Veterinary Anaesthesia and Analgesia 2020, 47, 405e413 https://doi.org/10.1016/j.vaa.2019.12.008 RESEARCH PAPER Ultrasound-guided continuous block of median and ulnar nerves in horses: development of the technique Maria Teresa MR Soutoa, Denise T Fantonib, Adilson Hamajic, Marcelo Hamajic, Cynthia P Vendruscolob, Denise A Otsukid, Ana Carolina BCF Pintob & Aline M Ambrosio b aDepartment of Anesthesiology, School of Medicine, University of Sao~ Paulo, Sao~ Paulo, SP, Brazil bSurgical Clinic Department, School of Veterinary Medicine and Animal Science, University of Sao~ Paulo, Sao~ Paulo, SP, Brazil cClinical Hospital, Institute of Orthopedics and Traumatology, Sao~ Paulo, SP, Brazil dLIM/08, Laboratory of Anesthesiology, Laboratory of Medical Research, Clinical Hospital, School of Medicine, University of Sao~ Paulo, Sao~ Paulo, SP, Brazil Correspondence: Maria Teresa MR Souto, Department of Anesthesiology, USP Medical School, Av. Dr. Eneas de Carvalho Aguiar nº 155, 8º Andar e Predio dos Ambulatorios - Bloco 3 - CEP 05403-000 - Cerqueira Cesar Sao~ Paulo, SP, Brazil. E-mail:
[email protected] Abstract bearing in affected limbs and decreased requirement for systemic analgesic medications. No local reactions were Objective To develop a technique for ultrasound-guided observed. continuous median and ulnar peripheral nerve block in horses. Conclusions and clinical relevance The ultrasound tech- nique allowed real-time visualization of needle, catheter and Study design Anatomical and prospective experimental drug dispersion and resulted in a high success rate for nerve study. blocks. The horses administered a median and ulnar nerve Animals A total of 16 thoracic limbs from horse cadavers block exhibited no discomfort or signs of infection at the and 18 adult horses.