A two-point ultrasound-guided injection technique for the transversus thoracis plane block: a canine cadaveric study

Alaman, Manuel (Universidad de Zaragoza) ; Bonastre, Cristina (Universidad de Zaragoza) ; González-Marrón, Adrián ; Gámez Maidanskaia, Ekaterina ; Laborda, Alicia (Universidad de Zaragoza)

Resumen: The transversus thoracis plane (TTP) block desensitizes the intercostal nerves that run through this plane, providing analgesia to the ventral thoracic wall. Two canine cadavers were used to assess the feasibility of the transverse approach for the TTP (t-TTP) under ultrasound guidance to inject a solution at the third and sixth intercostal spaces. Eight cadavers were used to compare the spread and number of intercostal nerves that were stained when a low volume (LV) 0.5 mL kg−1 or a high volume (HV) 1 mL kg−1 of a dye-lidocaine solution was injected into the same hemithorax, injecting the volume equally at these intercostal spaces using the transverse approach. Fisher’s exact test and Wilcoxon signed-rank test were used to contrast the spread of the different volume solutions. The injectate spread along the TTP after all injections, dying a median number (range) of 3 (2–5) and 6 (5–6) nerves with LV and HV, respectively (p = 0.011). The two-point injection of HV, using the t-TTP approach, is a feasible technique that provides a consistent staining from T2 to T7 intercostal nerves. The injection of HV instead of LV increases the spread and enhances the number of stained intercostal nerves.

Idioma: Inglés

DOI: 10.3390/ani12172165

Año: 2022

Publicado en: Animals 12, 17 (2022), 2165 [12 pp.]
ISSN: 2076-2615

Factor impacto JCR: 3.0 (2022)

Categ. JCR: VETERINARY SCIENCES rank: 13 / 144 = 0.09 (2022) - Q1 - T1
Categ. JCR: AGRICULTURE, DAIRY & ANIMAL SCIENCE rank: 12 / 62 = 0.194 (2022) - Q1 - T1

Factor impacto CITESCORE: 4.2 - Veterinary (Q1) - Agricultural and Biological Sciences (Q2)

Factor impacto SCIMAGO: 0.684 - Veterinary (miscellaneous) (Q1) - Animal Science and Zoology (Q1)

Tipo y forma: Article (Published version)

Área (Departamento): Área Medicina y Cirugía Animal (Dpto. Patología Animal)