Use of subcostal and lateral transverse abdominal plane blocks as part of multimodal analgesia in a calf undergoing omphalitis surgical correction

Martin Bellido, Valeria; Levionnois, Olivier; Plüss, Jeanette; Monticelli, Paolo (2024). Use of subcostal and lateral transverse abdominal plane blocks as part of multimodal analgesia in a calf undergoing omphalitis surgical correction. Veterinary Record Case Reports, 12(2) British Veterinary Association 10.1002/vrc2.818

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This report describes the combined use of the ultrasound-guided subcostal and lat-eral transversus abdominis blocks as part of the multimodal analgesia in a 3-month-oldcalf, presented for omphalitis surgical repair. It was premedicated with xylazine, anaes-thesia was induced with ketamine and maintained by isoflurane in oxygen. The blockwas performed with lidocaine 2%, and flunixin meglumine was administered pre- andpostoperatively. Postoperative pain was scored, and rescue analgesia was not requiredintra- and postoperatively. Pain assessment and multimodal analgesia are crucial infood-producing animals. Employing bilateral ultrasound-guided lateral and subcostaltransversus abdominis plane block can prove advantageous as part of the multimodalanalgesia protocol for calves undergoing umbilical surgeries. Furthermore, it is essen-tial to delv into the discussion of lidocaine’s toxic dosage when applied in locoregionaltechniques.

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