Veterinary Medicine - March 2009 - (Page 134) Anesthesia techniques PEER-REVIEWED 4. For a paravertebral brachial plexus block, nerves C6-C8 and T1 are blocked as close to the intervertebral foramina as possible, providing analgesia to the entire forelimb. may facilitate local anesthetic pooling over the incision and blocking of the adjacent intercostal nerves.9 This position may be uncomfortable for the patient, so it is best performed after systemic administration of an analgesic, such as an opioid, to improve patient tolerance. FORELIMB NERVE BLOCKS Intraoperative brachial plexus block Blocking the nerves of the brachial plexus can be performed intraoperatively by depositing lidocaine onto the visualized nerve or by injecting directly into the perineurium, the connective tissue sheath that surrounds a bundle of nerve bers, three to ve minutes before transection. This technique can provide excellent postoperative analgesia after forelimb amputation. The duration can be extended by adding bupivacaine and other adjunctive drugs such as opioids and alpha2 agonists. A similar blockade of the lumbar plexus nerves can be performed for hindlimb amputation. Paravertebral and traditional brachial plexus blocks For regional forelimb blockade when the nerves will not be visualized during the surgical procedure, a paravertebral 134 March 2009 VETERINARY MEDICINE http://www.intervetusa.com http://www.intervetusa.com
Table of Contents Feed for the Digital Edition of Veterinary Medicine - March 2009 Veterinary Medicine - March 2009 Contents Letters Correction Author Guidelines Hot Literature Idea Exchange A Challenging Case Local and Regional Anesthesia Techniques The Latest Scoop on Litter Product Preview CE Form/Advertiser Index Marketplace/Classifieds Mind Over Miller Veterinary Medicine - March 2009 Veterinary Medicine - March 2009 - (Page Intro) Veterinary Medicine - March 2009 - Veterinary Medicine - March 2009 (Page Cover1) Veterinary Medicine - March 2009 - Veterinary Medicine - March 2009 (Page Cover2) Veterinary Medicine - March 2009 - Veterinary Medicine - March 2009 (Page 107) Veterinary Medicine - March 2009 - Veterinary Medicine - March 2009 (Page 108) Veterinary Medicine - March 2009 - Veterinary Medicine - March 2009 (Page 109) Veterinary Medicine - March 2009 - Veterinary Medicine - March 2009 (Page 110) Veterinary Medicine - March 2009 - Contents (Page 111) Veterinary Medicine - March 2009 - Contents (Page 112) Veterinary Medicine - March 2009 - Contents (Page 113) Veterinary Medicine - March 2009 - Contents (Page 114) Veterinary Medicine - March 2009 - Contents (Page 115) Veterinary Medicine - March 2009 - Correction (Page 116) Veterinary Medicine - March 2009 - Correction (Page 117) Veterinary Medicine - March 2009 - Correction (Page 118) Veterinary Medicine - March 2009 - Author Guidelines (Page 119) Veterinary Medicine - March 2009 - Hot Literature (Page 120) Veterinary Medicine - March 2009 - Hot Literature (Page 121) Veterinary Medicine - March 2009 - Idea Exchange (Page 122) Veterinary Medicine - March 2009 - Idea Exchange (Page 123) Veterinary Medicine - March 2009 - Idea Exchange (Page 124) Veterinary Medicine - March 2009 - Idea Exchange (Page 125) Veterinary Medicine - March 2009 - A Challenging Case (Page 126) Veterinary Medicine - March 2009 - A Challenging Case (Page 127) Veterinary Medicine - March 2009 - A Challenging Case (Page 128) Veterinary Medicine - March 2009 - A Challenging Case (Page 129) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 130) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 131) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 132) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 133) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 134) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 135) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 136) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 137) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 138) Veterinary Medicine - March 2009 - Local and Regional Anesthesia Techniques (Page 139) Veterinary Medicine - March 2009 - The Latest Scoop on Litter (Page 140) Veterinary Medicine - March 2009 - The Latest Scoop on Litter (Page 141) Veterinary Medicine - March 2009 - The Latest Scoop on Litter (Page 142) Veterinary Medicine - March 2009 - The Latest Scoop on Litter (Page 143) Veterinary Medicine - March 2009 - The Latest Scoop on Litter (Page 144) Veterinary Medicine - March 2009 - The Latest Scoop on Litter (Page 145) Veterinary Medicine - March 2009 - Product Preview (Page 146) Veterinary Medicine - March 2009 - Product Preview (Page 147) Veterinary Medicine - March 2009 - Product Preview (Page 148) Veterinary Medicine - March 2009 - Product Preview (Page 149) Veterinary Medicine - March 2009 - CE Form/Advertiser Index (Page 150) Veterinary Medicine - March 2009 - Marketplace/Classifieds (Page 151) Veterinary Medicine - March 2009 - Marketplace/Classifieds (Page 152) Veterinary Medicine - March 2009 - Marketplace/Classifieds (Page 153) Veterinary Medicine - March 2009 - Mind Over Miller (Page 154) Veterinary Medicine - March 2009 - Mind Over Miller (Page Cover3) Veterinary Medicine - March 2009 - Mind Over Miller (Page Cover4) Veterinary Medicine - March 2009 - Mind Over Miller (Page A1) Veterinary Medicine - March 2009 - Mind Over Miller (Page A2) Veterinary Medicine - March 2009 - Mind Over Miller (Page A3) Veterinary Medicine - March 2009 - Mind Over Miller (Page A4)
For optimal viewing of this digital publication, please enable JavaScript and then refresh the page. If you would like to try to load the digital publication without using Flash Player detection, please click here.