Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs

Abstract Objectives To compare the duration of regional anesthesia of the pelvic limb using bupivacaine with and without a temperature‐responsive hydrogel (TRH) in dogs. Methods Under anesthesia using medetomidine (10 μg·kg−1), alfaxalone (2 mg·kg−1), and isoflurane, seven healthy male Beagles recei...

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Main Authors: Jiyoung Kim, Dalhae Kim, Donghwi Shin, Taehoon Sung, Suehyung Rhee, Minha Kim, Changhun Nam, Inhyung Lee, Won‐Gyun Son
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.1049
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author Jiyoung Kim
Dalhae Kim
Donghwi Shin
Taehoon Sung
Suehyung Rhee
Minha Kim
Changhun Nam
Inhyung Lee
Won‐Gyun Son
author_facet Jiyoung Kim
Dalhae Kim
Donghwi Shin
Taehoon Sung
Suehyung Rhee
Minha Kim
Changhun Nam
Inhyung Lee
Won‐Gyun Son
author_sort Jiyoung Kim
collection DOAJ
description Abstract Objectives To compare the duration of regional anesthesia of the pelvic limb using bupivacaine with and without a temperature‐responsive hydrogel (TRH) in dogs. Methods Under anesthesia using medetomidine (10 μg·kg−1), alfaxalone (2 mg·kg−1), and isoflurane, seven healthy male Beagles received four injections of 0.5% bupivacaine (1 mg·kg−1 with 5 μg·ml−1 epinephrine) to block the femoral and sciatic nerves bilaterally via ultrasound with nerve stimulation guidance. Bupivacaine was used on one pelvic limb (Bup treatment), and bupivacaine with TRH was used on the contralateral limb (Bup‐TRH treatment). The nerve block was considered successful upon the absence of responses to pinching the digital pads and mid‐tibial skin of both pelvic limbs with mosquito forceps; the pinch, proprioception, and locomotion tests were performed before (baseline) and at each hour after the nerve block until sensory and motor functions returned to baseline. The effect of TRH on nerve blocks was analyzed using a linear mixed model. Results The duration of the sensory nerve block at the digital pads and mid‐tibial skin was longer with Bup‐TRH (8.0 ± 1.6 h and 10.9 ± 1.6 h, respectively) than with Bup treatment (3.7 ± 2.0 h and 8.0 ± 1.6 h, respectively). Motor block times of proprioception and locomotion were longer with Bup‐TRH (9.3 ± 1.6 and 12.7 ± 1.5 h, respectively) than with Bup treatment (4.6 ± 1.9 and 9.6 ± 1.5 h, respectively). No complications were observed. Clinical significance TRH extended the duration of regional anesthesia of the pelvic limb using bupivacaine.
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spelling doaj.art-86a1fa83e9ee43c988bce0581591db992023-01-20T17:53:08ZengWileyVeterinary Medicine and Science2053-10952023-01-0191919710.1002/vms3.1049Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogsJiyoung Kim0Dalhae Kim1Donghwi Shin2Taehoon Sung3Suehyung Rhee4Minha Kim5Changhun Nam6Inhyung Lee7Won‐Gyun Son8Department of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaDepartment of Veterinary Clinical Sciences College of Veterinary Medicine Seoul National University Seoul Republic of KoreaAbstract Objectives To compare the duration of regional anesthesia of the pelvic limb using bupivacaine with and without a temperature‐responsive hydrogel (TRH) in dogs. Methods Under anesthesia using medetomidine (10 μg·kg−1), alfaxalone (2 mg·kg−1), and isoflurane, seven healthy male Beagles received four injections of 0.5% bupivacaine (1 mg·kg−1 with 5 μg·ml−1 epinephrine) to block the femoral and sciatic nerves bilaterally via ultrasound with nerve stimulation guidance. Bupivacaine was used on one pelvic limb (Bup treatment), and bupivacaine with TRH was used on the contralateral limb (Bup‐TRH treatment). The nerve block was considered successful upon the absence of responses to pinching the digital pads and mid‐tibial skin of both pelvic limbs with mosquito forceps; the pinch, proprioception, and locomotion tests were performed before (baseline) and at each hour after the nerve block until sensory and motor functions returned to baseline. The effect of TRH on nerve blocks was analyzed using a linear mixed model. Results The duration of the sensory nerve block at the digital pads and mid‐tibial skin was longer with Bup‐TRH (8.0 ± 1.6 h and 10.9 ± 1.6 h, respectively) than with Bup treatment (3.7 ± 2.0 h and 8.0 ± 1.6 h, respectively). Motor block times of proprioception and locomotion were longer with Bup‐TRH (9.3 ± 1.6 and 12.7 ± 1.5 h, respectively) than with Bup treatment (4.6 ± 1.9 and 9.6 ± 1.5 h, respectively). No complications were observed. Clinical significance TRH extended the duration of regional anesthesia of the pelvic limb using bupivacaine.https://doi.org/10.1002/vms3.1049caninehydrogelnerve blocknerve stimulatorregional anesthesiaultrasound‐guided
spellingShingle Jiyoung Kim
Dalhae Kim
Donghwi Shin
Taehoon Sung
Suehyung Rhee
Minha Kim
Changhun Nam
Inhyung Lee
Won‐Gyun Son
Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs
Veterinary Medicine and Science
canine
hydrogel
nerve block
nerve stimulator
regional anesthesia
ultrasound‐guided
title Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs
title_full Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs
title_fullStr Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs
title_full_unstemmed Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs
title_short Effect of temperature‐responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in Beagle dogs
title_sort effect of temperature responsive hydrogel on femoral and sciatic nerve blocks using bupivacaine in beagle dogs
topic canine
hydrogel
nerve block
nerve stimulator
regional anesthesia
ultrasound‐guided
url https://doi.org/10.1002/vms3.1049
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