Lumbar erector spinae plane block: an anatomical and dye distribution evaluation of two ultrasound-guided approaches in canine cadavers. 2021

Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
Department of Clinical Sciences and Services, The Royal Veterinary College, Hatfield, UK. Electronic address: rogermese@hotmail.com.

OBJECTIVE To examine the anatomy of the lumbar epaxial region and to describe two different ultrasound-guided approaches for the lumbar erector spinae plane (ESP) block in dogs. METHODS An anatomical and experimental cadaver study. METHODS A group of 19 canine cadavers. METHODS The anatomy was described following dissection of two cadavers. Bilateral ultrasound-guided ESP injections with 0.4 mL kg-1 of contrast dye were performed in 17 adult Beagle cadavers using either transversal (TVS) or parasagittal (PST) approaches. Computed tomography was performed to measure the total length of the contrast dye column and the epidural, intravascular, hypaxial and intra-abdominal migration. Dissections were performed to assess the spread of the contrast dye and to determine the degree of staining of the dorsal branches of the spinal nerves (DBSN). Mann-Whitney U and chi-square tests were used to compare data between groups. RESULTS Using both techniques, the contrast dye was observed within the ESP compartment. There was no difference in the total length of the contrast dye column between TVS and PST approaches (p = 0.056). Using the TVS approach, multisegmental staining of the DBSN was visible with 100% (17/17) of injections, while complete staining of the DBSN was achieved at 94% of the injection sites. Using the PST approach, these values were 29% (5/17) and 23% (4/17), respectively. The TVS approach stained more DBSN than the PST approach (p = 0.001), with a median (range) of 2 (2-3) versus 0 (0-3) DBSN, respectively. Using the TVS approach, epidural and intravascular migration were present in 2/17 (p = 0.485) and 3/17 (p = 0.227) injections, respectively. CONCLUSIONS Both ultrasound-guided approaches resulted in a spread of the contrast dye within the ESP compartment. Although there were no differences in the total length of the contrast dye column, the TVS approach was superior to the PST approach in staining DBSN.

UI MeSH Term Description Entries
D009407 Nerve Block Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain. Chemical Neurolysis,Chemodenervation,Nerve Blockade,Block, Nerve,Blockade, Nerve,Blockades, Nerve,Blocks, Nerve,Chemical Neurolyses,Chemodenervations,Nerve Blockades,Nerve Blocks,Neurolyses, Chemical,Neurolysis, Chemical
D002102 Cadaver A dead body, usually a human body. Corpse,Cadavers,Corpses
D004283 Dog Diseases Diseases of the domestic dog (Canis familiaris). This term does not include diseases of wild dogs, WOLVES; FOXES; and other Canidae for which the heading CARNIVORA is used. Canine Diseases,Canine Disease,Disease, Canine,Disease, Dog,Diseases, Canine,Diseases, Dog,Dog Disease
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D013904 Thoracic Vertebrae A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region. Vertebrae, Thoracic
D018084 Ultrasonography, Interventional The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions. Ultrasonography, Intravascular,Ultrasound, Interventional,Interventional Ultrasonography,Intravascular Ultrasonography,Interventional Ultrasound
D064170 Paraspinal Muscles Deep muscles in the BACK whose function is to extend and rotate the SPINE and maintain POSTURE. It consists splenius, semispinalis, multifidus, rotatores, interspinales, intertransversarii and sacrospinalis. Deep Muscles of the Back,Interspinales,Intertransversales,Intertransversarii,Intrinsic Muscles of the Back,Multifidus,Rotatores,Sacrospinalis Iliocostalis,Sacrospinalis Longissimus,Sacrospinalis Spinalis,Semispinalis,Splenius,Iliocostali, Sacrospinalis,Iliocostalis, Sacrospinalis,Interspinale,Intertransversale,Intertransversarius,Longissimus, Sacrospinalis,Muscle, Paraspinal,Muscles, Paraspinal,Paraspinal Muscle,Rotatore,Sacrospinalis Iliocostali,Sacrospinalis Spinali,Semispinali,Spinali, Sacrospinalis,Spinalis, Sacrospinalis

Related Publications

Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
March 2020, Veterinary anaesthesia and analgesia,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
July 2019, Veterinary anaesthesia and analgesia,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
April 2023, Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
June 2024, Biomedical reports,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
October 2023, Regional anesthesia and pain medicine,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
January 2019, Saudi journal of anaesthesia,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
January 2020, Saudi journal of anaesthesia,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
May 2020, Annals of palliative medicine,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
August 2020, Regional anesthesia and pain medicine,
Roger Medina-Serra, and Andrew Foster, and Mark Plested, and Sandra Sanchis, and Francisco Gil-Cano, and Jaime Viscasillas
June 2018, Journal of clinical anesthesia,
Copied contents to your clipboard!