Effect of peripheral nerve blocks in comparison with epidural anaesthesia during tibial tuberosity advancement RAPID surgery: a case study
| dc.contributor.advisor | Semjonov, Aleksandr (advisor) | |
| dc.contributor.advisor | Hõim, Rainer (advisor) | |
| dc.contributor.author | von Weissenberg, Wilhelm Axel | |
| dc.date.accessioned | 2024-06-11T12:27:04Z | |
| dc.date.available | 2024-06-11T12:27:04Z | |
| dc.date.defensed | 2024-06-13 | |
| dc.date.issued | 2024 | |
| dc.description | Final Thesis Curriculum in Veterinary Medicine | eng |
| dc.description.abstract | Pain management is an important and complex subject. Understanding pain physiology and having an effective plan for managing pain is vital for good patient care. To effectively use multimodal analgesia, a good grasp of the major steps of pain transmission and pain pathway is necessary in order the formulate an anaesthetic plan for a pain free state. Intraoperative pain management is a key component of multimodal pain management. Advances and developments within veterinary medicine has been fast, sparking debate over the pros and cons of anaesthetic techniques. As an important advantage, peripheral nerve blocking seeks to manage pain and have a mean alveolar concentration (MAC) sparing effect like epidural anaesthesia, while eliminating the possibility of urinary retention among other anaesthetic complications caused by subdural injection of opioids commonly used in epidural techniques. This study gives insight into the world of peripheral nerve blocks (PNB), as well as reports on a case study where a successful single preoperative femoral nerve block with lidocaine (3 mg/kg) was performed on a patient undergoing elective surgery to correct a cranial cruciate ligament rupture. The patient had no anaesthetic complications and required minimal intraoperative analgesic intervention using a single fentanyl bolus (2 μg/kg). | eng |
| dc.description.abstract | Valu leevendamine on oluline aspekt, millele keskendutakse meditsiinivaldkonnas üha enam. Selleks, et patsientidele pakkuda parimat võimalikku abi, on vaja mõista valu füsioloogiat ja omada tõhusat valu leevendamise strateegiat. Üks oluline lähenemine valu leevendamisele on multimodaalne analgeesia, mis hõlmab mitmeid erinevaid meetodeid valu leevendamiseks. Selleks on vaja mõista valu edastamise peamisi etappe ja valu teekonda organismis, et koostada tõhus valu leevendamise plaan. Intraoperatiivne valu leevendamine on oluline osa multimodaalsest valuleevendamisest. Ühe olulise eelisena perifeersete närvide blokeerimisel on võime valu kontrollida, vähendades samal ajal keskmist alveolaarkontsentratsiooni (MAC) ja vähendades seeläbi vajadust teiste valu leevendavate ravimite järele, näiteks opioidide järele, mis võivad põhjustada mitmeid anesteesiaga seotud komplikatsioone. Antud uuring keskendub perifeersete närvide blokeerimisele (PNB) ning annab ülevaate ühest juhtumist, kus üksik perioperatiivne reie närvi blokaad lidokaiiniga (3 mg/kg) viidi läbi patsiendil, kellele oli vaja kraniaalse ristatisideme rebendi korrigeerimiseks teha operatsioon. Patsiendil ei esinenud seoses anesteesiaga komplikatsioone ning ta vajas minimaalset intraoperatiivset analgeetilist sekkumist, kasutades üksikut fentanüüli boolust (2 μg/kg). | est |
| dc.identifier.uri | http://hdl.handle.net/10492/9402 | |
| dc.publisher | Eesti Maaülikool | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | magistritööd | est |
| dc.subject | master thesis | eng |
| dc.subject | dogs | eng |
| dc.subject | peripheral nerve blocks | eng |
| dc.subject | multimodal analgesia | eng |
| dc.subject | epidural anaesthesia | eng |
| dc.title | Effect of peripheral nerve blocks in comparison with epidural anaesthesia during tibial tuberosity advancement RAPID surgery: a case study | eng |
| dc.title.alternative | Perifeerse närvi blokaadi mõju võrreldes epiduraalanesteesiaga sääreluuköpruse edendamise operatsiooni ajal: juhtumianalüüs | est |
| dc.type | info:eu-repo/semantics/masterThesis | |
| rioxxterms.freetoread.startdate | 13.09.2024 |