In:
Veterinary Record, Wiley, Vol. 188, No. 8 ( 2021-04)
Abstract:
Background : We evaluated the use of lumbosacral epidural anaesthesia (LEA) in dogs undergoing caesarean section over 10 years. Methods : Anaesthetic records were reviewed and divided into two treatment groups: LEA and control. Outcome variables identified a priori as potentially affected by LEA were compared between groups. Results are frequency or median (minimum–maximum). Results : Ninety‐five dogs received LEA and 87 did not. LEA consisted of 0.2 (0.1–0.3) ml/kg containing bupivacaine ( n = 63), ropivacaine ( n = 15), or lidocaine ( n = 12) at concentrations ranging between 0.06% and 2%. Morphine, fentanyl, or buprenorphine were used as part of LEA. Groups were similar for demographic variables (all p 〉 0.06). Intravenous opioids were used more often in control than in LEA ( p 〈 0.0005). Incidence of hypotension (MAP 〈 60 mm Hg) was LEA 68% and control 56% ( p = 0.12). Duration of hypotension was longer in LEA ( p = 0.03). Use of crystalloids and vasoactive drugs did not differ (all p 〉 0.1). Time from induction to operating room was 30 (8–75) min for control and 35 (18–65) min for LEA ( p = 0.003). Discussion : LEA during caesarean section in dogs was associated with lower rates of opioid administration and did not exacerbate the incidence of hypotension.
Type of Medium:
Online Resource
ISSN:
0042-4900
,
2042-7670
Language:
English
Publisher:
Wiley
Publication Date:
2021
detail.hit.zdb_id:
2106609-7
detail.hit.zdb_id:
2919192-0
SSG:
22
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