Department of Clinical Studies (Freitag, Valverde, Jensen, Sanchez, Gomez) and Department of Biomedical Sciences (Bailey), Ontario Veterinary College, University of Guelph, Guelph, Ontario, N1G 2W1.
Can J Vet Res. 2023 Jul;87(3):208-216.
The first objective of this prospective, randomized, crossover experimental trial was to compare the rostral spread of lumbosacral epidural volume calculated by body weight (BW) or vertebral column length (LE) in 6 small, isoflurane-anesthetized female beagle dogs (BW: 7.5 to 10.2 kg; LE measured from the occipital crest to the sacrococcygeal space: 46 to 56 cm). The second objective was to assess the response to a noxious stimulus once the dogs recovered from anesthesia and to determine the effects of the injection on cardiopulmonary variables. While in sternal position, dogs were injected through an epidural catheter with a volume mixture of bupivacaine 0.25% and iopamidol 15% based on BW: 0.2 mL/kg or LE: 0.05 mL/cm (< 50 cm) or 0.07 mL/cm (50 to < 70 cm). Rostral spread was determined by counting the number of vertebrae reached by iopamidol using computed tomography. After anesthesia, cardiopulmonary variables, motor function, and responses to nociceptive stimuli were evaluated. Comparisons were completed with mixed linear models and 2-way analysis of variance (ANOVA) ( < 0.05). The volume of injectate (3.29 ± 0.74 1.81 ± 0.21 mL; mean ± SD) and the number of vertebrae (22 ± 2 19 ± 2 vertebrae) reached by iopamidol were significantly greater for LE than for BW. Response to nociception, time to return of pain sensation, motor function, and cardiopulmonary variables were similar between groups. In conclusion, dosing based on LE resulted in larger rostral spread than when based on BW in dogs of small size.
本前瞻性、随机、交叉实验研究的主要目的是比较体重(BW)或脊柱长度(LE)计算的腰骶硬膜外容量在 6 只小体型异氟醚麻醉雌性比格犬(BW:7.5 至 10.2 公斤;LE 测量自枕骨嵴至尾骨-肛区)中的前向扩散。次要目的是评估犬从麻醉中恢复后的痛觉刺激反应,并确定注射对心肺变量的影响。犬处于胸骨位时,通过硬膜外导管注入布比卡因 0.25%和碘帕醇 15%的混合体积,基于 BW:0.2 毫升/公斤或 LE:0.05 毫升/厘米(<50 厘米)或 0.07 毫升/厘米(50 至<70 厘米)。使用 CT 计算碘帕醇达到的椎骨数量来确定前向扩散。麻醉后评估心肺变量、运动功能和对伤害性刺激的反应。使用混合线性模型和 2 因素方差分析(ANOVA)进行比较(<0.05)。LE 组的注射量(3.29±0.74 毫升;均值±标准差)和碘帕醇达到的椎骨数(22±2 个椎骨)显著大于 BW 组。两组之间对疼痛的反应、疼痛感觉恢复时间、运动功能和心肺变量相似。总之,与基于 BW 的剂量相比,基于 LE 的剂量在小体型犬中产生更大的前向扩散。