Postoperative Analgesic Effect of Bilateral Quadratus Lumborum Block (QLB) for Canine Laparoscopic Ovariectomy: Comparison of Two Concentrations of Ropivacaine
Degani, Massimiliano; Di Franco, Chiara; Tayari, Hamasehet al.
[en] The aim of this study was to evaluate the effect of the transverse quadratus lumborum block (QLBLQL-T) on time to the first postoperative rescue analgesia in dogs submitted to laparoscopic ovariectomy. A total of twenty-three female dogs were included. Dogs were randomly assigned to receive a bilateral QLBLQL-T, performed either with 0.3 mL kg−1 ropivacaine 0.5% [group QLB0.5% (n = 8)] or with ropivacaine 0.33% [group QLB0.33% (n = 8)] or a fentanyl-based protocol [group No-QLB (n = 7)]. Dogs were premedicated intravenously (IV) with fentanyl 5 mcg kg−1, general anesthesia was induced IV with propofol and maintained with sevoflurane. Invasive mean arterial pressure (MAP) values were recorded five minutes before and five minutes after performing the QLBLQL-T. The short-form of the Glasgow composite measure pain scale was used every hour after extubation, and methadone 0.2 mg kg−1 was administered IV when pain score was ≥5/24. Kolmogorov–Smirnov test, ANOVA test combined with Tukey post hoc test, Student’s T-test and Chi-square test were used to analyze data; p < 0.05. Time from QLBLQL-T to the first rescue analgesia was significantly longer in QLB0.5% than in group QLB0.33% and No-QLB. MAP pre- and post-block decreased significantly only in group QLB0.33%.
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 ; Department of Veterinary Sciences, Veterinary Teaching Hospital “Mario Modenato”, University of Pisa, 56122 Pisa, Italy
Di Franco, Chiara ; Department of Veterinary Sciences, Veterinary Teaching Hospital “Mario Modenato”, University of Pisa, 56122 Pisa, Italy
Fages Carcéles, Aida ; Department of Veterinary Sciences, Veterinary Teaching Hospital “Mario Modenato”, University of Pisa, 56122 Pisa, Italy
Figà Talamanca, Giacomo; Department of Veterinary Sciences, Veterinary Teaching Hospital “Mario Modenato”, University of Pisa, 56122 Pisa, Italy
Sandersen, Charlotte ; Université de Liège - ULiège > Fundamental and Applied Research for Animals and Health (FARAH) > FARAH: Médecine vétérinaire comparée
Briganti, Angela ; Department of Veterinary Sciences, Veterinary Teaching Hospital “Mario Modenato”, University of Pisa, 56122 Pisa, Italy
Language :
English
Title :
Postoperative Analgesic Effect of Bilateral Quadratus Lumborum Block (QLB) for Canine Laparoscopic Ovariectomy: Comparison of Two Concentrations of Ropivacaine
Fernández-Martín S. Valiño-Cultelli V. González-Cantalapiedra A. Laparoscopic versus Open Ovariectomy in Bitches: Changes in Cardiorespiratory Values, Blood Parameters, and Sevoflurane Requirements Associated with the Surgical Technique Animals 2022 12 1438 10.3390/ani12111438
Devitt C.M. Cox R.E. Hailey J.J. Duration, Complications, Stress, and Pain of Open Ovariohysterectomy versus a Simple Method of Laparoscopic-Assisted Ovariohysterectomy in Dogs J. Am. Vet. Med. Assoc. 2005 227 921 927 10.2460/javma.2005.227.921
Davidson E.B. Moll H.D. Payton M.E. Comparison of Laparoscopic Ovariohysterectomy and Ovariohysterectomy in Dogs Vet. Surg. 2004 33 62 69 10.1111/j.1532-950X.2004.04003.x
Culp W.T.N. Mayhew P.D. Brown D.C. The Effect of Laparoscopic versus Open Ovariectomy on Postsurgical Activity in Small Dogs Vet. Surg. 2009 38 811 817 10.1111/j.1532-950X.2009.00572.x
Wormser C. Runge J.J. Advances in Laparoscopic Surgery Vet. Clin. N. Am. Small Anim. Pract. 2016 46 63 84 10.1016/j.cvsm.2015.08.001
Romano M. Portela D.A. Breghi G. Otero P.E. Stress-related biomarkers in dogs administered regional anaesthesia or fentanyl for analgesia during stifle surgery Vet. Anaesth. Analg. 2016 43 44 54 10.1111/vaa.12275
Grubb T. Lobprise H. Local and regional anaesthesia in dogs and cats: Overview of concepts and drugs (Part 1) Vet. Med. Sci. 2020 6 209 217 10.1002/vms3.219
Tayari H. Otero P.E. D’Agostino M. Bartolini F. Briganti A. Epidural Volume of Injectate Using a Dose Regimen Based on Occipito-Coccygeal Spinal Length (OCL): Randomized Clinical Study Comparing Different Ropivacaine Concentrations, with or without Morphine, in Bitches Undergoing Total Unilateral Mastectomy Animals 2022 12 587 10.3390/ani12050587
Chin K.J. McDonnell J.G. Carvalho B. Sharkey A. Pawa A. Gadsden J. Essentials of our current understanding: Abdominal wall blocks Reg. Anesth. Pain Med. 2017 42 133 183 10.1097/AAP.0000000000000545
Machi A. Joshi G.P. Interfascial plane blocks Best Pract. Res. Clin. Anaesth. 2019 33 303 315 10.1016/j.bpa.2019.08.001
Castañeda-Herrera F.E. Buriticá-Gaviria E.F. Echeverry-Bonilla D.F. Anatomical Evaluation of the Thoracolumbar Nerves Related to the Transversus Abdominis Plane Block Technique in the Dog Anat. Histol. Embryol. 2017 46 373 377 10.1111/ahe.12279
Paolini A. Santoro F. Bianchi A. Collivignarelli F. Vignoli M. Scialanca S. Parrillo S. Falerno I. De Bonis A. Rosto M. et al. Use of Transversus Abdominis Plane and Intercostal Blocks in Bitches Undergoing Laparoscopic Ovariectomy: A Randomized Controlled Trial Vet. Sci. 2022 9 604 10.3390/vetsci9110604
Espadas-González L. Usón-Casaús J.M. Pastor-Sirvent N. Santella M. Ezquerra-Calvo J. Pérez-Merino E.M. Evaluation of the Two-Point Ultrasound-Guided Transversus Abdominis Plane Block for Laparoscopic Canine Ovariectomy Animals 2022 12 3556 10.3390/ani12243556
Viscasillas J. Sanchis-Mora S. Burillo P. Esteve V. Del Romero A. Lafuente P. Redondo J.I. Evaluation of Quadratus Lumborum Block as Part of an Opioid-Free Anaesthesia for Canine Ovariohysterectomy Animals 2021 11 3424 10.3390/ani11123424
Liu X. Song T. Chen X. Zhang J. Shan C. Chang L. Xu H. Quadratus lumborum block versus transversus abdominis plane block for postoperative analgesia in patients undergoing abdominal surgeries: A systematic review and meta-analysis of randomized controlled trials BMC Anesthesiol. 2020 20 53 10.1186/s12871-020-00967-2
Garbin M. Portela D.A. Bertolizio G. Garcia-Pereira F. Gallastegui A. Otero P.E. Description of Ultrasound-Guided Quadratus Lumborum Block Technique and Evaluation of Injectate Spread in Canine Cadavers Vet. Anaesth. Analg. 2020 47 249 258 10.1016/j.vaa.2019.12.005
Garbin M. Portela D.A. Bertolizio G. Gallastegui A. Otero P.E. A Novel Ultrasound-Guided Lateral Quadratus Lumborum Block in Dogs: A Comparative Cadaveric Study of Two Approaches Vet. Anaesth. Analg. 2020 47 810 818 10.1016/j.vaa.2020.08.003
Alaman M. Bonastre C. de Blas I. Gomez-Alvarez C.M. Laborda A. Description of a Novel Ultrasound-Guided Approach for a Dorsal Quadratus Lumborum Block: A Canine Cadaver Study Vet. Anaesth. Analg. 2021 49 118 125 10.1016/j.vaa.2021.09.002
Viscasillas J. Terrado J. Marti-Scharfhausen R. Castiñeiras D. Esteve V. Clancy N. Redondo J.I. A Modified Approach for the Ultrasound-Guided Quadratus Lumborum Block in Dogs: A Cadaveric Study Animals 2021 11 2945 10.3390/ani11102945
Marchina-Gonçalves A. Gil F. Laredo F.G. Soler M. Agut A. Belda E. Evaluation of High-Volume Injections Using a Modified Dorsal Quadratus Lumborum Block Approach in Canine Cadavers Animals 2022 12 18 10.3390/ani12010018
Marchina-Gonçalves A. Laredo F.G. Gil F. Soler M. Agut A. Redondo J.I. Belda E. An Ultrasound-Guided Latero-Ventral Approach to Perform the Quadratus Lumborum Block in Dog Cadavers Animals 2023 13 2214 10.3390/ani13132214
Almeida C. Assuncao J.P. Hypotension associated to a bilateral quadratus lumborum block performed for postoperative analgesia in an open aortic surgery case Rev. Bras. Anestesiol. 2018 68 657 660 10.1016/j.bjan.2018.05.003
Sá M. Cardoso J.M. Reis H. Esteves M. Sampaio J. Gouveia I. Carballada P. Pinheiro C. Machado D. Quadratus lumborum block: Are we aware of its side effects? A report of 2 cases Braz. J. Anesthesiol. 2018 68 396 399 10.1016/j.bjan.2017.04.023
Herrera-Linares M.E. Martínez M. Transient respiratory arrest after quadratus lumborum block in a dog Vet. Rec. Case Rep. 2022 10 e448 10.1002/vrc2.448
Chiavaccini L. Solari F.P. Ham K.M. Regier P.J. Vettorato E. Portela D.A. Retroperitoneal hematoma after dorsal quadratus lumborum block in two dogs Vet. Anaesth. Analg. 2023 10.1016/j.vaa.2023.11.002
Schulz K.F. Altman D.G. Moher D. Consort 2010 statement: Updated guidelines for reporting parallel group randomised trials BMJ 2020 340 c332 10.1136/bmj.c332
LaFlamme D.P. Development and validation of a Body Condition Score system for dogs Canine Pract. 1997 22 10 15
Di Franco C. Tayari H. Nardi S. Briganti A. Along or across the visual axis: A comparison of two ultrasound screen, needle and transducer orientation techniques Vet. Anaesth. Analg. 2021 48 147 150 10.1016/j.vaa.2020.08.009
Grubb T. Sager J. Gaynor J.S. Montgomery E. Parker J.A. Shafford H. Tearney C. AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats J. Am. Anim. Hosp. Assoc. 2020 56 59 82 10.5326/JAAHA-MS-7055
Wenger S. Moens Y. Jäggin N. Schatzmann U. Evaluation of the analgesic effect of lidocaine and bupivacaine used to provide a brachial plexus block for forelimb surgery in 10 dogs Vet Rec. 2005 156 639 642 10.1136/vr.156.20.639
Reid J. Nolan A.M. Hughes J.M.L. Lascelles D. Pawson P. Scott E. Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention score Anim. Welf. 2007 16 97 104 10.1017/S096272860003178X
Tayari H. Tazioli G. Breghi G. Briganti A. Ultrasound-guided femoral and obturator nerves block in the psoas compartment in dogs: Anatomical and randomized clinical study Vet. Anaesth. Analg. 2017 44 1216 1226 10.1016/j.vaa.2016.12.062
Portela D.A. Otero P.E. Tarragona L. Briganti A. Breghi G. Melanie P. Combined paravertebral plexus block and parasacral sciatic block in healthy dogs Vet. Anaesth. Analg. 2010 37 531 541 10.1111/j.1467-2995.2010.00572.x
Campoy L. Development of Enhanced Recovery After Surgery (ERAS) protocols in veterinary medicine through a one-health approach: The role of anesthesia and locoregional techniques J. Am. Vet. Med. Assoc. 2022 260 1751 1759 10.2460/javma.22.08.0354
Fenten M.G. Schoenmakers K.P. Heesterbeek P.J. Scheffer G.J. Stienstra R. Effect of local anesthetic concentration, dose, and volume on the duration of single-injection ultrasound-guided axillary brachial plexus block with mepivacaine: A randomized controlled trial BMC Anesthesiol. 2015 15 130 10.1186/s12871-015-0110-0
Burmester M.D. Schlüter K.D. Daut J. Hanley J.P. Enantioselective actions of bupivacaine and ropivacaine on coronary vascular resistance at cardiotoxic concentrations Anesth. Analg. 2005 100 707 712 10.1213/01.ANE.0000146511.79069.01
Timponi C.F. Oliveira N.E. Arruda R.M. Meyrelles S.S. Vasquez E.C. Effects of the local anaesthetic ropivacaine on vascular reactivity in the mouse perfused mesenteric arteries Basic. Clin. Pharmacol. Toxicol. 2006 98 518 520 10.1111/j.1742-7843.2006.pto_397.x
Wienzek H. Freise H. Giesler I. Van Aken H.K. Sielenkaemper A.W. Altered blood flow in terminal vessels after local application of ropivacaine and prilocaine Reg. Anesth. Pain. Med. 2007 32 233 239 10.1016/j.rapm.2007.02.007
Cederholm I. Akerman B. Evers H. Local analgesic and vascular effects of intradermal ropivacaine and bupivacaine in various concentrations with and without addition of adrenaline in man Acta Anaesthesiol. Scand. 1994 38 322 327 10.1111/j.1399-6576.1994.tb03901.x
Umano G.R. Delehaye G. Noviello C. Papparella A. The “Dark Side” of Pneumoperitoneum and Laparoscopy Minim. Invasive Surg. 2021 2021 5564745 10.1155/2021/5564745
Boscan P. Monnet E. Mama K. Twedt D.C. Congdon J. Eickhoff J.C. Steffey E.P. A dog model to study ovary, ovarian ligament and visceral pain Vet. Anaesth. Analg. 2011 38 260 266 10.1111/j.1467-2995.2011.00611.x
Sano T. Nishimura R. Kanazawa H. Igarashi E. Nagata Y. Mochizuki M. Sasaki N. Pharmacokinetics of fentanyl after single intravenous injection and constant rate infusion in dogs Vet. Anaesth. Analg. 2006 33 266 273 10.1111/j.1467-2995.2005.00266.x
Murrell J.C. Hellebrekers L.J. Medetomidine and dexmedetomidine: A review of cardiovascular effects and antinociceptive properties in the dog Vet. Anaesth. Analg. 2005 32 117 127 10.1111/j.1467-2995.2005.00233.x
Bendinelli C. Properzi R. Boschi P. Bresciani C. Rocca E. Sabbioni A. Leonardi F. Meloxicam vs robenacoxib for postoperative pain management in dogs undergoing combined laparoscopic ovariectomy and laparoscopic-assisted gastropexy Vet. Surg. 2019 48 578 583 10.1111/vsu.13156