Retrospective clinical evaluation of hypobaric spinal anaesthesia in dogs undergoing pelvic limb orthopaedic surgery. (8th August 2014)

• Record Type: Journal Article
• Authors: De Gennaro, C.; Vettorato, E.; Corletto, F.
• Is Part Of: Journal of small animal practice. Volume 55:Number 10(2014:Oct.)
• Page Start: 497
• Page End: 503
• Publication Date: 2014-08-08
• Subjects: Veterinary medicine -- Periodicals; Veterinary Medicine -- Periodicals; 636.089
• DOI: 10.1111/jsap.12259
• Languages: English
• ISSNs: 0022-4510

Abstract

<abstract abstract-type="main" id="jsap12259-abs-0001"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="jsap12259-sec-0001" sec-type="section"> <title>OBJECTIVE</title> <p id="jsap12259-para-0001">To evaluate intraoperative effects, complications, postoperative rescue analgesia requirement and presence of postoperative unilateral blockade after hypobaric spinal anaesthesia in dogs.</p> </sec> <sec id="jsap12259-sec-0002" sec-type="section"> <title>METHODS</title> <p id="jsap12259-para-0002">Retrospective review of case records of dogs that underwent pelvic limb orthopaedic surgery and received hypobaric spinal anaesthesia. Cases that contained complete information on perioperative analgesia, end tidal anaesthetic agent, arterial blood pressure, postoperative urination, motor function and assessment at the sixth week re‐examination were selected.</p> </sec> <sec id="jsap12259-sec-0003" sec-type="section"> <title>RESULTS</title> <p id="jsap12259-para-0003">Twenty‐four of forty‐eight records were sufficiently complete to meet the selection criteria. Local anaesthetic dose and volume of the solution administered were 0 · 22 (±0 · 06) mg/kg and 0 · 16 (±0 · 05) mL/kg, respectively. Fentanyl was administered intraoperatively in seven dogs (29%); mean ± sd end‐expired isoflurane was 1 · 09 ± 0 · 17%; hypotension was observed in nine dogs (37 · 5%). Unilateral blockade was documented in 18 dogs (75%); 6 dogs (25%) required methadone postoperatively; urinary retention was not observed. One dog developed steroid responsive meningitis arteritis.</p> </sec> <sec id="jsap12259-sec-0004" sec-type="section"> <title>CLINICAL SIGNIFICANCE</title> <p id="jsap12259-para-0004">Hypobaric spinal anaesthesia achieved unilateral postoperative pelvic limb motor blockade in dogs, although bilateral block occurred in a proportion of animals; intraoperative hypotension was not infrequent. Fentanyl and postoperative methadone might be required to control nociception and pain, despite technical success in performing spinal anaesthesia.</p> </sec> </abstract>