关键词: Auricular blocks Ear Electrochemotherapy Horse Ropivacaine

Mesh : Horses Animals Horse Diseases / therapy Male Electrochemotherapy / veterinary Pain / veterinary etiology Ropivacaine / administration & dosage Anesthetics, Local / administration & dosage Nerve Block / veterinary

来  源:   DOI:10.5455/OVJ.2024.v14.i5.26   PDF(Pubmed)

Abstract:
UNASSIGNED: During electrochemotherapy (ECT), a chemotherapeutic drug is injected into the tumor and then an electroporation is provided. In horses, ear manipulation may be very painful, and combining a loco-regional technique with sedation might be a good option to avoid anesthesia-related risks. A two-injection-point block of the internal and external pinna and acoustic meatus was described in horse cadavers, and it permitted complete stain of all three branches of the great auricular nerve (GAN), internal auricular nerve branch (IAB), lateral auricular branch (LAB), and caudal auricular nerve (CAN), suggesting a lower risk of intra-parotid injection during the IAB and LAB block.
UNASSIGNED: An 8-year-old Italian jumping gelding presented for ECT to treat a fibroblastic sarcoid in the left medial pinna. After intravenous sedation with acepromazine, romifidine, and butorphanol, a two-injection-point block was provided as previously described. The block of the GAN was blind, whereas an electrical nerve locator was used for the IAB, LAB, and CAN. A total of 12 ml of 0.5% ropivacaine was injected. The ECT was safely performed without any difficulties. The horse well tolerated the procedure and completely recovered 75 minutes after sedation. No complications were detected.
UNASSIGNED: The described approach seems feasible and suitable for the blockade of the sensory innervation of the equine ear in the case of ECT.
摘要:
在电化学疗法(ECT)期间,将化疗药物注射到肿瘤中,然后提供电穿孔。在马,操纵耳朵可能会非常痛苦,将局部区域技术与镇静相结合可能是避免麻醉相关风险的好选择。在马尸体中描述了内部和外部耳廓和耳道的两个注射点阻滞,它允许耳大神经(GAN)的所有三个分支完全染色,耳内神经支(IAB),耳外支(LAB),和尾耳神经(CAN),提示IAB和LAB阻滞期间腮腺内注射的风险较低。
一名8岁的意大利跳跃者接受ECT治疗,以治疗左内侧耳廓的成纤维细胞结节病。用乙酰丙嗪静脉镇静后,罗米菲丁,和布托啡诺,如前所述,提供了两个注入点的块。GAN的街区是盲人,而电神经定位器用于IAB,实验室,和可以。总共注射12ml的0.5%罗哌卡因。安全地进行了ECT,没有任何困难。马很好地耐受该程序并且在镇静后75分钟完全恢复。未发现并发症。
所描述的方法似乎是可行的,并且适用于在ECT的情况下阻断马耳的感觉神经支配。
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