Comparison of lidocaine, lidocaine-morphine, lidocaine-tramadol or bupivacaine for neural blockade of the brachial plexus in fat-tailed lambs

To evaluate the onset time and duration of action of lidocaine, lidocaine-morphine, lidocaine-tramadol or bupivacaine for a neural blockade of the brachial plexus in fat-tailed lambs. Prospective, randomized, crossover, experimental study. Seven healthy female fat-tailed Ghezel lambs weighing 27.0 ±...

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Veröffentlicht in:Veterinary anaesthesia and analgesia 2016-01, Vol.43 (1), p.109-116
Hauptverfasser: Ghadirian, Safoura, Vesal, Nasser, Maghsoudi, Behzad, Akhlagh, Seyed H
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container_title Veterinary anaesthesia and analgesia
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creator Ghadirian, Safoura
Vesal, Nasser
Maghsoudi, Behzad
Akhlagh, Seyed H
description To evaluate the onset time and duration of action of lidocaine, lidocaine-morphine, lidocaine-tramadol or bupivacaine for a neural blockade of the brachial plexus in fat-tailed lambs. Prospective, randomized, crossover, experimental study. Seven healthy female fat-tailed Ghezel lambs weighing 27.0 ± 2.2 kg (mean ± SD). Each lamb was administered four treatments for brachial plexus block (BPB): lidocaine 2% (5 mg kg−1) (LID), lidocaine 2% combined with morphine (0.1 mg kg−1) (LIDMO), lidocaine 2% combined with tramadol (1 mg kg−1) (LIDTR) or bupivacaine 0.5% (1.25 mg kg−1) (BUP), for a total treatment volume of 0.25 mL kg−1. The brachial plexus was located with a peripheral nerve stimulator, and the treatment volume was injected in increments. Treatments were randomized and separated by at least 7 days. Onset and duration of a sensory block of the distal thoracic limb were evaluated using superficial and deep pin pricks and pinching of the skin with haemostatic forceps. The mean duration of sensory block was 100 ± 38 minutes in LID, 103 ± 35 minutes in LIDMO, 79 ± 28 minutes in LIDTR, and 335 ± 134 minutes in BUP. The mean duration of sensory and motor blocks in BUP were significantly longer compared with other treatments (p < 0.05). No clinical signs of local anaesthetic toxicity were noticed, and the rectal temperature did not differ significantly from baseline values in any treatments. The addition of morphine or tramadol to lidocaine did not affect the duration of antinociception of lidocaine for brachial plexus block in fat-tailed lambs. Administration of bupivacaine provided a prolonged duration of action without obvious adverse effects.
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Prospective, randomized, crossover, experimental study. Seven healthy female fat-tailed Ghezel lambs weighing 27.0 ± 2.2 kg (mean ± SD). Each lamb was administered four treatments for brachial plexus block (BPB): lidocaine 2% (5 mg kg−1) (LID), lidocaine 2% combined with morphine (0.1 mg kg−1) (LIDMO), lidocaine 2% combined with tramadol (1 mg kg−1) (LIDTR) or bupivacaine 0.5% (1.25 mg kg−1) (BUP), for a total treatment volume of 0.25 mL kg−1. The brachial plexus was located with a peripheral nerve stimulator, and the treatment volume was injected in increments. Treatments were randomized and separated by at least 7 days. Onset and duration of a sensory block of the distal thoracic limb were evaluated using superficial and deep pin pricks and pinching of the skin with haemostatic forceps. The mean duration of sensory block was 100 ± 38 minutes in LID, 103 ± 35 minutes in LIDMO, 79 ± 28 minutes in LIDTR, and 335 ± 134 minutes in BUP. The mean duration of sensory and motor blocks in BUP were significantly longer compared with other treatments (p &lt; 0.05). No clinical signs of local anaesthetic toxicity were noticed, and the rectal temperature did not differ significantly from baseline values in any treatments. The addition of morphine or tramadol to lidocaine did not affect the duration of antinociception of lidocaine for brachial plexus block in fat-tailed lambs. Administration of bupivacaine provided a prolonged duration of action without obvious adverse effects.</abstract><cop>United States</cop><pub>Elsevier Ltd</pub><pmid>26058602</pmid><doi>10.1111/vaa.12280</doi><tpages>8</tpages></addata></record>
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subjects Anesthetics, Local - administration & dosage
Anesthetics, Local - pharmacology
Animals
Animals, Newborn - physiology
Brachial Plexus
brachial plexus block
bupivacaine
Bupivacaine - administration & dosage
Bupivacaine - pharmacology
Cross-Over Studies
Drug Therapy, Combination - veterinary
Female
Heart Rate - drug effects
lambs
lidocaine
Lidocaine - administration & dosage
Lidocaine - pharmacology
morphine
Morphine - administration & dosage
Morphine - pharmacology
Nerve Block - veterinary
Pain Measurement - veterinary
Prospective Studies
Respiration - drug effects
Sheep - physiology
tramadol
Tramadol - administration & dosage
Tramadol - pharmacology
title Comparison of lidocaine, lidocaine-morphine, lidocaine-tramadol or bupivacaine for neural blockade of the brachial plexus in fat-tailed lambs
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