Description and evaluation of four ultrasound-guided approaches to aid spinal canal puncture in dogs

Viscasillas, Jaime; Gregori, Tommaso; Castiñeiras, Diego; Redondo, J. I.; Seymour, C.

doi:10.1111/vaa.12324

Cited by 9 publications

(9 citation statements)

References 31 publications

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Section: Discussionmentioning

confidence: 99%

“…The ultrasound anatomical description of the spinal column has been reported in several studies in dogs and is often used for epidural access under ultrasound control . These descriptions apply to the thoracic, lumbar, and lumbosacral regions . According to these studies, it is possible to identify anatomical landmarks such as the seventh lumbar vertebra, sacrum, articular, or spinous processes of each vertebra .…”

Section: Discussionmentioning

confidence: 99%

“…These descriptions apply to the thoracic, lumbar, and lumbosacral regions . According to these studies, it is possible to identify anatomical landmarks such as the seventh lumbar vertebra, sacrum, articular, or spinous processes of each vertebra . These ultrasonographic anatomical descriptions were helpful to guide our practice and contributed to the radiologist's ease with the technique.…”

Section: Discussionmentioning

confidence: 99%

“…The ultrasonographic anatomy of the canine lumbar spine has been previously described . The use of ultrasound for intervertebral disc space localization to perform an epidural injection has also been reported in several veterinary studies . Data from available human literature demonstrate that, in many cases, intervertebral disc space identification using percutaneous palpation based on anatomical landmarks differs from that obtained by ultrasound‐guided identification in 36–64% of cases and that ultrasound is more precise, with an accuracy of 71–77% .…”

Section: Introductionmentioning

confidence: 99%

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Ultrasonography is more accurate than percutaneous palpation for identifying targeted thoracolumbar intervertebral disc spaces in dogs

Boursier¹,

Fournet

Bassanino³

et al. 2018

Vet Radiology Ultrasound

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During minimally invasive spinal surgery, correct identification of the affected intervertebral disc space is critical. Percutaneous palpation is commonly used, but results may be unreliable. Fluoroscopy is the gold standard but can be cumbersome and exposes operators to ionizing radiation. Spinal ultrasound has been described in veterinary medicine and could be a feasible alternative. This prospective, methods comparison study mimicked a minimally invasive spinal surgery in 10 canine cadavers and compared the accuracy of ultrasound and percutaneous palpation for thoracolumbar intervertebral disc space identification, using fluoroscopy as the reference standard. For each experiment, a disc space was randomly chosen. Identification was then attempted using both percutaneous palpation and ultrasound. For ultrasound, a linear probe was used to guide the operator to the correct location. The time necessary to perform each method was recorded. Accuracies for each method were calculated and statistically compared. Effects of body condition score, location of the targeted thoracolumbar intervertebral disc space and learning curve for each method were also evaluated. Ultrasonographic identification was more accurate (96.7% vs. 76.7%; P < 0.03) but took longer (147 s vs. 29 s; P < 0.0001) than percutaneous palpation. Findings from this cadaver study indicated that percutaneous palpation alone had low accuracy for correctly identifying a targeted thoracolumbar intervertebral disc space and supported the use of ultrasound as a method for improving the accuracy. Future studies are needed to assess the method in clinical cases, especially in obese dogs and/or those in which the targeted site is distant from palpable anatomical landmarks.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasonography is more accurate than percutaneous palpation for identifying targeted thoracolumbar intervertebral disc spaces in dogs

Boursier¹,

Fournet

Bassanino³

et al. 2018

Vet Radiology Ultrasound

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“…Tot slot kan door de aanwezigheid van vet soms een vals gevoel van weerstandsverlies ervaard worden, waardoor men foutief denkt dat de naald reeds in de epidurale ruimte is. Om het succespercentage te verhogen, kan controle via echografie gebruikt worden bij het uitvoeren van epidurale en spinale anesthesie (Ingrande et al, 2009;Viscasillas et al, 2016).…”

Section: Technische Moeilijkhedenunclassified

Anesthesie bij de obese hond en kat

Heldens¹,

Roggeman²,

Polis³

2020

VDT

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AMENVATTINGObesitas is een belangrijk probleem in de diergeneeskunde. Aangezien obesitas niet enkel een opstapeling van vet is maar ook belangrijke cardiovasculaire en respiratoire implicaties heeft, kan dit het verloop van de anesthesie sterk beïnvloeden bij de betrokken patiënten. Bovendien kan obesitas een onderliggende oorzaak hebben of leiden tot gerelateerde aandoeningen die op hun beurt de anesthesie compliceren. Tot slot leidt obesitas ook tot veranderingen in de farmacokinetiek en -dynamiek, van onder andere anesthetica. Deze veranderingen vereisen dosisaanpassingen, afhankelijk van het anestheticum. In de diergeneeskunde is de beschikbare informatie hierover echter zeer beperkt en wordt ze daarom grotendeels verkregen door extrapolatie uit de humane geneeskunde. In dit artikel wordt een overzicht gegeven van de pathofysiologische en farmacologische veranderingen bij obese dieren waarmee rekening gehouden moet worden tijdens de anesthesie. ABSTRACTObesity is a major issue in veterinary medicine. It is not only an accumulation of fat, but obesity also has important cardiovascular and respiratory implications. Therefore, it can strongly influence the anesthesia in obese patients. In addition, obesity can have an underlying cause or may lead to related conditions, which can complicate the anesthesia. Finally, obesity leads to changes in the pharmacodynamics and kinetics of certain drugs, such as anesthetics. These changes require dose adjustments depending on the anesthetic. Unfortunately, the available information is very limited in veterinary medicine and is mainly obtained by extrapolation from human medicine. In this article, an overview is provided of the pathophysiological and pharmacological changes in obese animals, which are important during anesthesia.

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POCUS: Nerve Blocks – Neuroaxial

Otero¹,

Portela²

2021

Point‐of‐Care Ultrasound Techniques for the Small Animal Practitioner

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Description and evaluation of four ultrasound-guided approaches to aid spinal canal puncture in dogs

Cited by 9 publications

References 31 publications

Ultrasonography is more accurate than percutaneous palpation for identifying targeted thoracolumbar intervertebral disc spaces in dogs

Ultrasonography is more accurate than percutaneous palpation for identifying targeted thoracolumbar intervertebral disc spaces in dogs

Anesthesie bij de obese hond en kat

POCUS: Nerve Blocks – Neuroaxial

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