Presented in part at the AVA Spring meeting, Liverpool, United Kingdom, April 2006.
Original Article - Clinical
Thoracic Epidural Catheter Placement Using a Paramedian Approach with Cephalad Angulation in Three Dogs
Article first published online: 23 JUL 2012
© Copyright 2012 by The American College of Veterinary Surgeons
Volume 41, Issue 7, pages 884–889, October 2012
How to Cite
Franci, P., Leece, E. A. and Corletto, F. (2012), Thoracic Epidural Catheter Placement Using a Paramedian Approach with Cephalad Angulation in Three Dogs. Veterinary Surgery, 41: 884–889. doi: 10.1111/j.1532-950X.2012.00990.x
- Issue published online: 17 OCT 2012
- Article first published online: 23 JUL 2012
- Manuscript Accepted: FEB 2011
- Manuscript Received: MAR 2010
To describe a technique for insertion of a thoracic epidural catheter.
Dogs (n = 3) undergoing thoracic wall resection and thoracotomy.
A paramedian approach with cephalic angulation was used to place a 24-g epidural catheter in 3 dogs. Dogs 1 and 2 had left caudal thoracic wall resection and dog 3 had left thoracotomy. In dog 1, the epidural catheter was inserted at L2–L3 intervertebral space and the tip of the catheter advanced to the level of T13 vertebral body. In dog 2, the epidural catheter was inserted at T12–T13 intervertebral space and the tip of the catheter was advanced to the level of T8 vertebral body. In dog 3, the epidural catheter was inserted at T13–L1 intervertebral space and its tip advanced until reaching the vertebral body of T10. All dogs were administered a combination of bupivacaine and morphine through the epidural catheter to provide intra- and postoperative analgesia.
The peridural space was identified and the tip of the catheter was positioned where intended in all dogs. Dog 1 developed transient Horner's syndrome and dog 3 required intraoperative fentanyl during the first part of the procedure.
Paramedian approach with cephalad angulation is a suitable technique to place thoracic epidural catheters in dogs.