Ultrasound-guided approach for axillary brachial plexus, femoral nerve, and sciatic nerve blocks in dogs
Article first published online: 5 FEB 2010
© 2010 The Authors. Journal compilation © 2010 Association of Veterinary Anaesthetists
Veterinary Anaesthesia and Analgesia
Volume 37, Issue 2, pages 144–153, March 2010
How to Cite
Campoy, L., Bezuidenhout, A. J., Gleed, R. D., Martin-Flores, M., Raw, R. M., Santare, C. L., Jay, A. R. and Wang, A. L. (2010), Ultrasound-guided approach for axillary brachial plexus, femoral nerve, and sciatic nerve blocks in dogs. Veterinary Anaesthesia and Analgesia, 37: 144–153. doi: 10.1111/j.1467-2995.2009.00518.x
- Issue published online: 5 FEB 2010
- Article first published online: 5 FEB 2010
- Received 23 September 2008; accepted 15 March 2009.
- brachial plexus block;
- femoral nerve block;
- local anesthesia;
- sciatic nerve block;
- ultrasound-guided techniques
Objective To describe an ultrasound-guided technique and the anatomical basis for three clinically useful nerve blocks in dogs.
Study design Prospective experimental trial.
Animals Four hound-cross dogs aged 2 ± 0 years (mean ± SD) weighing 30 ± 5 kg and four Beagles aged 2 ± 0 years and weighing 8.5 ± 0.5 kg.
Methods Axillary brachial plexus, femoral, and sciatic combined ultrasound/electrolocation-guided nerve blocks were performed sequentially and bilaterally using a lidocaine solution mixed with methylene blue. Sciatic nerve blocks were not performed in the hounds. After the blocks, the dogs were euthanatized and each relevant site dissected.
Results Axillary brachial plexus block Landmark blood vessels and the roots of the brachial plexus were identified by ultrasound in all eight dogs. Anatomical examination confirmed the relationship between the four ventral nerve roots (C6, C7, C8, and T1) and the axillary vessels. Three roots (C7, C8, and T1) were adequately stained bilaterally in all dogs.
Femoral nerve block Landmark blood vessels (femoral artery and femoral vein), the femoral and saphenous nerves and the medial portion of the rectus femoris muscle were identified by ultrasound in all dogs. Anatomical examination confirmed the relationship between the femoral vessels, femoral nerve, and the rectus femoris muscle. The femoral nerves were adequately stained bilaterally in all dogs.
Sciatic nerve block. Ultrasound landmarks (semimembranosus muscle, the fascia of the biceps femoris muscle and the sciatic nerve) could be identified in all of the dogs. In the four Beagles, anatomical examination confirmed the relationship between the biceps femoris muscle, the semimembranosus muscle, and the sciatic nerve. In the Beagles, all but one of the sciatic nerves were stained adequately.
Conclusions and clinical relevance Ultrasound-guided needle insertion is an accurate method for depositing local anesthetic for axillary brachial plexus, femoral, and sciatic nerve blocks.