The Outcomes of an Opioid-Free Anaesthetic Plan in Fourteen Dogs Undergoing Enucleation Using an Ultrasound-Guided Supra-Temporal Retrobulbar Block: A Retrospective Case Series
Abstract
:Simple Summary
Abstract
1. Introduction
2. Methodology
2.1. Cases Presentation
2.2. Treatment
Case 1 12 Years Jack Russell Terrier, FN, 5.6 kg | Case 2 11 Years Jack Russel Terrier, M, 7.4 kg | Case 3 7 Years Alaskan Malamute, FN, 35 kg | Case 4 10 Years Cocker Spaniel, FN, 13.8 kg | Case 5 11 Years Shih Tzu X, FN, 12.6 kg | Case 6 6 Years Chihuahua, M, 4.2 kg | Case 7 7 Years Great Dane, FN, 53 kg | Case 8 13 Years Bearded Collie, FN, 22.9 kg | Case 9 1 Year Bull Mastiff, F, 49.5 kg | Case 10 12 Years English Springer Spaniel, MN, 21.8 kg | Case 11 6 Years Malti-Poo, MN, 7.3 kg | Case 12 8 Years Bassett, FN, 29.3 kg | Case 13 8 Years Maltese Terrier X, FN, 7.6 kg | Case 14 7 Years Springer X, M, 27.2 kg | |
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Procedure | Enucleation OD | Enucleation OS | Enucleation OD | Enucleation OS | Enucleation OS | Enucleation OD | Enucleation OS | Enucleation OS | Enucleation OS | Enucleation OS | Enucleation OD | Enucleation OS | Enucleation OD | Enucleation OD |
Current medication | Omeprazole | Brinzolamide/Timolol Omeprazole | Paracetamol (10 mg/kg) PO Omeprazole | Omeprazole | Omeprazole | Omeprazole | Dorzolamide/ Timolol Omeprazole | Meloxicam PO Maropitant (1 mg/kg) IV Omeprazole | Omeprazole | Meloxicam PO Omeprazole | Omeprazole | Omeprazole | Phenobarbitone Levetiracetam Omeprazole | Meloxicam PO Omeprazole |
Premedication | Medetomidine (0.01 mg/kg) IM Acepromazine (0.005 mg/kg) IM | Medetomidine (0.008 mg/kg) IM Acepromazine (0.005 mg/kg) IM | Acepromazine (0.005 mg/kg) IM Medetomidine (0.006 mg/kg) IM | Dexmedetomidine (0.001 mg/kg) IV Acepromazine (0.02 mg/kg) IV | Dexmedetomidine (0.001 mg/kg) IV Acepromazine (0.005 mg/kg) IV | Medetomidine (0.006 mg/kg) IM | Dexmedetomidine (0.001 mg/kg) IV | Acepromazine (0.005 mg/kg) IV | Dexmedetomidine (0.005 mg/kg) IM | Acepromazine (0.015 mg/kg) IV | Dexmedetomidine (0.005 mg/kg) IM Acepromazine (0.01 mg/kg) IM | Dexmedetomidine (0.005 mg/kg) IM Followed by another top up of (0.005 mg/kg) Dexmedetomidine IM | Dexmedetomidine (0.005 mg/kg) IM Acepromazine (0.01 mg/kg) IM | Medetomidine (0.01 mg/kg) IM Acepromazine (0.01 mg/kg) IM |
Induction | Alfaxalone (1 mg/kg) IV | Alfaxalone (1.5 mg/kg) IV | Propofol (2 mg/kg) IV Ketamine (1 mg/kg) IV | Alfaxalone (1.5 mg/kg) IV | Alfaxalone (1.5 mg/kg) IV | Alfaxalone (1.5 mg/kg) IV | Propofol (2 mg/kg) IV Ketamine (1 mg/kg) IV | Propofol (2 mg/kg) IV Ketamine (1 mg/kg) IV | Propofol (1.5 mg/kg) IV Ketamine (1 mg/kg) IV | Alfaxalone (1 mg/kg) IV Midazolam (0.3 mg/kg) IV | Alfaxalone (1 mg/kg) IV | Propofol (1 mg/kg) IV Ketamine (1 mg/kg) IV | Propofol (2 mg/kg) IV | Alfaxalone (1 mg/kg) IV |
Maintenance | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen | Sevoflurane delivered in 100% oxygen |
Locoregional anaesthesia | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 0.9 mL Eq to 0.16 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 0.85 mL Eq to 0.11 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 1.1 mL Eq to 0.03 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 1 mL Eq to 0.07 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 0.67 mL Eq to 0.05 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 0.65 mL Eq to 0.15 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 1.4 mL Eq to 0.02 mL/kg | US Guided RBB Ropivacaine 0.1 mL × Skull Length = 1 mL Eq to 0.04 mL/kg | US Guided RBB Ropivacaine 0.1 mL/kg = 4 mL | US Guided RBB Ropivacaine 0.1 mL/kg = 2.1 mL | US Guided RBB Ropivacaine 0.1 mL/kg = 0.73 mL | US Guided RBB Ropivacaine 0.1 mL/kg = 3 mL | US Guided RBB Ropivacaine 0.1 mL/kg = 0.76 mL | US Guided RBB Ropivacaine 0.1 mL/kg =2.7 mL |
Intra-op medication | None | None | None | None | None | Fentanyl (2 mcg/kg) IV Ketamine (0.5 mg/kg) IV | None | Medetomidine (0.002 mg/kg) IV | None | None | Ketamine (0.5 mg/kg) IV | None | None | None |
Post-op medication | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Meloxicam IV Cefalexin PO | Maropitant IV Meloxicam IV Cefalexine PO | Meloxicam IV Cefalexin PO | Maropitant IV Meloxicam IV Cefalexine PO | Meloxicam PO Cefalexine PO Brinzolamide drops OS |
Pain score 1 h post recovery | 4/24 | 4/24 | 1/24 | 4/24 | 1/24 | 2/24 | 2/24 | 3/24 | 3/24 | 2/24 | 3/24 | 0/24 | 1/24 | 1/24 |
Pain score 6 h post RBB | 2/24 | 3/24 | 1/24 | 4/24 | 4/24 | 3/24 | 3/24 | 2/24 | 2/24 | 2/24 | 3/24 | 0/24 | 3/24 | 3/24 |
Pain score at discharge | 2/24 | 3/24 | 1/24 | / | 3/24 | / | 2/24 | 2/24 | / | 1/24 | 3/24 | 0/24 | / | / |
2.3. Retrobulbar Block
2.4. Surgery
2.5. Monitoring
2.6. Recovery and Postoperative Plan
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Citarella, G.; Corona, D.; Parsons, E.; Giannikaki, S.; Rioja, E. The Outcomes of an Opioid-Free Anaesthetic Plan in Fourteen Dogs Undergoing Enucleation Using an Ultrasound-Guided Supra-Temporal Retrobulbar Block: A Retrospective Case Series. Animals 2023, 13, 2059. https://doi.org/10.3390/ani13132059
Citarella G, Corona D, Parsons E, Giannikaki S, Rioja E. The Outcomes of an Opioid-Free Anaesthetic Plan in Fourteen Dogs Undergoing Enucleation Using an Ultrasound-Guided Supra-Temporal Retrobulbar Block: A Retrospective Case Series. Animals. 2023; 13(13):2059. https://doi.org/10.3390/ani13132059
Chicago/Turabian StyleCitarella, Gerardo, Daniele Corona, Eamonn Parsons, Stamatina Giannikaki, and Eva Rioja. 2023. "The Outcomes of an Opioid-Free Anaesthetic Plan in Fourteen Dogs Undergoing Enucleation Using an Ultrasound-Guided Supra-Temporal Retrobulbar Block: A Retrospective Case Series" Animals 13, no. 13: 2059. https://doi.org/10.3390/ani13132059