José M Gómez-Silvestre, Ana García-Fernández, José Ignacio Redondo, María de Los Reyes Marti-Scharhausen, Ariel Cañón, Eva Z Hernández, Agustín Martínez, David McCallum Neilson, Jaime Viscasillas
{"title":"Response to the Letter to the Editor from authors Dawn Sheppard and Dr Muhammed Aslam Nasir.","authors":"José M Gómez-Silvestre, Ana García-Fernández, José Ignacio Redondo, María de Los Reyes Marti-Scharhausen, Ariel Cañón, Eva Z Hernández, Agustín Martínez, David McCallum Neilson, Jaime Viscasillas","doi":"10.1016/j.vaa.2025.07.001","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.001","url":null,"abstract":"","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Misconceptions in this retrospective study: computed tomography assessment of V-Gel Advanced supraglottic airway device placement in cats.","authors":"Dawn Sheppard, Muhammed A Nasir","doi":"10.1016/j.vaa.2025.07.002","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.002","url":null,"abstract":"","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Santiago E Fuensalida, Lisa Tarragona, Alfredo Díaz, María Fenranda Sanchez, Ceballos Martin, Pablo A Donati, Andrea S Zaccagnini, Samanta Waxman, Christina Montalbano, Vincenzo Rondelli, Diego A Portela, Pablo E Otero
{"title":"A novel extrafascial subscalene brachial plexus block in dogs: reducing hemidiaphragmatic paresis compared with the intrafascial technique.","authors":"Santiago E Fuensalida, Lisa Tarragona, Alfredo Díaz, María Fenranda Sanchez, Ceballos Martin, Pablo A Donati, Andrea S Zaccagnini, Samanta Waxman, Christina Montalbano, Vincenzo Rondelli, Diego A Portela, Pablo E Otero","doi":"10.1016/j.vaa.2025.07.011","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.011","url":null,"abstract":"<p><strong>Objective: </strong>To assess dye solution spread of an ultrasound-guided extrafascial subscalene approach (Esub) to the brachial plexus (BP) in canine cadavers and to compare the incidence of hemidiaphragmatic paresis between the Esub and intrafascial subscalene (Isub) approaches in Beagle dogs.</p><p><strong>Study design: </strong>Descriptive anatomical study (Phase I) and prospective, randomized, blinded, experimental crossover trial (Phase II).</p><p><strong>Animals: </strong>A total of six canine cadavers and seven adult Beagle dogs.</p><p><strong>Methods: </strong>Phase I used six adult canine cadavers for anatomical assessment of dye spread after Esub. Phase II involved seven healthy adult Beagle dogs, each receiving Esub and Isub blocks with a 14 day washout in a randomized, crossover design. Both approaches used 0.4 mL kg<sup>-1</sup> of 2% lidocaine. Hemidiaphragmatic paresis was defined as ≥ 25% reduction in hemidiaphragmatic excursion compared with the preprocedural value, while < 25% was classified as no paresis. For the incidence of hemidiaphragmatic paresis (a dichotomous variable), exact binomial 95% confidence intervals (CIs) were calculated for each proportion, and the McNemar test was used for paired comparison. Statistical significance was set at p < 0.05.</p><p><strong>Results: </strong>In Phase I, dissection confirmed dye accumulation in the lateral layer of the deep cervical fascia along the BP, with no dye in the visceral compartment; the recurrent laryngeal nerve, vagosympathetic trunk, phrenic nerve, and its branches were unstained. In Phase II, the rate of hemidiaphragmatic paresis was 0% (95% CI: 0.3-58%) and 100% (CI 95%: 59-100%) for Esub and Isub approaches, respectively (p = 0.015).</p><p><strong>Conclusions: </strong>The ultrasound-guided Esub approach successfully confined injectate to the extrafascial plane in cadavers, avoiding spread to the phrenic nerve. In Beagle dogs, Esub significantly reduced the incidence of hemidiaphragmatic paresis compared with the Isub approach. Further studies in clinical populations are warranted to confirm these findings and assess long-term outcomes.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ignacio Sández, Pablo A Donati, Diego A Portela, Joaquín Araos
{"title":"Air-test for assessing gas exchange and the potential benefit of alveolar recruitment manoeuvre in anaesthetized dogs.","authors":"Ignacio Sández, Pablo A Donati, Diego A Portela, Joaquín Araos","doi":"10.1016/j.vaa.2025.07.010","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.010","url":null,"abstract":"<p><strong>Objective: </strong>To determine the use of Air-Test in ventilated, anaesthetized dogs for evaluating oxygen uptake and to determine its potential utility in guiding the decision to perform an alveolar recruitment manoeuvre (ARM).</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Animals: </strong>A total of 25 client-owned dogs undergoing general anaesthesia.</p><p><strong>Methods: </strong>Dogs were included if volume-controlled ventilation was performed, the dogs underwent an Air-Test and reliable haemoglobin oxygen saturation (SpO<sub>2</sub>) readings ≥ 99% with an inspired oxygen fraction (FiO<sub>2</sub>) 0.5 were available. Exclusion criteria included laparoscopic surgery, patient-ventilator asynchrony or haemodynamic instability. The Air-Test consisted of a reduction in FiO<sub>2</sub> to 0.21 for 4 minutes while monitoring SpO<sub>2</sub>. A positive Air-Test result was defined as SpO<sub>2</sub> < 96% during this period. Positive cases underwent sustained inflation ARMs with adjustments to positive end-expiratory pressure. Haemodynamic variables, gas exchange and static compliance (C<sub>st</sub>) were recorded pre-Air-Test, PaO<sub>2</sub>/FiO<sub>2</sub> ratio was calculated offline. Data from dogs with positive and negative Air-Test results were compared and they are shown as mean ± standard deviation; p < 0.05.</p><p><strong>Results: </strong>Of 835 records, 25 met the inclusion criteria. Positive Air-Tests occurred in 10 dogs (40%) and negative in 15 (60%). The baseline PaO<sub>2</sub>/FiO<sub>2</sub> ratio was 364 ± 39.6 mmHg (48.4 ± 5.1 kPa) and 510 ± 65 mmHg (67.8 ± 8.6 kPa) in the Air-Test-positive and -negative animals, respectively (p < 0.001). The C<sub>st</sub> and PaO<sub>2</sub>/FiO<sub>2</sub> increased significantly after ARM in Air-Test-positive dogs (p < 0.001 and p = 0.02, respectively). No differences were observed in the remaining variables.</p><p><strong>Conclusions and clinical relevance: </strong>A positive Air-Test was associated with a lower PaO<sub>2</sub>/FiO<sub>2</sub> ratio and in these dogs, an ARM was associated with increased C<sub>st</sub> and PaO<sub>2</sub>/FiO<sub>2</sub> ratio, indicating the potential of this noninvasive technique for assessing oxygenation and monitoring changes in response to ARM in mechanically ventilated dogs.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blind digital orotracheal intubation in two dogs with difficult glottis visualization.","authors":"Hyunseok Kim, Won-Gyun Son, Inhyung Lee","doi":"10.1016/j.vaa.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.009","url":null,"abstract":"<p><p>This report describes two cases of dogs in which a blind digital intubation technique was successfully used to manage difficult airways. A 9-year-old, 4.9 kg castrated male Poodle dog with history of cough and submandibular subcutaneous mass and a 13-year-old, 5.7 kg castrated male Poodle dog with dyspnoea and stridor were referred for computed tomography. In both dogs, a mass obstructing the glottis was identified following induction of anaesthesia, rendering it impossible to visualize the airway with laryngoscope use. Oxygen supplementation by face mask was ineffective and hypoxaemia worsened during repeated attempts to secure the airway. To facilitate digital intubation, the operator's nondominant index finger was introduced into the mouth, displacing the mass to access the epiglottis and palpate the glottis. The endotracheal tube was then inserted into the trachea with digital guidance, resulting in successfully secured airways in both dogs. Digitally facilitated intubation has not been described in detail or studied in small animal practice, although the technique is performed in larger animal species and in human medicine. As digital palpation provides tactile perception of key structures, blind digital intubation can be a valuable approach to facilitate intubation in dogs when direct visualization is obscured and endoscopy equipment not readily available.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marco Aurélio Camargo Fontanela, Marina Moresco, Gilberto Serighelli-Júnior, Marcello Machado, Fabiano Montiani-Ferreira, Juan Carlos Duque Moreno
{"title":"Effect of approach, volume and morphometry on dye spread to the quadratus lumborum plane in canine cadavers.","authors":"Marco Aurélio Camargo Fontanela, Marina Moresco, Gilberto Serighelli-Júnior, Marcello Machado, Fabiano Montiani-Ferreira, Juan Carlos Duque Moreno","doi":"10.1016/j.vaa.2025.07.007","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.007","url":null,"abstract":"<p><strong>Objective: </strong>To compare dye spread after injection in the quadratus lumborum plane (QLP) via transmuscular and lateral approaches with different volumes in canine cadavers.</p><p><strong>Study design: </strong>Cadaveric, experimental, prospective study.</p><p><strong>Animals: </strong>A group of 58 canine cadavers.</p><p><strong>Methods: </strong>Cadavers were classified by body mass as small (S, < 10 kg), medium (M, 10-20 kg) or large (L, > 20 kg). Morphometric data (mass, body condition score, axial length, abdominal and thoracic circumference) were recorded. Ultrasound-guided QLP injections with 0.15, 0.3 and 0.6 mL kg<sup>-1</sup> of 0.1% methylene blue were performed via transmuscular or lateral approaches on both hemiabdomens. Craniocaudal and dorsoventral dye spread, the number of stained ventral branches of thoracolumbar spinal nerves (VBSNs) and whether the sympathetic trunk was stained were evaluated. Technique and dissection times, along with visibility scores for reference structures, needle and the injected solution within the QLP were recorded. Statistical analysis included two-way analysis of variance, Kruskal-Wallis, Pearson correlation and multiple regression tests, with significance set at p < 0.050.</p><p><strong>Results: </strong>Morphometric variables influenced only the craniocaudal spread (p < 0.001). Craniocaudal spread did not differ significantly between approaches (p = 0.766) but was significantly influenced by volume (p < 0.002). However, greater craniocaudal spread did not result in an increased number of stained VBSNs (p = 0.488). The number of VBSNs stained was lower with 0.15 mL kg<sup>-1</sup> (p < 0.013), with no differences observed between 0.3 and 0.6 mL kg<sup>-1</sup> (p = 0.488). The most frequently stained VBSNs were L2, L3 and L1, in that order.</p><p><strong>Conclusions and clinical relevance: </strong>There were no significant differences in dye spread between transmuscular and lateral approaches. Injectate volume affects spread, but volumes > 0.3 mL kg<sup>-1</sup> do not increase the number of stained VBSNs. Morphometric variables do not affect the number of stained VBSNs.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ephedrine overdose in a cat.","authors":"Matthew Gurney, Elspeth Lederer, Tristan Merlin","doi":"10.1016/j.vaa.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.008","url":null,"abstract":"","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chelsea Conner, Mauricio L Lepiz, Courtney Baetge, Alexis Fichtel, Kati G Glass, Keila K Ida
{"title":"Repeated balanced anesthesia in a juvenile sable antelope (Hippotragus niger) for diagnostic imaging and orthopedic interventions in a hospital setting.","authors":"Chelsea Conner, Mauricio L Lepiz, Courtney Baetge, Alexis Fichtel, Kati G Glass, Keila K Ida","doi":"10.1016/j.vaa.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.006","url":null,"abstract":"<p><p>The drug protocol and complications of 10 episodes of balanced anesthesia over 50 days for diagnostic imaging and orthopedic procedures in a captive female sable antelope are described. The antelope was initially admitted for lameness assessment of the right thoracic limb and admitted a second time for further lameness evaluation (right thoracic and pelvic limbs). Age and body weight ranged 5-6 months and 40-47 kg, respectively, between admissions. For the first anesthetic (day 1), after 4-6 hours of fasting (free access to water), the antelope was administered intramuscular medetomidine-vatinoxan (0.02 mg kg<sup>-1</sup>), midazolam (0.3 mg kg<sup>-1</sup>), ketamine (2 mg kg<sup>-1</sup>) and butorphanol (0.2 mg kg<sup>-1</sup>). Orotracheal intubation was performed 13 minutes after injection and followed by 45 minutes of sevoflurane (approximately 1% expired concentration; Fe'Sevo). Naloxone, atipamezole and flumazenil were administered to hasten recovery. For the nine additional anesthetics (days 35-50), intravenous premedication [midazolam (0.1-0.2 mg kg<sup>-1</sup>), combined with butorphanol (0.17 mg kg<sup>-1</sup>) for the second anesthetic] and anesthetic induction [ketamine (1.7-3.0 mg kg<sup>-1</sup>) and propofol (0.7-2.7 mg kg<sup>-1</sup>)] were followed by sevoflurane for maintenance (Fe'Sevo 1.22-2.17% for 40-90 minutes), delivered through an endotracheal tube (8.0-8.5 mm internal diameter). Tracheal extubation was performed 3-18 minutes after sevoflurane discontinuation. Morphine (0.1-0.2 mg kg<sup>-1</sup>) and saline (6-10 mL) were injected once daily through an epidural catheter (days 38-47). Complications during anesthesia included hypercapnia (10/10 anesthetics), hypothermia (9/10), hypotension (8/10), hypoglycemia (1/10), ruminal tympany (1/10) and regurgitation (1/10). Owing to the lack of response to treatment and grave prognosis, euthanasia was performed. Postmortem findings included chronic-active fibrinosuppurative polyarthritis of the right femoropatellar and metacarpophalangeal joints, necrosuppurative pyelitis and laryngeal petechiation. This case is described as a resource for anesthesia of juvenile antelopes in a hospital setting.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
André Escobar, Brighton T Dzikiti, Kurt Roman, Alexandria Rogers, Jill K Maney
{"title":"Effects of ketamine on the minimum anesthetic concentration of isoflurane in chickens (Gallus gallus domesticus).","authors":"André Escobar, Brighton T Dzikiti, Kurt Roman, Alexandria Rogers, Jill K Maney","doi":"10.1016/j.vaa.2025.07.005","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.005","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effects of two continuous intravenous (IV) infusion dose rates of ketamine on the minimum anesthetic concentration (MAC) of isoflurane in chickens.</p><p><strong>Study design: </strong>Prospective, randomized, blinded, experimental crossover design.</p><p><strong>Animals: </strong>A group of eight adult ISA Brown hens weighing 2.1 ± 0.19 kg.</p><p><strong>Methods: </strong>Anesthesia was induced and maintained with isoflurane in oxygen and chickens were mechanically ventilated. Body temperature and partial pressure of end-expired carbon dioxide were maintained between 40 and 41 °C and 30 and 40 mmHg (4-5.3 kPa). Isoflurane MAC was determined using electrical stimulation and the bracketing technique. Subsequently, a bolus of low (LD) or high (HD) dose ketamine (5 or 10 mg kg<sup>-1</sup> IV) was injected into the brachial vein followed by a constant rate IV infusion (5 or 10 mg kg<sup>-1</sup> hour<sup>-1</sup>, respectively), with a 1 week washout period between treatments. Isoflurane MAC was determined again approximately 1.5 (T1.5) and 3 hours (T3) after bolus injections. Adverse events and time to extubation were recorded. Data analyses consisted of a mixed-effects model for repeated measures (MAC data).</p><p><strong>Results: </strong>Isoflurane MAC was 1.51 ± 0.18% (mean ± standard deviation). Isoflurane MAC at T1.5 and T3 was 1.45 ± 0.16% and 1.53 ± 0.15% (LD) and 1.42 ± 0.24% and 1.46 ± 0.23% (HD). Isoflurane MAC values during LD [(T1.5) p = 0.857 and (T3) p = 0.995] and HD [(T1.5) p = 0.797 and (T3) p = 0.974] ketamine infusion were not different from baseline. Extubation times after isoflurane discontinuation was 12 ± 9 minutes for the LD and 14 ± 5 minutes for the HD treatment. Overall, four animals (both treatments) developed an obstructive mucous plug in the endotracheal tube.</p><p><strong>Conclusions and clinical relevance: </strong>Ketamine did not change isoflurane MAC in chickens. Chickens anesthetized with isoflurane and ketamine should be monitored for endotracheal tube obstruction.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roger Medina-Serra, Eliseo Belda, Patricia López-Abradelo, Aurora Zoff, Sandra Sanchís-Mora
{"title":"Radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management procedures in dogs: a retrospective analysis in a single institution.","authors":"Roger Medina-Serra, Eliseo Belda, Patricia López-Abradelo, Aurora Zoff, Sandra Sanchís-Mora","doi":"10.1016/j.vaa.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.vaa.2025.07.004","url":null,"abstract":"<p><strong>Objective: </strong>To quantify C-arm-registered radiation exposure during ultrasound- and fluoroscopy-guided spinal interventional pain management in dogs, and to measure operator-based radiation levels to identify discrepancies between delivered and received dose.</p><p><strong>Study design: </strong>A retrospective observational study.</p><p><strong>Animals: </strong>A total of 82 canine spinal interventional pain management procedures performed at a single referral institution.</p><p><strong>Methods: </strong>Radiation data [dose-area product (Gy·cm<sup>2</sup>) and absorbed dose (mGy)] were collected from a mobile C-arm fluoroscopy system for procedures conducted from September 2020 to August 2024. Effective dose (mSv) was calculated using a standard conversion factor applied to dose-area product (Gy·cm<sup>2</sup>). Operator exposure was monitored via thermoluminescent dosimeters (TLDs) placed at chest level and at the C-arm arc. TLD readings were retrieved quarterly through the Public Health England/UK Health Security Agency databases. The Shapiro-Wilk test was used to assess normality, and data were expressed as median (minimum-maximum) or mean ± standard deviation, as appropriate.</p><p><strong>Results: </strong>The median absorbed dose for all spinal interventions was 3.97 (0.07-25.8) mGy. The corresponding median dose-area product and effective dose was 0.63 (0.01-4.12) Gy·cm<sup>2</sup> and 0.15 (0.002-0.95) mSv, respectively. Procedural radiation exposure lay near the lower end of reported human ranges and operator TLD readings remained below detection thresholds despite cumulative procedural doses exceeding these levels.</p><p><strong>Conclusions and clinical relevance: </strong>Ultrasound- and fluoroscopy-guided spinal interventional pain management in dogs resulted in relatively low radiation exposure levels for both animals and operators. Incorporating ultrasound aligns with the 'as low as reasonably achievable' principle, helping reduce fluoroscopy time and associated risks. These findings support the development of targeted radiation safety protocols for veterinary interventional procedures and underscore the importance of continued operator training and dosimetry monitoring.</p>","PeriodicalId":23626,"journal":{"name":"Veterinary anaesthesia and analgesia","volume":" ","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}