This is a retrospective study evaluating femoral-sciatic nerve blocks (FSBs), epidural analgesia, and non-regional analgesia (NRA) in dogs undergoing tibia-plateau-leveling-osteotomy surgery. Thirty-five records met the criteria for each of the FSB and epidural analgesia groups. Seventeen anesthesia records met the criteria for the NRA or control group. The parameters reported were: isoflurane vaporizer setting, rescue analgesia/anesthesia drugs received, heart rate, systolic blood pressure, and recovery quality (0–4, with 0 being poor and 4 being good). Rescue analgesia-anesthesia during surgery was performed with either fentanyl, ketamine, or propofol. A larger percentage of dogs in the NRA group required rescue analgesia during surgery. The FSB group had a higher recovery quality with median (95% confidence interval of four (±0.3) when compared to two (±0.8) in NRA (p < 0.01). No difference between groups was observed on any other parameter reported. As part of a multimodal analgesia approach for tibia-plateau-leveling-osteotomy surgery, the use of femoral and sciatic nerves blocks with bupivacaine appears to be an alternative technique to help with analgesia and anesthesia during surgery.
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March/April 2016
Retrospective Studies|
March 01 2016
Evaluating Femoral-Sciatic Nerve Blocks, Epidural Analgesia, and No Use of Regional Analgesia in Dogs Undergoing Tibia-Plateau-Leveling-Osteotomy
Pedro Boscan, DACVAA;
Pedro Boscan, DACVAA
From the Veterinary Teaching Hospital, Colorado State University, Fort Collins, CO.
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Sara Wennogle, DVM
Sara Wennogle, DVM
From the Veterinary Teaching Hospital, Colorado State University, Fort Collins, CO.
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J Am Anim Hosp Assoc (2016) 52 (2): 102–108.
Citation
Pedro Boscan, Sara Wennogle; Evaluating Femoral-Sciatic Nerve Blocks, Epidural Analgesia, and No Use of Regional Analgesia in Dogs Undergoing Tibia-Plateau-Leveling-Osteotomy. J Am Anim Hosp Assoc 1 March 2016; 52 (2): 102–108. doi: https://doi.org/10.5326/JAAHA-MS-6278
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