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Clinical efficacy of ultrasound-guided bilateral erector spinae plane block for standing lumbar spinous osteotomy in a horse

      The ultrasound-guided erector spinae plane (ESP) block has been described as a safe technique for controlling perioperative pain of the thoracic, lumbar and abdominal regions in humans (
      • Chin K.J.
      • Ahikary S.D.
      • Forero M.
      Erector spinae plane (ESP) block: a new paradigm in regional anesthesia and analgesia.
      ), dogs (
      • Zannin D.
      • Isaka L.J.
      • Pereira R.H.
      • Mencalha R.
      Opioid-free total intravenous anesthesia with bilateral ultrasound-guided erector spinae plane block for perioperative pain control in a dog undergoing dorsal hemilaminectomy.
      ;
      • Portela D.A.
      • Romano M.
      • Zamora G.A.
      • et al.
      The effect of erector spinae plane block on perioperative analgesic consumption and complications in dogs undergoing hemilaminectomy surgery: a retrospective cohort study.
      ) and cats (
      • Alza Salvatierra D.N.
      • Herrera Linares M.E.
      • Motta L.
      • Martinez M.
      Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats.
      ). The ultrasonographic landmarks and injectate distribution have been described in equine cadavers, after ultrasound-guided ESP injection at the sixteenth thoracic (T16) vertebra (
      • Bautista Díaz-Delgado O.
      • Louro L.F.
      • Rocchigiani G.
      • et al.
      Ultrasound-guided erector spinae plane block in horses: a cadaver study.
      ). The technique proved adequate perioperative analgesia in a horse undergoing dorsal spinous process ostectomy and desmotomy under general anesthesia (
      • Rodriguez A.
      • Medina-Serra R.
      • Lynch N.
      • Veres-Nyeki K.
      Erector spinae plane block as part of a multimodal analgesic approach in an anaesthetised horse undergoing dorsal spinous process ostectomy and desmotomy.
      ). Currently, no prospective clinical study has demonstrated the efficacy of the ESP block for surgeries of the thoracolumbar spine in horses. We report using the ultrasound-guided ESP block as part of analgesic management of a horse undergoing lumbar spinous fracture debridement with standing sedation.
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      References

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        Ultrasound-guided erector spinae interfascial plane block for spinal surgery in three cats.
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        Erector spinae plane block as part of a multimodal analgesic approach in an anaesthetised horse undergoing dorsal spinous process ostectomy and desmotomy.
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        Opioid-free total intravenous anesthesia with bilateral ultrasound-guided erector spinae plane block for perioperative pain control in a dog undergoing dorsal hemilaminectomy.
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