Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats

Case series summary The erector spinae plane (ESP) block consists of an interfascial injection of local anaesthetic between the erector spinae muscle group and the transverse processes of the thoracic vertebrae. This block targets the dorsal rami of the thoracic spinal nerves to desensitise the cuta...

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Main Authors: Diego N Alza Salvatierra, Manuel E Herrera Linares, Luca Motta, Miguel Martinez
Format: Article
Language:English
Published: SAGE Publishing 2021-09-01
Series:Journal of Feline Medicine and Surgery Open Reports
Online Access:https://doi.org/10.1177/20551169211043814
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author Diego N Alza Salvatierra
Manuel E Herrera Linares
Luca Motta
Miguel Martinez
author_facet Diego N Alza Salvatierra
Manuel E Herrera Linares
Luca Motta
Miguel Martinez
author_sort Diego N Alza Salvatierra
collection DOAJ
description Case series summary The erector spinae plane (ESP) block consists of an interfascial injection of local anaesthetic between the erector spinae muscle group and the transverse processes of the thoracic vertebrae. This block targets the dorsal rami of the thoracic spinal nerves to desensitise the cutaneous area near the dorsal midline, the paraspinal muscles, the dorsal vertebral laminae and the facet joints. The purpose of this case series is to describe the perioperative analgesic effect and complications of ultrasound-guided ESP block with bupivacaine in three cats undergoing spinal surgery. Only one cardiovascular response was recorded in this case series. Just one cat received intraoperative rescue analgesia. Cats 1 and 2 recorded just one high pain score in the first 24 h postoperatively, and cat 3 recorded three high pain scores. The total amount of methadone given in the 24 h postoperatively was 0.6 mg/kg in cat 1, 0.9 mg/kg in cat 2 and 0.8 mg/kg in cat 3. All three cats suffered mild and transient intraoperative complications, which were easily addressed. There were no postoperative complications. Relevance and novel information This case series documents a novel locoregional anaesthesia technique as an alternative to traditional systemic analgesia. The technique is part of a multimodal analgesia approach for spinal surgery in cats. Perioperative analgesic effect and complications presented in this case series are evaluated and discussed.
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spelling doaj.art-e0e2f5b20c834416bf5faa183049d5f82022-12-21T22:01:58ZengSAGE PublishingJournal of Feline Medicine and Surgery Open Reports2055-11692021-09-01710.1177/20551169211043814Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three catsDiego N Alza Salvatierra0Manuel E Herrera Linares1Luca Motta2Miguel Martinez3Fitzpatrick Referrals, Godalming, UKNorthwest Veterinary Specialists, Runcorn, UKNorthwest Veterinary Specialists, Runcorn, UKNorthwest Veterinary Specialists, Runcorn, UKCase series summary The erector spinae plane (ESP) block consists of an interfascial injection of local anaesthetic between the erector spinae muscle group and the transverse processes of the thoracic vertebrae. This block targets the dorsal rami of the thoracic spinal nerves to desensitise the cutaneous area near the dorsal midline, the paraspinal muscles, the dorsal vertebral laminae and the facet joints. The purpose of this case series is to describe the perioperative analgesic effect and complications of ultrasound-guided ESP block with bupivacaine in three cats undergoing spinal surgery. Only one cardiovascular response was recorded in this case series. Just one cat received intraoperative rescue analgesia. Cats 1 and 2 recorded just one high pain score in the first 24 h postoperatively, and cat 3 recorded three high pain scores. The total amount of methadone given in the 24 h postoperatively was 0.6 mg/kg in cat 1, 0.9 mg/kg in cat 2 and 0.8 mg/kg in cat 3. All three cats suffered mild and transient intraoperative complications, which were easily addressed. There were no postoperative complications. Relevance and novel information This case series documents a novel locoregional anaesthesia technique as an alternative to traditional systemic analgesia. The technique is part of a multimodal analgesia approach for spinal surgery in cats. Perioperative analgesic effect and complications presented in this case series are evaluated and discussed.https://doi.org/10.1177/20551169211043814
spellingShingle Diego N Alza Salvatierra
Manuel E Herrera Linares
Luca Motta
Miguel Martinez
Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats
Journal of Feline Medicine and Surgery Open Reports
title Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats
title_full Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats
title_fullStr Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats
title_full_unstemmed Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats
title_short Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats
title_sort ultrasound guided erector spinae interfascial plane block for spinal surgery in three cats
url https://doi.org/10.1177/20551169211043814
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AT lucamotta ultrasoundguidederectorspinaeinterfascialplaneblockforspinalsurgeryinthreecats
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