Opioid-free anaesthesia for the surgical correction of abnormalities associated with brachycephalic obstructive airway syndrome in five dogs

2021 ◽  
Vol 26 (3) ◽  
pp. 57-61
Author(s):  
María Isabel Gómez Martínez ◽  
Miguel Ángel Martínez Fernández

Opioid-free anaesthesia is currently becoming more popular in human medicine, as it provides multimodal analgesia, affecting multiple nociceptive pathways without the use of opioids, in order to minimise opioid-related side effects. This article presents the cases of five dogs undergoing surgical correction of abnormalities associated with brachycephalic obstructive airway syndrome, all of whom received opioid-free anaesthesia for surgery. All dogs received a bilateral maxillary nerve block with bupivacaine 0.5% and a combination of non-opioid analgesic drugs. Buprenorphine was allowed during the postoperative period, based on pain assessment. Three out of five dogs received buprenorphine 6–7 hours after the nerve block was performed. Opioid-free anaesthesia provided adequate conditions for surgery and no adverse effects were reported. Prospective controlled studies comparing opioid-free anaesthesia with opioid-based techniques are required to elucidate whether or not opioid-free anaesthesia confers objective advantages.

2010 ◽  
Vol 20 (4) ◽  
pp. 343-349 ◽  
Author(s):  
MALCIE MESNIL ◽  
CHRISTOPHE DADURE ◽  
GUILLAUME CAPTIER ◽  
OLIVIER RAUX ◽  
ALAIN ROCHETTE ◽  
...  

2020 ◽  
Vol 8 (2) ◽  
pp. e001097
Author(s):  
Paul Massimo Giannoni McCarthy ◽  
Arthur Yuk Kong Chau

The maxillary nerve block (MNB) is a local anaesthetic technique used in dentistry and oromaxillofacial surgery, with recent popular use for minimising adverse reactions during rhinoscopy. A modified approach via the infraorbital foramen using an intravenous catheter has been recently described in the veterinary literature to minimise potential nerve block associated complications. This case report describes inadvertent arterial catheterisation using the aforementioned technique in a 5.4-kg, 9-year-old male neutered Maltese terrier cross that was presented for diagnostic workup of a chronic cough that had recently worsened. To the authors’ knowledge, this is the first case report of such a complication. It is recommended for veterinary practitioners to be aware of accidental arterial puncture and catheterisation whenever a modified infraorbital approach to the MNB is performed in order to facilitate rapid intervention and management.


Oral Surgery ◽  
2020 ◽  
Author(s):  
Alessia Cerrato ◽  
Gastone Zanette ◽  
Christian Bacci

2018 ◽  
Vol 48 (4) ◽  
Author(s):  
José Ricardo Herrera Becerra ◽  
Tainor de Mesquita Tisotti ◽  
Maria Eduarda Baier ◽  
Ronaldo Viana Leite-Filho ◽  
Verônica Santos Mombach ◽  
...  

ABSTRACT: This study compared the accuracy of dye placement on the maxillary nerve by using the percutaneous subzigomatic (SBZ) and infraorbitary (IO) approaches in cats’ cadavers. A second aim was to compare the accuracy of dye placement on the maxillary nerve between different untrained anesthetists. This was a prospective, randomized, blinded study, performed in 40 heads obtained from feline cadavers. Three veterinarians (A, B and C) with no previous experience with the IO approach performed the experiments. The SBZ approach was randomly performed on one side of the head and the IO approach was performed in the contralateral side of the same head. For each approach, 0.2ml of 1% methylene blue dye was injected. Scores for length of nerve staining were as follows: 0 (failure), no staining; 1 (moderate), <6mm of nerve stained; and 2 (ideal), ≥6mm of nerve stained. Median scores (interquartile range) for the SBZ and IO approaches were 2.0 (0.3-2.0) and 1.0 (0.0-2.0), respectively. Scores for length of nerve staining were higher with the SBZ approach than the IO approach (P=0.016). Considering the scores for both the SBZ and IO approaches, there was a significant difference among the three veterinarians (P=0.002). Results of this study do not support the IO approach to perform a maxillary nerve block in cats. A greater accuracy of methylene blue dye placement was observed with the SBZ approach. A variable accuracy may exist between different veterinarians when performing a maxillary nerve block employing the SBZ and IO techniques in cats.


2018 ◽  
Vol 45 (6) ◽  
pp. 885.e8
Author(s):  
Hyunseok Kim ◽  
Min Jang ◽  
Chi Won Shin ◽  
Hyungjoo Han ◽  
Jeesoo Cha ◽  
...  

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