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Vet Comp Orthop Traumatol 2022; 35(02): 081-089
DOI: 10.1055/s-0041-1736194
Original Research

Success Rate and Perioperative Complications of Lumbosacral Extradural Anaesthesia in Dogs Undergoing Total Hip Replacement: A Double-Centre Retrospective Study

Inga Viilmann
1   Dick White Referrals, Six Mile Bottom, Cambridgeshire, United Kingdom
,
Heide Klöppel
2   Davies Veterinary Specialists, Higham Gobion, Hertfordshire, United Kingdom
,
Elliot Wringe
2   Davies Veterinary Specialists, Higham Gobion, Hertfordshire, United Kingdom
,
Enzo Vettorato
1   Dick White Referrals, Six Mile Bottom, Cambridgeshire, United Kingdom
› Author Affiliations Funding None.
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Abstract

Objective The aim of this study was to retrospectively evaluate the success rate and perioperative complications of lumbosacral extradural anaesthesia in dogs undergoing total hip replacement.

Study Design Records of dogs undergoing total hip replacement in which lumbosacral extradural anaesthesia with 0.5% levo- or bupivacaine combined with either morphine or buprenorphine were retrieved. Success rate was defined as intraoperative fentanyl consumption <1 μg/kg/h with no intravenous infusion of other analgesic drugs and no additional morphine/methadone within the first 3 hours from premedication. Prevalence of intraoperative anaesthetic and postoperative surgical complications was calculated.

Results Overall, 206 dogs were included in the study. Success rate was 88.7%. Hypercapnia (75.2%), hypotension (46.1%), hypothermia (27.7%) and regurgitation (6.3%) were recorded during anaesthesia. Within 24 hours post-surgery, urinary retention (17.8%), vomiting/regurgitation/diarrhea (8.2%) and sciatic neurapraxia of the operated limb (5.8%) were recorded. Luxation of the operated hip occurred at 48 and 72 hours after surgery in two dogs and one dog respectively. One dog had cardiopulmonary arrest at 52 hours after surgery.

Conclusion While hypercapnia, hypotension and hypothermia might develop intraoperatively, the high success rate and the relatively low prevalence of postoperative surgical complications directly associated with lumbosacral extradural anaesthesia justify its use in dogs undergoing total hip replacement.

Keywords

extradural anaesthesia - total hip replacement - dog - complication rate

Authors' Contributions

I.V. acquired data and drafted the manuscript. H.K. critically revised the manuscript. E.W. was involved in data collection and revision of the manuscript. E.V. was involved in study design, statistical analysis, critical revision and approval of final version. All authors approved the submitted manuscript.




Publication History

Received: 01 May 2021

Accepted: 11 August 2021

Article published online:
24 September 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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