Ultrasound-Guided Block of the Sciatic and the Femoral Nerves in Rabbits—A Descriptive Anatomical Study
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Animals and Design
2.2. Phase 1: Explorative Ultrasonographic Scans and Anatomical Study
2.3. Phase 2: Ultrasound-Guided Sciatic and Femoral Nerve Injection
2.3.1. Sciatic Nerve Injection
2.3.2. Femoral Nerve Injection
3. Results
3.1. Phase 1: US-Scanning and Anatomical Dissection Helped Define a Suitable US Window for Sciatic and Femoral Nerve Injections
3.1.1. Sciatic Nerve
3.1.2. Femoral Nerve
3.2. Phase II: Sciatic and Femoral Nerve Injection
Anatomical Dissection following US-Guided ScN and FN Injections
4. Discussion
4.1. General Outcome
4.2. Ultrasound-Guided LRA
4.2.1. Anatomy
4.2.2. Sciatic/Femoral Nerve Block
4.3. Limitations of the Study
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Andronowski, J.M.; Schuller, A.J.; Cole, M.E.; LaMarca, A.R.; Davis, R.A.; Tubo, G.R. Rabbits (Oryctolagus cuniculus) as a Model System for Longitudinal Experimental Opioid Treatments: Implications for Orthopedic and Biomedical Research. Osteology 2021, 1, 225–237. [Google Scholar] [CrossRef]
- Recker, R.R.; Kimmel, D.B.; Dempster, D.; Weinstein, R.S.; Wronski, T.J.; Burr, D.B. Issues in modern bone histomorphometry. Bone 2011, 49, 955–964. [Google Scholar] [CrossRef] [Green Version]
- Auer, J.A.; Goodship, A.; Arnoczky, S.; Pearce, S.; Price, J.; Claes, L.; von Rechenberg, B.; Hofmann-Amtenbrinck, M.; Schneider, E.; Müller-Terpitz, R.; et al. Refining animal models in fracture research: Seeking consensus in optimising both animal welfare and scientific validity for appropriate biomedical use. BMC Musculoskelet. Disord. 2007, 8, 72. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Stundner, O.; Memtsoudis, S.G. Regional anesthesia and analgesia in critically ill patients: A systematic review. Reg. Anesth. Pain. Med. 2012, 37, 537–544. [Google Scholar] [CrossRef] [PubMed]
- Bugada, D.; Ghisi, D.; Mariano, E.R. Continuous regional anesthesia: A review of perioperative outcome benefits. Minerva Anestesiol. 2017, 83, 1089–1100. [Google Scholar] [CrossRef]
- Mosing, M.; Reich, H.; Moens, Y. Clinical evaluation of the anaesthetic sparing effect of brachial plexus block in cats. Vet. Anaesth. Analg. 2010, 37, 154–161. [Google Scholar] [CrossRef]
- Congdon, J.M.; Boscan, P.; Goh, C.S.S.; Rezende, M. Psoas compartment and sacral plexus block via electrostimulation for pelvic limb amputation in dogs. Vet. Anaesth. Analg. 2017, 44, 915–924. [Google Scholar] [CrossRef] [PubMed]
- 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. [Google Scholar] [CrossRef]
- Portela, D.A.; Fuensalida, S.E.; Verdier, N. Peripheral nerve blocks of the pelvic limb. In Small Animal Regional Anesthesia, 2nd ed.; Otero, P.E., Portela, D.A., Eds.; Inter-Medica: Buenos Aires, Argentina, 2018; pp. 135–218. [Google Scholar]
- Albrecht, E.; Chin, K.J. Advances in regional anaesthesia and acute pain management: A narrative review. Anaesthesia 2020, 75, 101–110. [Google Scholar] [CrossRef] [PubMed]
- Felisberto, R.; Flaherty, D.; Tayari, H. Ultrasound-Guided Saphenous Nerve Block in Rabbits (Oryctolagus cuniculus): A Cadaveric Study Comparing Two Injectate Volumes. Animals 2022, 12, 624. [Google Scholar] [CrossRef]
- d’Ovidio, D.; Rota, S.; Noviello, E.; Briganti, A.; Adami, C. Nerve Stimulator-guided sciatic and femoral block in pet rabbits (Oryctolagus cuniculus) undergoing hindlimb surgery: A case series. J. Exot. Pet. Med. 2014, 23, 91–95. [Google Scholar] [CrossRef]
- Campoy, L.; Bezuidenhout, A.J.; Gleed, R.D.; Martin-Flores, M.; Raw, R.M.; Santare, C.L.; Jay, A.R.; Wang, A.L. Ultrasound-guided approach for axillary brachial plexus, femoral nerve, and sciatic nerve blocks in dogs. Vet. Anaesth. Analg. 2010, 37, 144–153. [Google Scholar] [CrossRef]
- Echeverry, D.F.; Laredo, F.G.; Gil, F.; Belda, E.; Soler, M.; Agut, A. Ventral ultrasound-guided suprainguinal approach to block the femoral nerve in the dog. Vet. J. 2012, 192, 333–337. [Google Scholar] [CrossRef]
- Haro, P.; Laredo, F.; Gil, F.; Belda, E.; Ayala, M.D.; Soler, M.; Agut, A. Ultrasound-guided dorsal approach for femoral nerve blockade in cats: An imaging study. J. Feline Med. Surg. 2013, 15, 91–98. [Google Scholar] [CrossRef] [PubMed]
- Kluge, K.; Larenza Menzies, M.P.; Kloeppel, H.; Pearce, S.G.; Bettschart-Wolfensberger, R.; Kutter, A.P. Femoral and sciatic nerve blockades and incision site infiltration in rabbits undergoing stifle joint arthrotomy. Lab. Anim. 2017, 51, 54–64. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Bansal, L.; Attri, J.P.; Verma, P. Lower limb surgeries under combined femoral and sciatic nerve block. Anesth. Essays Res. 2016, 10, 432–436. [Google Scholar] [CrossRef] [Green Version]
- Marhofer, P.; Fritsch, G. Safe performance of peripheral regional anaesthesia: The significance of ultrasound guidance. Anaesthesia 2017, 72, 431–434. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Abrahams, M.S.; Aziz, M.F.; Fu, R.F.; Horn, J.L. Ultrasound guidance compared with electrical neurostimulation for peripheral nerve block: A systematic review and meta-analysis of randomized controlled trials. Br. J. Anaesth. 2009, 102, 408–417. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Chan, V.W.S.; Perlas, A.; McCartney, C.J.L.; Brull, R.; Xu, D.; Abbas, S. Ultrasounds guidance improves success rate of axillary brachial plexus block. Can. J. Anesth. 2007, 54, 176–182. [Google Scholar] [CrossRef] [Green Version]
- Mogicato, G.; Layssol-Lamour, C.; Mahler, S.; Charrouin, M.; Boyer, G.; Verwaerde, P.; Jourdan, G. Anatomical and ultrasonographic study of the femoral nerve within the iliopsoas muscle in beagle dogs and cats. Vet. Anaesth. Analg. 2015, 42, 425–432. [Google Scholar] [CrossRef]
- Auroy, Y.; Benhamou, D.; Bargues, L.; Ecoffey, C.; Falissard, B.; Mercier, F.; Bouaziz, H.; Samii, K. Major complications of regional anesthesia in France: The SOS Regional Anesthesia Hotline Service. Anesthesiology 2002, 97, 1274–1280. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Koscielniak-Nielsen, Z.J. Ultrasound-guided peripheral nerve blocks: What are the benefits? Acta Anaesthesiol. Scand. 2008, 52, 727–737. [Google Scholar] [CrossRef] [PubMed]
- Raymond, S.A.; Steffensen, S.C.; Gugino, L.D.; Strichartz, G.R. The role of length of nerve exposed to local anesthetics in impulse blocking action. Anesth. Analg. 1989, 68, 563–570. [Google Scholar] [CrossRef] [PubMed]
- Fonseca, C.; Server, A.; Esteves, M.; Barastegui, D.; Rosal, M.; Fontecha, C.G.; Soldado, F. An ultrasound-guided technique for axillary brachial plexus nerve block in rabbits. Lab. Anim. 2015, 4, 179–184. [Google Scholar] [CrossRef] [PubMed]
- Marhofer, P.; Harrop-Griffiths, W.; Kettner, S.C.; Kirchmair, L. Fifteen years of ultrasound guidance in regional anaesthesia: Part 1. Br. J. Anaesth. 2010, 104, 538–546. [Google Scholar] [CrossRef] [Green Version]
- Marhofer, P.; Greher, M.; Kapral, S. Ultrasound guidance in regional anaesthesia. Br. J. Anaesth. 2005, 94, 7–17. [Google Scholar] [CrossRef] [Green Version]
- Cao, X.; Zhao, X.; Xu, J.; Liu, Z.; Li, Q. Ultrasound-guided technology versus neurostimulation for sciatic nerver block: A meta-analysis. Int. J. Clin. Exp. Med. 2015, 8, 273–280. [Google Scholar]
- Tsai, T.P.; Vuckovic, I.; Dilberovic, F.; Obhodzas, M.; Kapur, E.; Divanovic, K.A.; Hadzic, A. Intensity of the stimulating current may not be a reliable indicator of intraneural needle placement. Reg. Anesth. Pain. Med. 2008, 33, 207–210. [Google Scholar] [CrossRef]
- Robards, C.; Hadzic, A.; Somasundaram, L.; Iwata, T.; Gadsden, J.; Xu, D.; Sala-Blanch, X. Intraneural injection with low-current stimulation during popliteal sciatic nerve block. Anesth. Analg. 2009, 109, 673–677. [Google Scholar] [CrossRef]
- Bigeleisen, P.E. Nerve puncture and apparent intraneural injection during ultrasound-guided axillary block does not invariably result in neurologic injury. Anesthesiology 2006, 105, 779–783. [Google Scholar] [CrossRef] [Green Version]
- Chan, V.W.; Brull, R.; McCartney, C.J.; Xu, D.; Abbas, S.; Shannon, P. An ultrasonographic and histological study of intraneural injection and electrical stimulation in pigs. Anesth. Analg. 2007, 104, 1281–1284. [Google Scholar] [CrossRef]
- Bigeleisen, P.E.; Moayeri, N.; Groen, G.J. Extraneural versus intraneural stimulation thresholds during ultrasound-guided supraclavicular block. Anesthesiology 2009, 110, 1235–1243. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- VadeBoncouer, T.R.; Weinberg, G.L.; Oswald, S.; Angelov, F. Early detection of intravascular injection during ultrasound-guided supraclavicular brachial plexus block. Reg. Anesth. Pain. Med. 2008, 33, 278–279. [Google Scholar] [CrossRef] [PubMed]
- Marhofer, P.; Schrögendorfer, K.; Koinig, H.; Kapral, S.; Weinstabl, C.; Mayer, N. Ultrasonographic guidance improves sensory block and onset time of three-in-one blocks. Anesth. Analg. 1997, 85, 854–857. [Google Scholar] [CrossRef] [PubMed]
- Fredrickson, M.J.; Ball, C.M.; Dalgleish, A.J.; Stewart, A.W.; Short, T.G. A prospective randomized comparison of ultrasound and neurostimulation as needle end points for interscalene catheter placement. Anesth. Analg. 2009, 108, 1695–1700. [Google Scholar] [CrossRef]
- Brull, R.; Lupu, M.; Perlas, A.; Chan, V.W.; McCartney, C.J. Compared with dual nerve stimulation, ultrasound guidance shortens the time for infraclavicular block performance. Can. J. Anaesth. 2009, 56, 812–818. [Google Scholar] [CrossRef]
- Casati, A.; Baciarello, M.; Di Cianni, S.; Danelli, G.; De Marco, G.; Leone, S.; Rossi, M.; Fanelli, G. Effects of ultrasound guidance on the minimum effective anaesthetic volume required to block the femoral nerve. Br. J. Anaesth. 2007, 98, 823–827. [Google Scholar] [CrossRef] [Green Version]
- Danelli, G.; Ghisi, D.; Fanelli, A.; Ortu, A.; Moschini, E.; Berti, M.; Ziegler, S.; Fanelli, G. The effects of ultrasound guidance and neurostimulation on the minimum effective anesthetic volume of mepivacaine 1.5% required to block the sciatic nerve using the subgluteal approach. Anesth. Analg. 2009, 109, 1674–1678. [Google Scholar] [CrossRef]
- Plunkett, A.R.; Brown, D.S.; Rogers, J.M.; Buckenmaier, C.C., 3rd. Supraclavicular continuous peripheral nerve block in a wounded soldier: When ultrasound is the only option. Br. J. Anaesth. 2006, 97, 715–717. [Google Scholar] [CrossRef] [Green Version]
- Assmann, N.; McCartney, C.J.; Tumber, P.S.; Chan, V.W. Ultrasound guidance for brachial plexus localization and catheter insertion after complete forearm amputation. Reg. Anesth. Pain. Med. 2007, 32, 93. [Google Scholar] [CrossRef]
- Dautzenberg, K.H.W.; Zegers, M.J.; Bleeker, C.P.; Tan, E.C.H.; Vissers, K.C.P.; van Geffen, G.J.; van derWal, S.E.I. Unpredictable injectate spread of the erector spinae block in human cadavers. Anesth. Analg. 2019, 129, 163–166. [Google Scholar] [CrossRef] [PubMed]
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Trujanovic, R.; Rohrbach, H. Ultrasound-Guided Block of the Sciatic and the Femoral Nerves in Rabbits—A Descriptive Anatomical Study. Animals 2023, 13, 2393. https://doi.org/10.3390/ani13142393
Trujanovic R, Rohrbach H. Ultrasound-Guided Block of the Sciatic and the Femoral Nerves in Rabbits—A Descriptive Anatomical Study. Animals. 2023; 13(14):2393. https://doi.org/10.3390/ani13142393
Chicago/Turabian StyleTrujanovic, Robert, and Helene Rohrbach. 2023. "Ultrasound-Guided Block of the Sciatic and the Femoral Nerves in Rabbits—A Descriptive Anatomical Study" Animals 13, no. 14: 2393. https://doi.org/10.3390/ani13142393
APA StyleTrujanovic, R., & Rohrbach, H. (2023). Ultrasound-Guided Block of the Sciatic and the Femoral Nerves in Rabbits—A Descriptive Anatomical Study. Animals, 13(14), 2393. https://doi.org/10.3390/ani13142393