Handbook of Small Animal Regional Anesthesia and Analgesia Techniques

Description

This is a concise visual guide to the major techniques of regional anesthesia and analgesia for small animal practitioners, with complete coverage of the relevant physics, physiology, and pharmacology.

• Provides straightforward advice and easy-to-implement strategies for general veterinary practitioners without specialist training who want to incorporate regional anesthesia into their practice
• Features an accessible design with plenty of diagrams and photos and a convenient and robust spiral-bound format that lays flat for use during procedures
• Broken into sections which explain techniques by limb or body part and by species
• Details important anatomy (nerves, bones, and vessels), as well as possible side effects and complications

Contents

1 Introduction, 1
Reasons to provide regional anesthesia, 2
History of regional anesthesia/analgesia, 3
Principles of the major techniques, 3
Local anesthetic drugs, 4
Additives to local anesthetics, 6
Equipment, 7
Syringes, 7
Needles, 7
Epidural catheter kits, 8
Nerve locators, 8
Differential pressure transducer, 9
Acoustic device, 9
Complications and contraindications, 9
Local, 10
Systemic, 10
Species differences and considerations, 10
Safe practice, 11
Gaining confi dence, 11
Making a plan, 11
References, 11
Further reading, 12

2 Cutaneous Innervation Index, 13
Cutaneous innervation index, 14
Canine dermatomes
Body, 14
Head, 15
Thoracic limb, 16
Pelvic limb, 18

3 Infiltration Blocks, 21
Infiltration for mass removal, 22
Line and ring blocks, 22
Inverted “L” block, 24
Block of the surgical incision, 26
Single injection of the surgical incision , 26
Diffusion catheter/“soaker” catheter/“pain buster”, 28
Intercostal blocks, 30
Interpleural block (also known as intrapleural or pleural), 32
Intraperitoneal block, 34
References, 35

4 Blocks of the Head, 37
Retrobulbar, 38
Maxillary, 40
Infraorbital, 42
Mandibular (or inferior alveolar), 44
Mental (or middle mental), 46
Auriculotemporal and great auricular, 48
References, 52

5 Regional Anesthetic Blocks of the Limbs, 53
Thoracic limb regional anesthetic blocks, 54
Brachial plexus, 56
Paravertebral: C6–T1, 58
RUMM (radial/ulnar/median/musculocutaneous), 60
Bier block (intravenous regional anesthesia), 62
Pelvic limb, 64
Femoral/saphenous nerve block, 66
Sciatic nerve block, 70
References, 74

6 Epidurals and Spinals, 75
Lumbosacral epidural and spinal in dogs, 76
Lumbosacral epidural in cats, 78
Caudal epidural in dogs and cats, 80
References, 82

7 Emergency Procedures, 83
Complications associated with local anesthetic techniques, 84
Bleeding, 84
Nerve trauma, 84
Complications associated with local anesthetic drugs, 84
Allergic reactions to local anesthetic drugs, 84
Methemoglobinemia, 85
Systemic toxicity of local anesthetics, 85
Cardiovascular toxicity, 85
References, 88

Further reading, 88
Index, 89