Complications following equine sacroiliac region analgesia are uncommon: A study in 118 horses.
PLoS One
; 16(3): e0247781, 2021.
Article
in En
| MEDLINE
| ID: mdl-33651806
ABSTRACT
BACKGROUND:
Diagnosis of sacroiliac region pain is supported by a positive response to sacroiliac region analgesia (SIRA). Varying techniques have been described for SIRA; with clinician preference often dictating method. Potential complications following SIRA include ataxia and recumbency. No study has specifically evaluated the prevalence of complications.OBJECTIVES:
To describe the complication prevalence following SIRA in a referral clinic. STUDYDESIGN:
Retrospective cohort study.METHODS:
Review of records from horses presented to two of the authors at Rossdales, Newmarket, between January 2014 and December 2018, that underwent SIRA. Injection was performed using a blind midline approach with 20 mL mepivacaine (Intra-Epicaine 20mg/ml; Dechra) infiltrated through a straight 18 gauge 8.9cm spinal needle subdivided into four sub-locations per block.RESULTS:
118 horses were included, with 167 individual blocks. One horse showed a mild hindlimb gait abnormality following SIRA, which resolved uneventfully over 3 hours; complication rate 1/118 horses (0.85%; 95% CI 0,2.5%), 1/167 joints (0.60%; 95% CI 0,1.8%). SIRA subjectively improved lameness/performance in 132/167 (79%) joints. 49/118 (42%) received bilateral SIRA with 53/118 (45%) evaluated ridden following SIRA. MAINLIMITATIONS:
Small population numbers with low complication prevalence rate.CONCLUSIONS:
SIRA, using the described technique, has a low (0.85%) prevalence of complications.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sacroiliac Joint
/
Gait Ataxia
/
Horse Diseases
/
Anesthesia, Local
/
Lameness, Animal
/
Nerve Block
Type of study:
Diagnostic_studies
/
Observational_studies
Limits:
Animals
Language:
En
Journal:
PLoS One
Journal subject:
CIENCIA
/
MEDICINA
Year:
2021
Document type:
Article
Affiliation country: