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Home / Equine Research Bank / Front Vet Sci / Clinical Assessment of an Ipsilateral Cervical Spinal Nerve ...
Frontiers in veterinary science2020; 7; 284; doi: 10.3389/fvets.2020.00284

Clinical Assessment of an Ipsilateral Cervical Spinal Nerve Block for Prosthetic Laryngoplasty in Anesthetized Horses.

Abstract: The nociceptive blockade of locoregional anesthesia prior to surgical stimulation can decrease anesthetic agent requirement and thereby potential dose-dependent side effects. The use of an ipsilateral second and third cervical spinal nerve locoregional anesthetic block for prosthetic laryngoplasty in the anesthetized horses has yet to be described. Anesthetic records of 20 horses receiving locoregional anesthesia prior to laryngoplasty were reviewed and compared to 20 horses of a similar patient cohort not receiving locoregional anesthesia. Non-blocked horses were 11 times more likely to require adjunct anesthetic treatment during surgical stimulation (P = 0.03) and were 7.4 times more likely to receive partial intravenous anesthesia in addition to inhalant anesthesia (P = 0.01). No horse in the blocked group received additional sedation/analgesia compared to the majority of non-blocked horses (75%) based on the anesthetist's perception of anesthetic quality and early recovery movement. No difference in recovery quality was observed between groups (P > 0.99). Cervical spinal nerve locoregional anesthesia appears well-tolerated and useful in reducing cumulative anesthetic agent requirement and may decrease the need for additional sedation/analgesia in horses undergoing anesthetized prosthetic laryngoplasty.
Copyright © 2020 Morris, Lumsden, Dunlop, Locke, Sommerauer and Hurcombe.
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Publication Date: 2020-06-02 PubMed ID: 32582775PubMed Central: PMC7280443DOI: 10.3389/fvets.2020.00284Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The study investigates the impact of applying a local anesthesia block to the cervical spinal nerves of horses prior to a surgical procedure, namely prosthetic laryngoplasty. This method reveals effectiveness in lesser use of anesthetic agents, which translates into a reduced risk of dosage-related side effects.

Overview of the Research

  • The researchers were primarily studying the effects of using a locoregional anesthetic block on the second and third cervical spinal nerves before a prosthetic laryngoplasty procedure in anesthetized horses.
  • The main purpose of this was to see if this method could help in reducing the need for anesthetic agents which often come with dose-dependent side effects.

Methodology

  • They evaluated the anesthetic records of 40 horses. 20 of these had been administered locoregional anesthesia prior to laryngoplasty, while the other 20, who made up the control group, had not been given the same treatment.
  • The two groups of horses were similar in terms of other patient characteristics.

Results

  • The evaluations showed that those horses that didn’t receive the locoregional block were 11 times more likely to require additional anesthetic treatment during the procedure, signifying the potential to reduce the amount of general anesthesia used.
  • The non-blocked horses were also 7.4 times more likely to require partial IV anesthesia in addition to inhalant anesthesia which suggests that the locoregional block might have useful effects on pain management during the procedure.
  • More interestingly, none of the horses that received the locoregional block needed any further sedation or pain relief, as opposed to 75% of those horses that hadn’t received the same treatment.
  • Lastly, there was no observable difference between the two groups in terms of their recovery quality after the surgery.

Conclusion

  • The study concludes that cervical spinal nerve local anesthesia could be a potential way of reducing the cumulative requirement of anesthetic agents in horses undergoing prosthetic laryngoplasty.
  • Importantly, this could lead to a decrease in the need for further sedation or pain relief, therefore limiting potential dose-dependent side effects.

Cite This Article

APA
Morris TB, Lumsden JM, Dunlop CI, Locke V, Sommerauer S, Hurcombe SDA. (2020). Clinical Assessment of an Ipsilateral Cervical Spinal Nerve Block for Prosthetic Laryngoplasty in Anesthetized Horses. Front Vet Sci, 7, 284. https://doi.org/10.3389/fvets.2020.00284

Publication

Frontiers in veterinary science
ISSN: 2297-1769
NlmUniqueID: 101666658
Country: Switzerland
Language: English
Volume: 7
Pages: 284

Researcher Affiliations

Morris, Tate B
  • Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, PA, United States.
Lumsden, Jonathan M
  • Randwick Equine Centre, Randwick, NSW, Australia.
Dunlop, Colin I
  • Randwick Equine Centre, Randwick, NSW, Australia.
Locke, Victoria
  • Randwick Equine Centre, Randwick, NSW, Australia.
Sommerauer, Sophia
  • Department for Companion Animals and Horses, Equine Clinic, University of Veterinary Medicine Vienna, Vienna, Austria.
Hurcombe, Samuel D A
  • Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, PA, United States.

References

This article includes 25 references
  1. Johnston GM, Eastment JK, Wood J, Taylor PM. The confidential enquiry into perioperative equine fatalities (CEPEF): mortality results of Phases 1 and 2.. Vet Anaesth Analg (2002) 29:159–70.
    doi: 10.1046/j.1467-2995.2002.00106.xpubmed: 28404360google scholar: lookup
  2. Steffey EP, Howland D Jr. Comparison of circulatory and respiratory effects of isoflurane and halothane anesthesia in horses.. Am J Vet Res (1980) 41:821–5.
    pubmed: 7406305
  3. Gozalo-Marcilla M, Gasthuys F, Schauvliege S. Partial intravenous anaesthesia in the horse: a review of intravenous agents used to supplement equine inhalation anaesthesia. Part 1: lidocaine and ketamine.. Vet Anaesth Analg (2014) 41:335–45.
    doi: 10.1111/vaa.12179pubmed: 24815750google scholar: lookup
  4. Gozalo-Marcilla M, Gasthuys F, Schauvliege S. Partial intravenous anaesthesia in the horse: a review of intravenous agents used to supplement equine inhalation anaesthesia. Part 2: opioids and alpha-2 adrenoceptor agonists.. Vet Anaesth Analg (2015) 42:1–16.
    doi: 10.1111/vaa.12196pubmed: 24984895google scholar: lookup
  5. Doherty TJ, Seddighi MR. Local anesthetics as pain therapy in horses.. Vet Clin North Am Equine Pract (2010) 26:533–49.
    doi: 10.1016/j.cveq.2010.07.004pubmed: 21056298google scholar: lookup
  6. Doherty TJ, Frazier DL. Effect of intravenous lidocaine on halothane minimum alveolar concentration in ponies.. Equine Vet J (1998) 30:300–3.
    doi: 10.1111/j.2042-3306.1998.tb04101.xpubmed: 9705112google scholar: lookup
  7. Dzikiti TB, Hellebrekers LJ, van Dijk P. Effects of intravenous lidocaine on isoflurane concentration, physiological parameters, metabolic parameters and stress-related hormones in horses undergoing surgery.. J Vet Med A Physiol Pathol Clin Med (2003) 50:190–5.
    doi: 10.1046/j.1439-0442.2003.00523.xpubmed: 12948155google scholar: lookup
  8. Snyder CJ, Snyder LB. Effect of mepivacaine in an infraorbital nerve block on minimum alveolar concentration of isoflurane in clinically normal anesthetized dogs undergoing a modified form of dental dolorimetry.. J Am Vet Med Assoc (2013) 242:199–204.
    doi: 10.2460/javma.242.2.199pubmed: 23276096google scholar: lookup
  9. Haga HA, Lykkjen S, Revold T, Ranheim B. Effect of intratesticular injection of lidocaine on cardiovascular responses to castration in isoflurane-anesthetized stallions.. Am J Vet Res (2006) 67:403–8.
    doi: 10.2460/ajvr.67.3.403pubmed: 16506900google scholar: lookup
  10. Portier KG, Jaillardon L, Leece EA, Walsh CM. Castration of horses under total intravenous anaesthesia: analgesic effects of lidocaine.. Vet Anaesth Analg (2009) 36:173–9.
    doi: 10.1111/j.1467-2995.2008.00445.xpubmed: 19239656google scholar: lookup
  11. Campoy L, Morris TB, Ducharme NG, Gleed RD, Martin-Flores M. Unilateral cervical plexus block for prosthetic laryngoplasty in the standing horse.. Equine Vet J (2018) 50:727–32.
    doi: 10.1111/evj.12956pubmed: 29675966google scholar: lookup
  12. Bidwell LA, Bramlage LR, Rood WA. Equine perioperative fatalities associated with general anaesthesia at a private practice–a retrospective case series.. Vet Anaesth Analg (2007) 34:23–30.
    doi: 10.1111/j.1467-2995.2005.00283.xpubmed: 17238959google scholar: lookup
  13. Dugdale AH, Obhrai J, Cripps PJ. Twenty years later: a single-centre, repeat retrospective analysis of equine perioperative mortality and investigation of recovery quality.. Vet Anaesth Analg (2016) 43:171–8.
    doi: 10.1111/vaa.12285pubmed: 26081190google scholar: lookup
  14. Merkel G, Eger EI II. A comparative study of halothane and halopropane anesthesia including method for determining equipotency.. Anesthesiology (1963) 24:346–57.
    doi: 10.1097/00000542-196305000-00016pubmed: 13935000google scholar: lookup
  15. Steffey EP. Inhalation anesthetics and gases.. In: Muir WW, Hubbell JAE, editors. Equine Anesthesia Monitoring and Emergency Therapy. 2nd ed. St. Louis, MO:Saunders Elsevier; (2009). p. 288–314.
    doi: 10.1016/B978-1-4160-2326-5.00015-8google scholar: lookup
  16. Steffey EP, Howland D Jr, Giri S, Eger EI II. Enflurane, halothane, and isoflurane potency in horses.. Am J Vet Res (1977) 38:1037–9.
    pubmed: 883711
  17. Valverde A. Balanced anesthesia and constant-rate infusions in horses.. Vet Clin North Am Equine Pract (2013) 29:89–122.
    doi: 10.1016/j.cveq.2012.11.004pubmed: 23498047google scholar: lookup
  18. Hodgson PS, Liu SS, Gras TW. Does epidural anesthesia have general anesthetic effects? A prospective, randomized, double-blind, placebo-controlled trial.. Anesthesiology (1999) 91:1687–92.
    doi: 10.1097/00000542-199912000-00021pubmed: 10598611google scholar: lookup
  19. Savitha KS, Dhanpal R, Shilpa J. The effect of multimodal analgesia on minimum alveolar concentration of isoflurane for skin incision at constant bispectral index.. Anesth Essays Res (2016) 10:473–7.
    doi: 10.4103/0259-1162.177520pmc: PMC5062197pubmed: 27746535google scholar: lookup
  20. Rossignol F, Vitte A, Boening J, Maher M, Lechartier A, Brandenberger O. Laryngoplasty in standing horses.. Vet Surg (2015) 44:341–7.
    doi: 10.1111/vsu.12307pubmed: 25864499google scholar: lookup
  21. Thibault CJ, Wilson DV, Robertson SA, Sharma D, Kinsley MA. A retrospective study of fecal output and postprocedure colic in 246 horses undergoing standing sedation with detomidine, or general anesthesia with or without detomidine.. Vet Anaesth Analg (2019) 46:458–65.
    doi: 10.1016/j.vaa.2019.03.006pubmed: 31196750google scholar: lookup
  22. Clark L, Clutton RE, Blissitt KJ, Chase-Topping ME. The effects of morphine on the recovery of horses from halothane anaesthesia.. Vet Anaesth Analg (2008) 35:22–9.
    doi: 10.1111/j.1467-2995.2007.00350.xpubmed: 17565570google scholar: lookup
  23. Portier KG, Séna A, Senior M, Clutton RE. A study of the correlation between objective and subjective indices of recovery quality after inhalation anaesthesia in equids.. Vet Anaesth Analg (2010) 37:329–36.
    doi: 10.1111/j.1467-2995.2010.00542.xpubmed: 20529009google scholar: lookup
  24. Suthers JM, Christley RM, Clutton RE. Quantitative and qualitative comparison of three scoring systems for assessing recovery quality after general anaesthesia in horses.. Vet Anaesth Analg (2011) 38:352–62.
    doi: 10.1111/j.1467-2995.2011.00629.xpubmed: 21672127google scholar: lookup
  25. Vloka JD, Tsai T, Hadzic A. Chapter 23. Cervical Plexus Block.. In: Hadzic A, editor. NYSORA Textbook of Regional Anesthesia and Acute Pain Management. New York, NY: McGraw-Hill; (2007).
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