Kfoury Toni T, Ben Rehouma Mouna, Zetlaoui Paul J, Benhamou Dan, Mazoit Jean Xavier
Département d'Anesthésie-Réanimation, Hôpitaux Universitaires Paris-Sud AP-HP, Paris, France.
Laboratoire d'Anesthésie, Faculté de Médecine, INSERM UMR 1195, Université Paris-Sud, Paris, France.
J Pain Res. 2020 Jan 8;13:17-24. doi: 10.2147/JPR.S213820. eCollection 2020.
Animal models of regional anaesthesia are useful for studying the effects of blocks and improve their efficacy. The aim of our experiments was to validate a multi-site paravertebral block in the rat.
Dissection and indigo carmine dye injection were performed in five rats (3 rats were dissected and 2 were dye injected). In other groups (n=7rats/group), after inflammation inductive carrageenan injection in the abdominal wall, bupivacaine or saline was injected laterally to the spinal column at the T5, T10, L1, L4 and S1 level. The efficacy of the block on mechanical nociception was measured using von Frey hairs. In addition, we measured c-Fos immunoreactive nuclei in the cord.
The multi-site injection showed a perinervous distribution of the injected solution without intra-thoracic, intra-abdominal or epidural diffusion. Bilateral block with a relatively small volume of bupivacaine (0.5 mL) significantly increased the threshold to mechanical pain as compared to control (p=0.007) and significantly decreased the number of c-Fos immunoreactive nuclei in the posterior horn of the spinal cord (p<0.0001).
This study shows that a parietal abdominal wall block is easy to perform in the rat. This block allows investigators to explore the mechanisms of action of abdominal parietal wall blocks.
区域麻醉动物模型有助于研究阻滞效果并提高其效能。我们实验的目的是验证大鼠的多部位椎旁阻滞。
对5只大鼠进行解剖和靛胭脂染料注射(3只大鼠解剖,2只注射染料)。在其他组(每组n = 7只大鼠)中,在腹壁注射诱导炎症的角叉菜胶后,于T5、T10、L1、L4和S1水平在脊柱外侧注射布比卡因或生理盐水。使用von Frey毛发测量阻滞对机械性伤害感受的效能。此外,我们测量了脊髓中c-Fos免疫反应性细胞核。
多部位注射显示注射溶液呈神经周围分布,无胸腔内、腹腔内或硬膜外扩散。与对照组相比,相对少量的布比卡因(0.5 mL)双侧阻滞显著提高了机械性疼痛阈值(p = 0.007),并显著减少了脊髓后角中c-Fos免疫反应性细胞核的数量(p < 0.0001)。
本研究表明大鼠腹壁阻滞易于实施。这种阻滞使研究人员能够探索腹壁阻滞的作用机制。