Electrical nerve stimulation to facilitate placement of an indwelling catheter for repeated brachial plexus block in a traumatized dog

A 10-year-old, 7 kg, male mixed breed dog was presented, following a dog fight, with open fractures of the radius and ulna and extensive skin and muscle lesions. Using electric nerve stimulation, an indwelling catheter was positioned in the axillary space and 2 mg kg(-1) bupivacaine was injected. Complete sensory and motor blocks were obtained allowing amputation distal to the non-traumatized tissue and debridement of the limb. The injection of bupivicaine was repeated 5 hours after the first bolus and a similar result was obtained in term of muscle relaxation and pain alleviation. Subsequent injections were not successful in providing the same effect, most likely as a result of catheter displacement and alternate means of analgesia were used.