Hyaluronidase shortens levobupivacaine lumbosacral epidural anaesthesia in dogs

被引:3
作者
DeRossi, R. [1 ]
de Barros, A. L. C. [1 ]
Silva-Neto, A. B. [1 ]
Pompermeyer, C. T. [1 ]
Frazilio, F. O. [2 ]
机构
[1] Univ Fed Mato Grosso do Sul, Fac Vet Med & Anim Sci, Dept Vet Med Surg & Anaesthesiol, Campo Grande, MS, Brazil
[2] Univ Sao Paulo, Sch Med, Dept Anesthesiol, BR-05508 Sao Paulo, Brazil
关键词
PERIBULBAR ANESTHESIA; BUPIVACAINE; BLOCK; LIDOCAINE; LIGNOCAINE; NERVE; FAT;
D O I
10.1111/j.1748-5827.2011.01048.x
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Methods: Six adult mixed breed dogs (two males and four females) weighing 7 to 14 kg (10 center dot 5 +/- 1 center dot 5 kg) and aged two to five years were used. Each dog received both treatments in random order: levobupivacaine alone (LBA; n=6) or levobupivacaine plus hyaluronidase (LBH; n=6) administered in the lumbosacral epidural space. Systemic effects, spread and duration of anaesthesia and motor block were determined before treatment and at predetermined intervals. Results: The duration of local anaesthesia was 90 +/- 10 minutes (P=0 center dot 001) for LBH treatment and 150 +/- 15 minutes for LBA treatment. In the LBH treatment, anaesthesia reached the T12 to T13 dermatome and in the LBA treatment it reached the T11 to T12 dermatome in all animals in 5 and 15 minutes, respectively. Complete motor blockade was 75 +/- 12 minutes (P=0 center dot 01) and 120 +/- 15 minutes for LBH and LBA treatments, respectively. Clinical Significance: Hyaluronidase added to levobupivacaine significantly shortens the duration of epidural anaesthesia with the same dermatome spread into the epidural space in dogs.
引用
收藏
页码:195 / 199
页数:5
相关论文
共 24 条
[1]   INTRADERMAL STUDY OF LOCAL-ANESTHETIC AND VASCULAR EFFECTS OF ISOMERS OF BUPIVACAINE [J].
APS, C ;
REYNOLDS, F .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1978, 6 (01) :63-68
[2]   EFFECTS OF ADRENALINE AND HYALURONIDASE ON PLASMA-CONCENTRATIONS OF LIGNOCAINE AND BUPIVACAINE AFTER PERIBULBAR ANESTHESIA [J].
BARR, J ;
KIRKPATRICK, N ;
DICK, A ;
LEONARD, L ;
HAWKSWORTH, G ;
NOBLE, DW .
BRITISH JOURNAL OF ANAESTHESIA, 1995, 75 (06) :692-697
[3]   Is hyaluronidase helpful for peribulbar anaesthesia? [J].
Bowman, RJC ;
Newman, DK ;
Richardson, EC ;
Callear, AB ;
Flanagan, DW .
EYE, 1997, 11 (3) :385-388
[4]   QUALITY OF EPIDURAL BLOCKADE .2. INFLUENCE OF PHYSICO-CHEMICAL FACTORS - HYALURONIDASE AND POTASSIUM [J].
BROMAGE, PR ;
BURFOOT, MF .
BRITISH JOURNAL OF ANAESTHESIA, 1966, 38 (11) :857-&
[5]   Hyaluronidase and peribulbar block [J].
Dempsey, GA ;
Barrett, PJ ;
Kirby, IJ .
BRITISH JOURNAL OF ANAESTHESIA, 1997, 78 (06) :671-674
[6]   Levobupivacaine - A review of its pharmacology and use as a local anaesthetic [J].
Foster, RH ;
Markham, A .
DRUGS, 2000, 59 (03) :551-579
[7]   Analgesic and motor-blocking action of epidurally administered levobupivacaine or bupivacaine in the conscious dog [J].
Gomez de Segura, Ignacio A. ;
Menafro, Antonella ;
Garcia-Fernandez, Paloma ;
Murillo, Silvia ;
Parodi, Elba M. .
VETERINARY ANAESTHESIA AND ANALGESIA, 2009, 36 (05) :485-494
[8]   Cardiac and CNS toxicity of levobupivacaine - Strength of evidence for advantage over bupivacaine [J].
Gristwood, RW .
DRUG SAFETY, 2002, 25 (03) :153-163
[9]   EFFECTS OF ADJUVANTS TO LOCAL-ANESTHETICS ON THEIR DURATION .3. EXPERIMENTAL STUDIES OF HYALURONIC-ACID [J].
HASSAN, HG ;
AKERMAN, B ;
RENCK, H ;
LINDBERG, B ;
LINDQUIST, B .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 1985, 29 (04) :384-388
[10]   Cardiovascular and central nervous system effects of intravenous levobupivacaine and bupivacaine in sheep [J].
Huang, YF ;
Pryor, ME ;
Mather, LE ;
Veering, BT .
ANESTHESIA AND ANALGESIA, 1998, 86 (04) :797-804