Ultrasound-guided perineural injection of the saphenous nerve in goat cadavers.

IF 2.7 2区 农林科学 Q1 VETERINARY SCIENCES
Xavier Torruella, Antonella Puggioni, Bruno Santos, Pieter Brama, Vilhelmiina Huuskonen
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引用次数: 0

Abstract

Background: Surgery of the goat stifle joint requires good perioperative analgesia, ideally without affecting motor function in the postoperative period.  The objective of this study was to describe an ultrasound-guided technique for saphenous nerve block in goats. Eleven fresh female goat cadavers from two different age groups were used: seven of them were four years old with a mean ± SD body weight of 65.9 ± 7.3 kg. Four animals were six months old and their mean ± SD body weight was 20.1 ± 3.1 kg. The cadavers were positioned in lateral recumbency with the limb to be blocked lowermost. A high-frequency linear transducer (6-12 MHz) was used to localise the interfascial plane between the sartorius and the vastus medialis muscles and to identify the saphenous nerve on the medial aspect of the thigh, caudal to the femur, at the level of the femoral triangle. In 22 pelvic limbs 0.1 mL/kg of methylene blue was injected around the saphenous nerve under ultrasound guidance, followed by gross anatomical dissection. The length of circumferentially stained nerve was measured, and the success rate of achieving at least 1 cm of staining is presented with a 95% confidence interval (CI).

Results: Although not all saphenous nerves were sonographically identified, their boundaries were defined as cranial to the femoral artery, lateral to the sartorius muscle, and medial to the vastus medialis and rectus femoris muscles, within the perivascular fat. During anatomical dissection, the overall dye solution distribution was graded as complete in 17/22 limbs indicating a 77.3% success rate [95% CI (0.598, 0.948)], partial in 3/22 limbs and failed in 2/22 limbs.

Conclusions: The success rate of this study indicates the feasibility of employing the ultrasound-guided technique to perform saphenous nerve block in goats. However, further in-vivo studies are recommended to assess the block's clinical efficacy before implementation on clinical patients.

在超声波引导下对山羊尸体的隐神经进行神经周围注射。
背景:山羊跗关节手术需要良好的围手术期镇痛,最好不影响术后的运动功能。 本研究旨在描述一种超声引导下的山羊隐神经阻滞技术。研究使用了两组不同年龄段的 11 只新鲜雌性山羊尸体:其中 7 只山羊 4 岁,平均体重为 65.9 ± 7.3 千克(± SD)。四具尸体为六个月大,平均体重(± SD)为 20.1 ± 3.1 千克。尸体取侧卧位,被阻断的肢体位于最下方。使用高频线性传感器(6-12 MHz)定位滑车肌和内侧肌之间的筋膜间平面,并确定大腿内侧、股骨尾部、股三角区水平的隐神经。在超声波引导下,向 22 个骨盆肢体的隐神经周围注射 0.1 mL/kg 亚甲蓝,然后进行大体解剖。结果显示,虽然并非所有的隐神经都能被染色,但仍有部分隐神经被染色:结果:虽然并非所有隐神经都能通过声像图确定,但它们的边界被定义为股动脉的头侧、沙提肌的外侧、股内侧肌和股直肌的内侧,位于血管周围脂肪内。在解剖过程中,17/22 个肢体的染料溶液分布被评为完全,成功率为 77.3% [95% CI (0.598, 0.948)],3/22 个肢体为部分,2/22 个肢体为失败:本研究的成功率表明,采用超声引导技术对山羊进行隐神经阻滞是可行的。不过,在对临床患者实施之前,建议进一步开展体内研究,以评估阻滞的临床疗效。
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来源期刊
Irish Veterinary Journal
Irish Veterinary Journal 农林科学-兽医学
CiteScore
4.80
自引率
3.40%
发文量
1
审稿时长
>36 weeks
期刊介绍: Irish Veterinary Journal is an open access journal with a vision to make a substantial contribution to the dissemination of evidence-based knowledge that will promote optimal health and welfare of both domestic and wild species of animals. Irish Veterinary Journal has a clinical research focus with an emphasis on the effective management of health in both individual and populations of animals. Published studies will be relevant to both the international veterinary profession and veterinary scientists. Papers relating to veterinary education, veterinary ethics, veterinary public health, or relevant studies in the area of social science (participatory research) are also within the scope of Irish Veterinary Journal.
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