Document Type : Original Article

Authors

1 Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

2 Department of Basic Sciences, Faculty of Veterinary Medicine, Shahid Chamran University of Ahvaz, Ahvaz, Iran

Abstract

The Objective of the present study was to evaluate paravertebral brachial plexus block in sheep. A group of 13 healthy sheep with 20.10 ± 2.20 kg weight and five months of age were used. In phase I, in five sheep, an insulated needle attached to a nerve stimulator was directed to the location of C6, C7, C8 and T1 nerves and a 1.50 mL of a solution containing 1:1 methylene blue 1.00% and lidocaine 1.00% was injected at each site. Then, the cervical and thoracic areas were dissected and assessed in the cadavers. In phase II, cervical paravertebral block with 2.00% lidocaine and subsequent assessments were done in eight live sheep. Cadaveric evaluations revealed dye spread in C6 to T1 nerves: 61.75 ± 5.50, 72.75 ± 9.18, 40.75 ± 2.99 and 18.75 ± 3.30 mm, respectively. In three sheep, dye distribution in the anterior mediastinum was observed. In phase II, the onsets of anesthesia were determined within 10 and 15 min for sensory and motor blocks, respectively. Anesthesia at axillary, musculocutaneous, radial and ulnar skin sites and motor block lasted for 67.50 ± 15.80, 63.70 ± 16.00, 55.00 ± 21.70, 56.70 ± 19.70 and 76.40 ± 24.30 min, respectively. In three sheep, no anesthesia was observed for radial and ulnar skin sites. In conclusion, paravertebral brachial plexus block in sheep provided an acceptable block for the upper parts of the elbow joint, however, it was not effective and reliable for more distal structures.

Keywords

  1. Riebold TW. Ruminants. In: Grimm KA, Lamont LA, Tranquilli WJ, et al. (Eds). Veterinary anesthesia and analgesia, 5th Pondichery, India: John Wiley & Sons 2015; 912-927.
  2. Rioja Garcia E. Local anesthetics. In: Grimm KA, Lamont LA, Tranquilli WJ, et al. (Eds). Veterinary anesthesia and analgesia. 5th Pondicherry, India: John Wiley & Sons 2015; 332-354.
  3. Lemke KA, Creighton CM. Paravertebral blockade of the brachial plexus in dogs. Vet Clin North Am Small Anim Pract 2008; 38(6): 1231-1241.
  4. Campoy L, Martin-Flores M, Looney AL, et al. Distribution of a lidocaine-methylene blue solution staining in brachial plexus, lumbar plexus and sciatic nerve blocks in the dog. Vet Anesth Analg 2008; 35(4): 348-354.
  5. Futema F, Fantoni DT, Auler Jr JOC, et al. A new brachial plexus block technique in dogs. Vet Anaesth Analg 2002; 29(3): 133-139.
  6. Ghadirian S, Vesal N. Brachial plexus block using lidocaine/epinephrine or lidocaine/xylazine in fat-tailed sheep. Vet Res Forum 2013; 4(3): 161-167.
  7. Ghadirian S, Vesal N, Maghsoudi B, et al. Comparison of lidocaine, lidocaine-morphine, lidocaine-tramadol or bupivacaine for neural blockade of the brachial plexus in fat-tailed lambs. Vet Anaesth Analg 2016; 43(1): 109-116.
  8. Trumpatori BJ, Carter JE, Hash J, et al. Evaluation of a midhumeral block of the radial, ulnar, musculo-cutaneous and median (RUMM block) nerves for analgesia of the distal aspect of the thoracic limb in dogs. Vet Surg 2010; 39(7): 785-796.
  9. Estebe JP, Le Corre P, Chevanne F, et al. Motor blockade by brachial plexus block in the sheep. Anesthesiology 2000; 93(1): 291-293.
  10. Imani Rastabi H, Naddaf H, Nikvand AA, et al. Compari-son of sensory and motor blocking action of lidocaine and lidocaine-tramadol following brachial plexus block in sheep. Iran J Vet Sci Tech 2018; 10(2): 29-35.
  11. Iwamoto J, Yamagishi N, Sasaki K, et al. A novel technique of ultrasound-guided brachial plexus block in calves. Res Vet Sci 2012; 93(3): 1467-1471.
  12. Rodrigo-Mocholí D, Schauvliege S. Paravertebral brachial plexus blockade as part of a balanced anesthesia in a sheep undergoing thoracic limb amputation. Vet Anaesth Analg 2016; 43(2): 239-240.
  13. Hofmeister EH, Kent M, Read MR. Paravertebral block for forelimb anesthesia in the dog–an anatomic study. Vet Anesth Analg 2007;34(2): 139-142.
  14. Rioja E, Sinclair M, Chalmers H, et al. Comparison of three techniques for paravertebral brachial plexus blockade in dogs. Vet Anesth Analg 2012; 39(2): 190-200.
  15. Raw RM, Read MR, Campoy L. Peripheral nerve stimulators. In: Campoy L, Read MR (Eds.). Small animal regional anesthesia and analgesia. Pondicherry, India: John Wiley & Sons 2013; 65-86.
  16. Lang SA. The art and science of using a peripheral nerve stimulator: how close is close enough? Reg Anesth Pain Med 2002; 27(3): 330-332.
  17. Raymond SA, Steffensen SC, Gugino LD, et al. The role of length of nerve exposed to local anesthetics in impulse blocking action. Anesth Analg 1989; 68(5): 563-570.
  18. Habel R. Ruminants In: Getty R, (Ed). Sisson and Grossman's the anatomy of the domestic animals. Philadelphia, USA: Saunders 1975; 739-1211.
  19. Choquette A, Del Castillo JRE, Moreau M, et al. Comparison of lidocaine and lidocaine–epinephrine for the paravertebral brachial plexus block in dogs. Vet Anaesth Analg 2017; 44(2): 317-328.
  20. Aramideh M, van den Oever HL, Walstra GJ, et al. Spinal anesthesia as a complication of brachial plexus block using the posterior approach. Anesth Analg 2002; 94(5): 1338-1339.
  21. Dutton RP, Eckhardt WF 3rd, Sunder N. Total spinal anesthesia after interscalene blockade of the brachial plexus. Anesthesiology 1994; 80(4): 939-941.
  22. Iocolano CF. Total spinal anesthesia afteran inter-scalene block. J Perianesth Nurs 1997; 12(3): 163-170.
  23. Gomez R, Mendes T. Epidural anesthesia as a complication of attempted brachial plexus blockade using the posterior approach. Anesthesia 2006; 61:591-592.
  24. Kumar A, Battit GE, Froese AB, et al. Bilateral cervical and thoracic epidural blockade complicating inter-scalene brachial plexus block: report of two cases. Anesthesiology 1971; 35(6): 650-652.
  25. Durrani Z, Winnie AP. Brainstem toxicity with reversible locked-in syndrome after intrascalene brachial plexus block. Anesth Analg 1991; 72(2): 249-252.
  26. Riazi S, Carmichael N, Awad I, et al. Effect of local anesthetic volume (20 vs 5 ml) on the efficacy and respiratory consequences of ultrasound-guided interscalene brachial plexus block. Br J Anesth 2008; 101(4): 549-556.
  27. Viscasillas J, Sanchis‐Mora S, Hoy C, et al. Transient Horner′ s syndrome after paravertebral brachial plexus blockade in a dog. Vet Anaesth Analg 2013; 40(1): 104-106.
  28. Bagshaw HS, Larenza MP, Seiler GS. A technique for ultrasound‐guided paravertebral brachial plexus injections in dogs. Vet Radiol Ultrasound 2009; 50(6): 649-654.
  29. Ediale KR, Myung CR, Neuman GG. Prolonged hemi-diaphragmatic paralysis following interscalene brachial plexus block. J Clin Anesth 2004; 16(8): 573-575.