Perioperative analgesic management using bilateral ultrasound-guided lateral quadratus lumborum block in a dog with extrahepatic biliary obstruction.

Ryota Watanabe, Gianluca Bertolizio, Inga-Catalina Cruz Benedetti, Marta Garbin

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In one paragraph

Article in The Canadian veterinary journal = La revue veterinaire canadienne, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ryota WatanabeDepartment of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas 77843, USA (Watanabe); Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2 (Watanabe, Cruz Benedetti, Garbin); Division of Pediatric Anesthesia, Montreal Children's Hospital, McGill University, Montreal, Quebec H4A 3J1 (Bertolizio).

Gianluca BertolizioDepartment of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas 77843, USA (Watanabe); Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2 (Watanabe, Cruz Benedetti, Garbin); Division of Pediatric Anesthesia, Montreal Children's Hospital, McGill University, Montreal, Quebec H4A 3J1 (Bertolizio).

Inga-Catalina Cruz BenedettiDepartment of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas 77843, USA (Watanabe); Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2 (Watanabe, Cruz Benedetti, Garbin); Division of Pediatric Anesthesia, Montreal Children's Hospital, McGill University, Montreal, Quebec H4A 3J1 (Bertolizio).

Marta GarbinDepartment of Small Animal Clinical Sciences, School of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas 77843, USA (Watanabe); Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Quebec J2S 2M2 (Watanabe, Cruz Benedetti, Garbin); Division of Pediatric Anesthesia, Montreal Children's Hospital, McGill University, Montreal, Quebec H4A 3J1 (Bertolizio).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Extrahepatic bile-duct obstruction is commonly caused by pancreatitis in canines. Surgical decompression of the biliary tree is required when medical management is unsuccessful. The clinical presentation often includes severe vomiting and abdominal pain requiring targeted analgesic and anesthetic protocols. Locoregional anesthesia has been largely advocated as part of multimodal analgesic plans to reduce opioid consumption and decrease opioid-related side effects. This report describes a case where the lateral quadratus lumborum block provided effective analgesia and opioid-sparing effect in a 7-year-old mixed-breed dog with extrahepatic bile-duct obstruction undergoing common bile-duct stent placement. Key clinical message: Anesthetic stability in critically ill patients undergoing abdominal surgery is challenging. However, implementation of an ultrasound-guided locoregional technique may help blunt the sympathetic response to surgery and reduce opioid requirements, facilitating anesthetic stability and a comfortable early postoperative period. This is apparently the first report on using ultrasound-guided quadratus lumborum block in a critically ill dog with pancreatitis.

Indexed as

Dog DiseasesNerve BlockAnimalsCholestasis, ExtrahepaticDogsPancreatitisPostoperative PainUltrasonography, Interventional

Identifiers

PMID39649750

PMCPMC11618955

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.