Ultrasound-guided parasternal block in a cat undergoing median sternotomy for pulmonary lobectomy

[en] A 3.25-kg, 1-year-old, European shorthair cat was referred for acute respiratory distress. A thoracic computed tomography revealed the presence of multiple pulmonary abscesses, and a median sternotomy for pulmonary lobectomy was scheduled. The cat was premedicated with methadone and dexmedetomidine, anaesthesia was induced with alfaxalone and maintained with isoflurane in 100% oxygen. Ultrasound-guided parasternal block was performed before surgery with ropivacaine 0.5% (total dose 3 mg/kg). Rescue analgesia was needed only during abscess debridement and lung lobectomy. Postoperative pain was assessed every hour, using the short-form Glasgow Feline Composite Measure Pain Scale. The cat required rescue analgesia (0.2 mg/kg methadone) 7 hours after the completion of the block. This case report describes the feasibility of ultrasound-guided parasternal block in a cat undergoing median sternotomy, suggesting that it can usefully be added to a multimodal analgesic plan in the perioperative period.

Disciplines :

Veterinary medicine & animal health

Author, co-author :

Degani, Massimiliano ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Anesthésiologie et réanimation des animaux de compagnie

Dupont, Julien ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) > FARAH: Médecine vétérinaire comparée

Giansetto, Thomas ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Chirurgie des animaux de compagnie

Claeys, Stéphanie ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) > FARAH: Médecine vétérinaire comparée

Sandersen, Charlotte ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) > FARAH: Médecine vétérinaire comparée

Language :

English

Title :

Ultrasound-guided parasternal block in a cat undergoing median sternotomy for pulmonary lobectomy

Publication date :

2023

Journal title :

Veterinary Record Case Reports

eISSN :

2052-6121

Publisher :

John Wiley and Sons Inc

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 24 April 2023

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