Ultrasound-guided approach for axillary brachial plexus, femoral nerve, and sciatic nerve blocks in dogs

Campoy, Luis; Bezuidenhout, Abraham J.; Gleed, Robin D.; Martin‐Flores, Manuel; Raw, Robert M.; Santare, Carrie L; Jay, Ariane R.; Wang, Annie L

doi:10.1111/j.1467-2995.2009.00518.x

Cited by 141 publications

(149 citation statements)

References 20 publications

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“…The same finding has been reported in dogs and cats 2,6 . In this approach, recently some researchers have been studying the ultrasound guided mid-humeral block of the radial, ulnar, median and musculocutaneous nerves (RUMM block) in dogs with success in orthopedic surgery 15 .…”

Section: Identification Of Individual Structures Was Possible Mainly Bymentioning

confidence: 99%

Ultrasound and gross anatomy of the brachial plexus and major nerves of the forelimb. An anesthetic approach using the domestic rabbit (Oyctolagus cuniculus) as an experimental model1

Mencalha

Sousa²,

Costa

et al. 2016

Acta Cir. Bras.

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Section: Identification Of Individual Structures Was Possible Mainly Bymentioning

confidence: 99%

Ultrasound and gross anatomy of the brachial plexus and major nerves of the forelimb. An anesthetic approach using the domestic rabbit (Oyctolagus cuniculus) as an experimental model1

Mencalha

Sousa²,

Costa

et al. 2016

Acta Cir. Bras.

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“…Another describes the appearance and approach for PBPB with US guidance (Bagshaw et al 2009). Another study describes the US guided technique for ABPB, femoral and sciatic nerve blocks (Campoy et al, 2010).…”

mentioning

confidence: 99%

Comparison of three techniques for paravertebral brachial plexus blockade in dogs

Rioja

Sinclair

Chalmers

et al. 2012

Veterinary Anaesthesia and Analgesia

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Objective To compare success and complication rates, based on staining of nerves and other structures, among three techniques of paravertebral brachial plexus blockade (PBPB) in dogs. Study design Prospective randomized design.Animals A total of 68 thoracic limbs from 34 dogs. Methods ResultsThe median (range) number of nerves stained was 2 (0-4) with BL, 1 (0-3) with NS and 1 (0-4) with US guided technique. No significant differences in staining of C6, C8 and T1 or other structures were found among techniques. Nerve C7 was more likely to be stained by BL (p=0.05). Time to perform the blocks was significantly different among techniques, with mean ± SD duration in minutes of 3.6 ± 1.8 with BL, 6.3 ± 2.7 with US and 12.2 ± 5 with NS. The most common complication was staining of the spinal cord (29%, 38% and 39% with BL, NS and US, respectively).Conclusions Success rates were low and complication rates were relatively high, based on staining, with the three techniques.Clinical relevance The use of more advanced techniques for PBPB in dogs is not justified according to this study. Clinical significance of the complications encountered in this study should be evaluated.

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“…21 This is because in dogs the FN receives branches from the fourth, fifth and sixth lumbar nerves, and a more cranial approach is required. 33 In the dog, variable success rates of 68-100% have been reported when nerve electrolocation was employed to block the FN through dorsal 21 or femoral triangle 10,32 approaches. This may be explained by the lower success rate of blind techniques to locate accurately the target nerves.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,7,8 In recent years, a great interest in implementing US-guided techniques to block the main nerve supply of the pelvic limb in dogs has been observed. [9][10][11][12][13] The sciatic (ScN) and the femoral (FN) nerves are the main nerves supplying sensory function to the pelvic limb; thus, techniques producing a combined block of those nerves have been described as a valid alternative to epidural anaesthesia in dogs. 12,14 The perioperative analgesia provided by a combined ScN and FN block for surgical procedures involving the stifle and structures distal to it has been reported as adequate in the dog.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound-guided dorsal approach for femoral nerve blockade in cats: an imaging study

Haro

Laredo

Gil

et al. 2012

Journal of Feline Medicine and Surgery

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This study was conducted to describe and validate a dorsal ultrasound-guided approach to block the femoral nerve (FN) in cats by means of anatomical and computed tomography (CT) studies. The anatomical study was carried out in four fresh feline cadavers to determine the anatomic landmarks to approach this nerve. Then, an ultrasonographic study of the FN was performed in another eight cadavers using a 13 MHz linear transducer. The accuracy of the neurolocation by ultrasonography (US) was determined in four cadavers by the injection of 1 ml blue ink around the FN. The staining of the nerve was evaluated in anatomical studies. The feasibility of this technique was also evaluated by CT after injecting 1 ml of an iodinated contrast medium (150 mgl/ml) around the FN in the other four cadavers. The landmarks to approach the FN were the cranial border of the iliac crest and the dorsal processes of L6 and L7. The FN was visualised as a round hypoechogenic structure surrounded by a hyperechogenic rim located within the iliopsoas muscle on transverse scans. The anatomical and CT studies confirmed the accuracy of the US location of the FN. The dorsal ultrasound-guided approach may allow feasible and accurate access to the FN in cats and it could be useful in producing successful blockade.

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Ultrasound-guided approach for axillary brachial plexus, femoral nerve, and sciatic nerve blocks in dogs

Cited by 141 publications

References 20 publications

Ultrasound and gross anatomy of the brachial plexus and major nerves of the forelimb. An anesthetic approach using the domestic rabbit (Oyctolagus cuniculus) as an experimental model1

Ultrasound and gross anatomy of the brachial plexus and major nerves of the forelimb. An anesthetic approach using the domestic rabbit (Oyctolagus cuniculus) as an experimental model1

Comparison of three techniques for paravertebral brachial plexus blockade in dogs

Ultrasound-guided dorsal approach for femoral nerve blockade in cats: an imaging study

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