低体积高度和高体积低度levobupivacaine之间的回顾性比较,用于双边勃起器脊柱平面阻塞,在接受 Hemilaminectomy 的狗中进行
Bernat Martínez I Ferré1, Valeria Martín Bellido1, Inga Viilmann1
1Dick White Referrals, Station Farm, Six Mile Bottom, Cambridgeshire, UK.
Veterinary anaesthesia and analgesia
|May 21, 2024
概括
使用低体积,高度局部麻醉剂,用于双边勃起器脊柱平面块在狗经历了hemilaminectomy减少了手术内芬太尼的需求. 这种方法没有改变术后的甲需求,提供了更有效的止痛策略.
科学领域:
- 兽医麻醉学 兽医麻醉学
- 动物手术疼痛管理方法
- 区域麻醉技术 区域麻醉技术
背景情况:
- 狗的体膜切除术通常需要多模式止痛.
- 勃起脊柱平面阻塞 (ESPB) 是一种区域麻醉技术,具有潜在的止痛效益.
- 优化局部麻醉剂的度和体积对于有效的疼痛管理至关重要.
研究的目的:
- 为了比较低体积,高度 (LV-HC) 与高体积,低度 (HV-LC) 白对双边超声指导ESPB的止痛效果.
- 为了评估在狗中进行手术和术后止痛药的需求,这些狗接受了 Hemilaminectomy.
主要方法:
- 追溯观察等价性试验,涉及391只客户拥有的狗.
- 狗接受了LV-HC (0.2-0.25%的Levobupivacaine,0.4-0.5毫升/公斤) 或HV-LC (0.125-0.15%的Levobupivacaine,0.8-1毫升/公斤) 双边ESPB.
- 记录了手术内芬太尼,术后甲和麻醉并发症.
主要成果:
- 与HV-LC组 (64.3%) 相比,LV-HC组中较少的狗需要手术内芬太尼 (43.5%).
- 在LV-HC组中,手术期间的芬太尼消耗显著降低.
- 两组之间没有观察到24小时术后甲消费或心血管并发症的显著差异.
结论:
- 双边ESPB的低容量,高度局部麻醉剂溶液,用于经过海米胺切除术的狗,有效降低了手术内阿片类药物需求.
- 这种技术提供了与高体积,低度方法相比较的术后止痛.
- LV-HC ESPB 提供了一种潜在的更有效的止痛策略,用于犬类脑膜切除术.
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