Maxillary nerve block as part of a multimodal anaesthesia in a lactating red‐necked wallaby (<i>Macropus rufogriseus</i>) undergoing partial maxillectomy

Rodrigo-Mocholí, Diego; Vlaminck, Lieven; Gasthuys, Frank; Schauvliege, Stijn

doi:10.1136/vetreccr-2017-000456

Cited by 3 publications

(2 citation statements)

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“…Although a maxillary nerve block would have been beneficial for multimodal anaesthesia, its potential for adversely affecting the joey was unknown. However, a very recent article published by Rodrigo-Mocholi, et al, describes the use of a maxillary nerve bock in a lactating red-necked wallaby, without adverse effects being observed to either the wallaby or joey present within the pouch [10]. An alternative to oral or injectable medication would have been the possibility for placement of antibiotic-impregnated polymethylmethacrylate beads.…”

Section: Discussionmentioning

confidence: 99%

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“…Locoregional anaesthesia has been shown to have significant benefits in improving the perioperative control of pain, sparing systemic analgesia, improving the quality of anaesthetic recovery and reducing morbidity 3. Use of locoregional techniques in Macropus rufogriseus by both blind and ultrasound‐guided techniques have previously been reported,4 5 but to the authors’ knowledge, the use of an inferior alveolar nerve block in this species has never been reported. Instillation of local anaesthetic around the inferior alveolar nerve will enable desensitisation of the mandible and its associated teeth and mandibular lip 6…”

Section: Introductionmentioning

confidence: 96%

Caudal inferior alveolar nerve block in a Bennett’s wallaby (Macropus rufogriseus)

Ho¹,

Morgan²,

Bolt³

et al. 2020

Vet Record Case Reports

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A Bennett’s wallaby (Macropus rufogriseus) was referred for diagnostic imaging and further investigation into suspected progressive pyogranulomatous osteomyelitis of the mandible. This diagnosis was confirmed via CT and CT-guided fine-needle biopsies of the right mandible, and surgery was performed to remove the affected teeth and treat the associated bone.The right inferior alveolar nerve was targeted using a lateral approach with the needle directed medially in a rostro-ventral direction into the masseteric foramen using bupivacaine hydrochloride 0.6 mg/kg.To the authors’ knowledge, the inferior alveolar nerve block has never been reported in this species, and the lateral approach via the masseteric foramen is novel, considering that the nerve is usually targeted at the medial aspect of the mandible.Surgical treatment of pyogranulomatous osteomyelitis is likely to be associated with significant pain, and the use of a locoregional technique to provide regional anaesthesia would complement the provision of balanced, multimodal anaesthesia.

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Regional Anesthesia of the Dentition in Bennett's Wallaby (Macropus rufogriseus): Anatomical Landmarks and Approaches Assessed with Computed Tomography and Gross Dissection

Walker,

Stone,

Langan

et al. 2023

J Vet Dent

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Dental disease is common in captive-managed macropods, including Bennett's wallabies, and is a significant cause of morbidity and mortality. Dental extractions and debridement of diseased tissue is often necessary for those undergoing treatment for severe dental disease. Regional anesthesia of the dentition is considered standard of care for domestic animals undergoing orofacial surgery, however, it is not routinely performed in macropods due to limited information on dental anatomy and block approaches. Regional block descriptions for the infraorbital, maxillary, inferior alveolar, and mental blocks in domestic dogs and cats were evaluated and adapted for use in Bennett's wallabies based on descriptions of their anatomy and examination of 2 skulls. These approaches were then performed on cadaver heads with iohexol and methylene blue dye, and block placement was assessed on computed tomography scans and by gross dissection. All block approaches described in this study resulted in appropriate placement of regional anesthesia of the dentition in Bennett's wallabies. They can thus be used by clinicians to improve the intra and postoperative pain control of patients and provide a high level of veterinary care.

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Maxillary nerve block as part of a multimodal anaesthesia in a lactating red‐necked wallaby (Macropus rufogriseus) undergoing partial maxillectomy

Cited by 3 publications

References 49 publications

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Caudal inferior alveolar nerve block in a Bennett’s wallaby (Macropus rufogriseus)

Regional Anesthesia of the Dentition in Bennett's Wallaby (Macropus rufogriseus): Anatomical Landmarks and Approaches Assessed with Computed Tomography and Gross Dissection

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