clinical application of the technique has been rarely reported to date (Zarucco et al . ).…”

Section: Introductionmentioning

confidence: 97%

A preventive multimodal analgesic strategy for bilateral rostral mandibulectomy in a horse

Minghella

Auckburally

2013

Equine Veterinary Education

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Summary This case report describes the use of a wound soaker catheter as part of a preventive multimodal analgesic plan in a mare undergoing a bilateral rostral mandibulectomy. The administration of local anaesthetic into the surgical wound using a wound soaker catheter, together with systemic nonsteroidal anti‐inflammatory drugs (NSAIDs) and opioid therapy, controlled post operative pain satisfactorily.

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Continuous Perineural Block of the Palmar Nerves: A New Technique for Pain Relief in the Distal Equine Forelimb

Cited by 13 publications

References 29 publications

Repeated perineural administrations of ropivacaine at the tibial nerve following a degloving injury in a horse

Repeated perineural administrations of ropivacaine at the tibial nerve following a degloving injury in a horse

Neuropathic Pain Management in Chronic Laminitis

A preventive multimodal analgesic strategy for bilateral rostral mandibulectomy in a horse

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