Comparison of Ultrasound-Guided Versus Anatomical Landmark-Guided Thoracolumbar Retrolaminar Techniques in Canine Cadavers
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Animals and Study Design
2.2. Identification of the Thoracolumbar Retrolaminar Space
2.2.1. Anatomical Landmark-Guided Retrolaminar Injections
2.2.2. Ultrasound-Guided Retrolaminar Injections
2.3. Computed Tomography
2.4. Statistical Analysis
3. Results
3.1. Retrolaminar Injections
3.2. Computed Tomography
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Mudumbai, S.C.; Auyong, D.B.; Memtsoudis, S.G.; Mariano, E.R. A pragmatic approach to evaluating new techniques in regional anesthesia and acute pain medicine. Pain Manag. 2018, 8, 475–485. [Google Scholar] [CrossRef] [PubMed]
- Hutton, M.; Brull, R.; Macfarlane, A.J.R. Regional anaesthesia and outcomes. BJA Educ. 2018, 18, 52–56. [Google Scholar] [CrossRef] [PubMed]
- Portela, D.A.; Verdier, N.; Otero, P.E. Regional anesthetic techniques for the thoracic limb and thorax in small animals: A review of the literature and technique description. Vet. J. 2018, 241, 8–19. [Google Scholar] [CrossRef] [PubMed]
- Chin, K.J.; Lirk, P.; Hollmann, M.W.; Schwarz, S.K.W. Mechanisms of action of fascial plane blocks: A narrative review. Reg. Anesth. Pain Med. 2021, 46, 618–628. [Google Scholar] [CrossRef] [PubMed]
- Marhofer, P.; Greher, M.; Kapral, S. Ultrasound guidance in regional anaesthesia. Br. J. Anaesth. 2005, 94, 7–17. [Google Scholar] [CrossRef]
- Carrera, A.; Lopez, A.M.; Sala-Blanch, X.; Kapur, E.; Hasanbegovic, I.; Hadzic, A. Functional Regional Anesthesia Anatomy. Available online: https://www.nysora.com/topics/anatomy/functional-regional-anesthesia-anatomy/ (accessed on 4 May 2023).
- Portela, D.A.; Fuensalida, S.; Viscasillas, J.; Verdier, N.; Otero, P. Regional Anesthesia. General Condiderations. In Manual of Small Animal Regional Anaesthesia, 2nd ed.; Otero, P., Portela, D.A., Eds.; Intermedica: Buenos Aires, Argentina, 2019; pp. 219–272. [Google Scholar]
- Helen, L.; O’Donnell, B.D.; Moore, E. Nerve localization techniques for peripheral nerve block and possible future directions. Acta Anaesthesiol. Scand. 2015, 59, 962–974. [Google Scholar] [CrossRef]
- Denny, N.M.; Harrop-Griffiths, W. Location, location, location! Ultrasound imaging in regional anaesthesia. Br. J. Anaesth. 2005, 94, 1–3. [Google Scholar] [CrossRef]
- Warman, P.; Nicholls, B. Ultrasound-guided nerve blocks: Efficacy and safety. Best Pract. Res. Clin. Anaesthesiol. 2009, 23, 313–326. [Google Scholar] [CrossRef]
- 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]
- Pfeiffer, G.; Oppitz, N.; Schone, S.; Richter-Heine, I.; Hohne, M.; Koltermann, C. Analgesia of the axilla using a paravertebral catheter in the lamina technique. Anaesthesist 2006, 55, 423–427. [Google Scholar] [CrossRef]
- Voscopoulos, C.; Palaniappan, D.; Zeballos, J.; Ko, H.; Janfaza, D.; Vlassakov, K. The ultrasound-guided retrolaminar block. Can. J. Anaesth. 2013, 60, 888–895. [Google Scholar] [CrossRef] [PubMed]
- Chin, K.J. Thoracic wall blocks: From paravertebral to retrolaminar to serratus to erector spinae and back again–A review of evidence. Best Pract. Res. Clin. Anaesthesiol. 2019, 33, 67–77. [Google Scholar] [CrossRef] [PubMed]
- Pentsou, J.V.M.; Davies, T.; Hoey, S.; Huuskonen, V. Thoracolumbar retrolaminar block: Anatomical and radiological study of injectate pattern distribution in canine cadavers. Animals 2023, 13, 3008. [Google Scholar] [CrossRef]
- Pentsou, K.; Huuskonen, V. Thoracolumbar retrolaminar block in seven dogs undergoing spinal surgery. Ir. Vet. J. 2022, 75, 17. [Google Scholar] [CrossRef]
- Monticelli, P.; Fitzgerald, E.; Viscasillas, J. A sonographic investigation for the development of ultrasound-guided paravertebral brachial plexus block in dogs: Cadaveric study. Vet. Anaesth. Analg. 2018, 45, 195–202. [Google Scholar] [CrossRef]
- Bolus, D.; Morgan, D.; Berland, L. Effective use of the Hounsfield unit in the age of variable energy CT. Abdom. Radiol. 2017, 42, 766–771. [Google Scholar] [CrossRef]
- Freeman, L.; Becvarova, I.; Cave, N.; MacKay, C.; Nguyen, P.; Rama, B.; Takashima, G.; Tiffin, R.; Tsjimoto, H.; van Beukelen, P. WSAVA Nutritional Assessment Guidelines. J. Small Anim. Pract. 2011, 52, 385–396. [Google Scholar] [CrossRef]
- Zeballos, J.L.; Voscopoulos, C.; Kapottos, M.; Janfaza, D.; Vlassakov, K. Ultrasound-guided retrolaminar paravertebral block. Anaesthesia 2013, 68, 649–651. [Google Scholar] [CrossRef]
- Peker, K. The Efficacy of Ultrasound-guided Retrolaminar Block on Postoperative Analgesia for Lumbar İnstrumentation Surgery. J. Coll. Physicians Surg. Pak. 2020, 30, 1355–1356. [Google Scholar] [CrossRef]
- Alseoudy, M.M.; Abdelbaser, I. Ultrasound-guided retrolaminar block versus ilioinguinal nerve block for postoperative analgesia in children undergoing inguinal herniotomy: A randomized controlled trial. J. Clin. Anesth. 2021, 74, 110421. [Google Scholar] [CrossRef]
- Wang, Q.; Wei, S.; Li, S.; Yu, J.; Zhang, G.; Ni, C.; Sun, L.; Zheng, H. Comparison of the analgesic effect of ultrasound-guided paravertebral block and ultrasound-guided retrolaminar block in Uniportal video-assisted Thoracoscopic surgery: A prospective, randomized study. BMC Cancer 2021, 21, 1229. [Google Scholar] [CrossRef] [PubMed]
- Sabouri, A.S.; Crawford, L.; Bick, S.K.; Nozari, A.; Anderson, T.A. Is a Retrolaminar Approach to the Thoracic Paravertebral Space Possible?: A Human Cadaveric Study. Reg. Anesth. Pain Med. 2018, 43, 864–868. [Google Scholar] [CrossRef] [PubMed]
- Aamir, F.; Cronin, M.; Lee, P.; Iohom, G.; Shorten, G. A sono-anatomical and cadaveric study of ultrasound-guided retrolaminar block. Med. Ultrason. 2021, 23, 418–423. [Google Scholar] [CrossRef]
- Damjanovska, M.; Stopar Pintaric, T.; Cvetko, E.; Vlassakov, K. The ultrasound-guided retrolaminar block: Volume-dependent injectate distribution. J. Pain Res. 2018, 11, 293–299. [Google Scholar] [CrossRef] [PubMed]
- Juttner, T.; Werdehausen, R.; Hermanns, H.; Monaca, E.; Danzeisen, O.; Pannen, B.H.; Janni, W.; Winterhalter, M. The paravertebral lamina technique: A new regional anesthesia approach for breast surgery. J. Clin. Anesth. 2011, 23, 443–450. [Google Scholar] [CrossRef] [PubMed]
- Kim, S.H. Anatomical classification and clinical application of thoracic paraspinal blocks. Korean J. Anesthesiol. 2022, 75, 295–306. [Google Scholar] [CrossRef]
- Onishi, E.; Toda, N.; Kameyama, Y.; Yamauchi, M. Comparison of Clinical Efficacy and Anatomical Investigation between Retrolaminar Block and Erector Spinae Plane Block. Biomed. Res. Int. 2019, 2019, 2578396. [Google Scholar] [CrossRef]
- Adhikary, S.D.; Bernard, S.; Lopez, H.; Chin, K.J. Erector Spinae Plane Block Versus Retrolaminar Block: A Magnetic Resonance Imaging and Anatomical Study. Reg. Anesth. Pain Med. 2018, 43, 756–762. [Google Scholar] [CrossRef]
- Santoro, F.; Franci, P.; Grandis, A.; Valgimigli, S. Distribution of injectates in the thoracic paravertebral space of the dog and cat: A cadaveric study. Open Vet. J. 2021, 11, 27–35. [Google Scholar] [CrossRef]
- Ferreira, T.H.; St James, M.; Schroeder, C.A.; Hershberger-Braker, K.L.; Teixeira, L.B.C.; Schroeder, K.M. Description of an ultrasound-guided erector spinae plane block and the spread of dye in dog cadavers. Vet. Anaesth. Analg. 2019, 46, 516–522. [Google Scholar] [CrossRef]
- Portela, D.A.; Castro, D.; Romano, M.; Gallastegui, A.; Garcia-Pereira, F.; Otero, P.E. Ultrasound-guided erector spinae plane block in canine cadavers: Relevant anatomy and injectate distribution. Vet. Anaesth. Analg. 2020, 47, 229–237. [Google Scholar] [CrossRef] [PubMed]
Cadaver | U-Group Foramina Spread | B-Group Foramina Spread | U-Group PV Spread | B-Group PV Spread | Epidural Spread | U-Group RL Spread | B-Group RL Spread |
---|---|---|---|---|---|---|---|
1 | T11–L1 | T10–T13 | T12–T13 | 0 | 0 | T11–T13 | T10–T13 |
2 | T10–L1 | T10–L1 | T10–L1 | T12–L1 | T12 | T11–T13 | T11–T13 |
3 | T10–L1 | T10–L1 | T10 | 0 | 0 | T10–T13 | T12–L1 |
4 | T11–T13 | T10–T13 | 0 | 0 | 0 | T11–T13 | T11–T12 |
5 | T11–L1 | T12–L1 | T10 | 0 | 0 | T11–T13 | T12–T13 |
6 | T11–L1 | T10–L1 | 0 | 0 | 0 | T11–T13 | T11–T13 |
7 | T11–T13 | T11–T13 | T11 | T11 | 0 | T11–T13 | T11–T13 |
8 | T11–T13 | T11–T13 | 0 | 0 | 0 | T11–T13 | T10–T13 |
9 | T11–T13 | 0 | T13–L1 | 0 | 0 | T11–T13 | 0 |
10 | T9–T13 | T9–T13 | T10–T12 | 0 | T11–T13 | T11–T13 | T9–L1 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Pentsou, J.; Hoey, S.; Vagias, M.; Guy, B.; Huuskonen, V. Comparison of Ultrasound-Guided Versus Anatomical Landmark-Guided Thoracolumbar Retrolaminar Techniques in Canine Cadavers. Animals 2023, 13, 3045. https://doi.org/10.3390/ani13193045
Pentsou J, Hoey S, Vagias M, Guy B, Huuskonen V. Comparison of Ultrasound-Guided Versus Anatomical Landmark-Guided Thoracolumbar Retrolaminar Techniques in Canine Cadavers. Animals. 2023; 13(19):3045. https://doi.org/10.3390/ani13193045
Chicago/Turabian StylePentsou, Julia, Séamus Hoey, Michail Vagias, Bethany Guy, and Vilhelmiina Huuskonen. 2023. "Comparison of Ultrasound-Guided Versus Anatomical Landmark-Guided Thoracolumbar Retrolaminar Techniques in Canine Cadavers" Animals 13, no. 19: 3045. https://doi.org/10.3390/ani13193045
APA StylePentsou, J., Hoey, S., Vagias, M., Guy, B., & Huuskonen, V. (2023). Comparison of Ultrasound-Guided Versus Anatomical Landmark-Guided Thoracolumbar Retrolaminar Techniques in Canine Cadavers. Animals, 13(19), 3045. https://doi.org/10.3390/ani13193045