Barbara Delvescovo, Jacqueline M Chevalier, Luis Campoy, Marta Cercone
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引用次数: 0
Abstract
Objective: To describe a technique for ultrasound-guided celiac plexus block in horses and characterize its effect on intestinal motility in healthy horses.
Methods: This study was conducted from January 2022 through June 2022. In phase 1 (dye study), an ultrasound-guided technique was optimized, and dye deposition around the celiac plexus branches was evaluated via postmortem dissection in 6 horses. In phase 2 (experimental study), 6 healthy horses were fasted and sedated with 0.6 mg/kg xylazine, IV (experiment 1). After a washout period, the ultrasound-guided celiac plexus block with lidocaine 1% (1.3 mg/kg) was performed after sedation (experiment 2). In both experiments, intestinal motility was recorded via transcutaneous ultrasound before sedation, after sedation (15, 30, and 45 minutes and 1, 2, 3, 4, and 6 hours), and 1 hour after refeeding. Ultrasound video recordings were blinded of horse identity, day, and time; randomly arranged; and scored using a specifically designed motility scoring system.
Results: Postmortem dissection confirmed dye deposition over the celiac plexus branches. In phase 2, a significant increase in intestinal motility was detected after the celiac plexus block compared to sedation alone, with a peak between 1 and 3 hours postblock (13.58 ± 2.8 vs 3.75 ± 2.4 at baseline); motility remained increased up to 6 hours. The only side effect observed was a transient hindlimb ataxia in 1 horse.
Conclusions: Ultrasound-guided celiac plexus block is feasible and induces an increase in intestinal motility in healthy horses without significant complications.
Clinical relevance: This technique can be considered in multimodal management of colic and paralytic ileus.
期刊介绍：
The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.
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