Ultrasound-guided transversus thoracis plane block as part of multimodal analgesia in a dog undergoing median sternotomy

Published:August 30, 2022DOI:
      A 3-year-old male intact Labrador weighing 35.6 kg was presented to Eastcott Veterinary Referrals for median sternotomy and lung lobectomy owing to pyothorax. Computed tomographic examination, and bilateral chest drains were placed under general anaesthesia 1 day prior to surgery. The dog was hospitalized overnight in the intensive care unit (ICU) before surgery and treated with paracetamol (15 mg kg–1; Paracetamol; BBraun, UK) intravenously (IV) every 8 hours, and methadone (0.2 mg kg–1; Comfortan; Dechra, UK) IV every 4 hours.
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        • Alaman M.
        • González-Marrón A.
        • Lorente C.
        • et al.
        Description of an ultrasound-guided transverse approach to the transversus thoracis plane block and evaluation of injectate spread in canine cadavers.
        Animals. 2021; 11: 2657
        • Cakmak M.
        • Isik O.
        Transversus thoracic muscle plane block for analgesia after pediatric cardiac surgery.
        J Cardiothorac Vasc Anesth. 2021; 35: 1-7
        • Escalante G.
        • Ferreira T.H.
        • Hershberger-Braker K.L.
        • Schroeder C.A.
        Evaluation of ultrasound-guided pecto-intercostal block in canine cadavers.
        Vet Anaesth Analg. 2022; 49: 182-188
        • Piraccini E.
        • Corso R.
        • Maitan S.
        Transversus thoracic muscle plane block for breast surgery.
        Clin J Pain. 2019; 35: 459-460
        • Raj N.
        Regional anesthesia for sternotomy and bypass—beyond the epidural.
        Paediatr Anesth. 2019; 29: 519-529
        • Reid J.
        • Nolan A.M.
        • Hughes J.M.L.
        • et al.
        Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention score.
        Anim Welf. 2007; 16: 97-104
        • Zublena F.
        • Briganti A.
        • De Genaro C.
        • Corletto F.
        Ultrasound-guided parasternal injection in dogs: a cadaver study.
        Vet Anaesth Analg. 2021; 45: 563-569