Franci Paolo, Leece Elizabeth A, Corletto Federico
Department of Animal Medicine, Production and Health, Università degli Studi di Padova - Padua Italy.
Vet Surg. 2012 Oct;41(7):884-9. doi: 10.1111/j.1532-950X.2012.00990.x. Epub 2012 Jul 23.
To describe a technique for insertion of a thoracic epidural catheter.
Clinical report.
Dogs (n = 3) undergoing thoracic wall resection and thoracotomy.
A paramedian approach with cephalic angulation was used to place a 24-g epidural catheter in 3 dogs. Dogs 1 and 2 had left caudal thoracic wall resection and dog 3 had left thoracotomy. In dog 1, the epidural catheter was inserted at L2-L3 intervertebral space and the tip of the catheter advanced to the level of T13 vertebral body. In dog 2, the epidural catheter was inserted at T12-T13 intervertebral space and the tip of the catheter was advanced to the level of T8 vertebral body. In dog 3, the epidural catheter was inserted at T13-L1 intervertebral space and its tip advanced until reaching the vertebral body of T10. All dogs were administered a combination of bupivacaine and morphine through the epidural catheter to provide intra- and postoperative analgesia.
The peridural space was identified and the tip of the catheter was positioned where intended in all dogs. Dog 1 developed transient Horner's syndrome and dog 3 required intraoperative fentanyl during the first part of the procedure.
Paramedian approach with cephalad angulation is a suitable technique to place thoracic epidural catheters in dogs.
描述一种胸段硬膜外导管置入技术。
临床报告。
接受胸壁切除和开胸手术的犬（n = 3）。
采用头侧成角的旁正中入路，在3只犬置入24G硬膜外导管。犬1和犬2进行左后胸壁切除，犬3进行左开胸手术。犬1在L2-L3椎间隙置入硬膜外导管，导管尖端推进至T13椎体水平。犬2在T12-T13椎间隙置入硬膜外导管，导管尖端推进至T8椎体水平。犬3在T13-L1椎间隙置入硬膜外导管，其尖端推进至T10椎体。所有犬均通过硬膜外导管给予布比卡因和吗啡合剂以提供术中和术后镇痛。
所有犬均识别出硬膜外间隙，导管尖端置于预期位置。犬1出现短暂性霍纳综合征，犬3在手术第一阶段需要术中使用芬太尼。
头侧成角的旁正中入路是在犬中置入胸段硬膜外导管的合适技术。
