Blocking of the abdomen transverse plan guided by ultrasound in feline submitted to regional mastectomy
Keywords:
TAP Block, multimodal analgesia, feline, mastectomyAbstract
Locoregional blocks have been increasingly used in veterinary medicine. Blocking the transverse plane of the abdomen (TAP Block) is a technique of locoregional anesthesia, it is part of the multimodal analgesia strategy, capable of promoting anesthesia and analgesia in regions of skin, musculature and parietal peritoneum. The aim of this study is to report the transverse plane block in a two-year-old male cat undergoing regional mastectomy. Two ultrasound-guided TAP space block points were made on each side of the abdomen: one in the caudal part of the middle abodminal region, cranial to the iliac crest, and the other point, caudal to the last rib, with 0.5mg/kg of 0.25% bupivacaine at each point, standardizing an injected volume of 0.6mL. Acepromazine (0.05mg/kg), pethidine (3mg/kg), ketamine (2mg/kg) and midazolam (0.3mg/kg) were used as pre-anesthetic medication, induction with propofol (3mg/kg) and maintenance by inhalation anesthesia with isoflurane. It is concluded that the TAP block was effective for regional abdominal mastectomy, with a high safety index and easy to perform with adequate training, even with less frequent transducers.
References
CAMPOY, L.; READ, M.; PERALTA, S. Capítulo 45: Técnicas de Anestesia Local e Analgesia em Cães e Gatos. In: GRIM, K.A; LAMONT, L.A.; TRANQUILLI, W.K.; GREENE, S.A.; ROBERTSON, S.A. Tradução de: Veterinaryanesthesiaand analgesia: Lumband Jones. Rio de Janeiro: Editora Roca, 2413–2503, 2017.
COUCEIRO, T.C.M.; MENEZES, T.C.; VALÊNÇA, M.M. Síndrome Dolorosa Pós Mastectomia. A Magnitude do Problema. Revista Brasileira de Anestesiologia, v.59, n.3, p.358-365, 2009.
CREVECOEUR, A; BAROUK, D. Anestesia Locorregional. 2ª ed.,Tratado de Medicina. Elsevier Masson, 2010, 610p.
DEMÉTRIO, L.V.; KUCI, C.C.; SOUZA, L.P.; CORSO, A.S.; MORAES, A.N. Bloqueio ecoguiado do plano transverso abdominal em gatas submetidas à laparotomia. In: Anaisda 37ºANCLIVEPA, p.1099-1103, 2016.
DEMÉTRIO, L.V. Bloqueio ecoguiado do plano transverso abdominal comparado à infusão de morfina, lidocaína e cetamina em cadelas submetidas à mastectomia. 2016. 63p. (Dissertação de Mestrado em Ciência Animal). Universidade do Estado de Santa Catarina. Programa de Pós-Graduação em Ciência Animal, Lages, 2016.
EVANS, H.E., DE LAHUNTA, A. The abdomen, pelvis, andpelviclimb. In: Guide to the Dissection of the Dog. EVANS, H.E., DE LAGUNTA, A., 7th ed., Saunders, Elsevier Inc, Philadelphia, p.136–207, 2010.
GIMÉNEZ, F.; HEICH, S.; CRAIG, L.; LEGENDRE A.M.; Early detection, aggressivetherapy. Optimizinthemanegamnteoffelinemammary masses. JournalofFeline Medicine andSurgery, v.12, n.2, p.214-224, 2010.
KLEIN, J.A.;Anesthesia for liposuction in dermatologicsurgery. JournalofDermatology,SurgeryandOncology, v.14, p.1124-1132, 1988.
KLEIN, J.A.;Anestheticformulationoftumescentsolution. DermatologyClinic, v.17, p.751-759, 1999.
LOPES, B.C.C.; ALMEIDA, R.M. Anestesia local no controle da dor: a técnica infiltrativa por tumescencia – revisão de literatura. Revista Clínica Veterinária., v.13, n.5, p.70-74, 2008.
OVERLEY, B.; SHOFER, F.S.; GOLDSCHMIDT, M.H.; SHERER, D.; SORENMO, K.U. AssociationbetweenOvarihysterectomyandFelineMammary Carcinoma. Journal of Veterinary Internal Medicine, v.19, n.4, p.560-563, 2005.
PERLAS, A; CHAN, V.W; SIMONS, M - Brachial plexus examination and localization using ultrasound and electrical stimulation: a volunteer study. Anesthesiology, v.99, n.1, 429-435, 2003.
SOUZA, D.A. Bloqueio do plano transverso abdominal em um equino com cólica – relato de caso. Relatório de Estágio Curricular apresentado ao Curso de Medicina Veterinária da Faculdade de Ciências Biológicas e da Saúde da Universidade Tuiuti do Paraná, como requisito parcial para obtenção do título de Médico Veterinário. Curitiba, 2016. 45p.
SCHROEDER, C.A.; SCHROEDER, K.M.; JOHNSON, R.A. Transversus Abdominis Plane Block for Exploratory Laparotomy in a Canadian Lynx (Lynx canadensis), Journal of Zoo and Wildlife Medicine, v.41, n.2, p.338-341, 2010.
SPOSITO, G.C.; GORIOS, A.; JUNIOR, E.B.S.M.; ROCHA, M.S.; JUNQUEIRA, J.M.; CAMPOS, M.A.R.; ESTRELLA, J.P.N.; CREDIE, L.F.G.A.; MENEZES, F.D. Bloqueio Do Plano Transverso Abdominal (Tap) Guiado Por Ultrassom Em Caprino Submetido à Mastectomia. Relato De Caso. 14° CONPAVET - Congresso Paulista Das Especialidades. 30 de agosto a 1º de setembro de 2016. 46p.
TORSKE, K.E.; DYSON, D.H. Epidural Analgesia and Anesthesia. Veterinary Clinics of North America: Small Animal Practice, v.30, n.4, p.859-874, 2000.
VAUGHAN, M.S.; VAUGHAN, R.W.; CORK, R.C. Postoperative hypothermia in adults: relationship of age, anaesthesia, and shivering to rewarming. Anesthesia and Analgesia, v.60, n.1, p.746-751, 1981.
WEIJER, K.; HEAD, K.W.; MISDORP, W.; HAMPE, J.F. Feline malignant mammary tumors. I. Morphology and biology: Some comparisons with human and canine mammary carcinomas. Journal of the National Cancer Institute, v.49, n.6, p.1697-704, 1972.
WENG, M.; CHEN, W.; HOU, W.; LI, L.; DING, M.; MIAO, C.; The effect of neuraxial anesthesia on cancer recurrence and survival after cancer surgery: an updated meta-analysis. Oncotarget, v.7, n.12, p.15262-15273, 2016.
WETMORE, L.A.; GLOWASKI, M.M. Epidural analgesia in veterinary critical care. ClinicalTechniquesSmall Animal Practice, v.15, n.3, p.177-188, 2000.
