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山羊尸体中两种盲法臂丛神经阻滞的比较。

Comparison of two blind brachial plexus blocks in goat cadavers.

作者信息

Sirimongkolvorakul Sunisa, Sornphu Tanasid

机构信息

Department of Preclinical Science, Faculty of Veterinary Medicine, Mahanakorn University of Technology, Bangkok, Thailand.

出版信息

J Adv Vet Anim Res. 2025 Mar 24;12(1):64-69. doi: 10.5455/javar.2025.l872. eCollection 2025 Mar.

DOI:10.5455/javar.2025.l872
PMID:40568512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12186784/
Abstract

OBJECTIVE

This study aimed to compare two approaches to the brachial plexus: the traditional blind method and an additional technique, both of which use anatomical landmarks to guide needle insertion.

MATERIALS AND METHODS

The traditional and additional approaches were performed on both thoracic limbs of 24 cadavers (24 for each approach). Methylene dye is used for injection and nerve staining. We counted the nerves that successfully stained (staining less than 1 cm). The Mann-Whitney test was used to compare approaches.

RESULTS

The findings indicated that all cadavers were successfully used. The traditional approach and the additional approach revealed success rates of 45.83% and 54.17%, respectively. We found no significant differences between the two techniques ( > 0.05).

CONCLUSION

The additional approach presents a viable alternative to the traditional method for performing the brachial plexus block in goats. Further research into the clinical differences between these techniques could lead to useful insights that help make them more accurate and useful.

摘要

目的

本研究旨在比较两种臂丛神经阻滞方法:传统的盲法和另一种技术,这两种方法均使用解剖标志来引导进针。

材料与方法

对24具尸体的双侧胸肢分别采用传统方法和另一种方法(每种方法各24次)。使用亚甲蓝进行注射和神经染色。我们对成功染色(染色长度小于1厘米)的神经进行计数。采用曼-惠特尼检验比较两种方法。

结果

结果表明所有尸体均成功使用。传统方法和另一种方法的成功率分别为45.83%和54.17%。我们发现两种技术之间无显著差异(>0.05)。

结论

另一种方法是山羊臂丛神经阻滞传统方法的可行替代方案。对这些技术之间临床差异的进一步研究可能会带来有益的见解,有助于使其更准确、更有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b15/12186784/265bb603f1c3/JAVAR-12-64-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b15/12186784/385b397b24fc/JAVAR-12-64-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b15/12186784/265bb603f1c3/JAVAR-12-64-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b15/12186784/385b397b24fc/JAVAR-12-64-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b15/12186784/265bb603f1c3/JAVAR-12-64-g002.jpg

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本文引用的文献

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An unusual relationship between the axillary artery and brachial plexus in a cross-breed dog cadaver: a proposal for revising the terminology for nerve loops.杂种犬尸检中腋动脉与臂丛神经的异常关系:神经环术语修订的建议。
BMC Vet Res. 2024 May 11;20(1):194. doi: 10.1186/s12917-024-04041-8.
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Update on the anatomy of the brachial plexus in dogs: Body weight correlation and contralateral comparison in a cadaveric study.更新狗的臂丛解剖学:尸体研究中的体重相关性和对侧比较。
PLoS One. 2023 Feb 23;18(2):e0282179. doi: 10.1371/journal.pone.0282179. eCollection 2023.
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Fentanyl sparing effect of ultrasound-guided proximal radial, ulnar, median, and musculocutaneous nerve (RUMM) block for radial and ulnar fracture repair in dogs: a retrospective case-control study.
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J Vet Med Sci. 2023 Jan 6;85(1):49-54. doi: 10.1292/jvms.22-0388. Epub 2022 Nov 17.
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Effects of Ketorolac, Xylazine, and Bupivacaine Multimodal Analgesia on Goats.酮咯酸、二甲噻嗪和布比卡因联合多模式镇痛对山羊的影响。
Arch Razi Inst. 2022 Apr 30;77(2):661-668. doi: 10.22092/ARI.2021.356859.1930. eCollection 2022 Apr.
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The Structure of the Brachial Plexus in Selected Representatives of the Caniformia Suborder.犬形亚目部分代表动物的臂丛神经结构
Animals (Basel). 2022 Feb 23;12(5):566. doi: 10.3390/ani12050566.
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Evaluation of the 4-point regional nerve block using 2% lidocaine in sheep.评估 2%利多卡因在绵羊中的 4 点区域神经阻滞。
Can Vet J. 2022 Mar;63(3):269-274.
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A preliminary animal study on the prediction of nerve block success using ultrasonographic parameters.使用超声参数预测神经阻滞成功的初步动物研究。
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Can J Vet Res. 2022 Jan;86(1):20-26.
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