A seven-year-old, 25-kg female crossbreed dog received segmental thoracic epidural anaesthesia for left lateral thoracotomy and lung lobectomy. At presentation mild exercise intolerance and weight loss were reported. A chest CT scan revealed a solitary soft tissue mass in the left caudal lobe. Lung lobectomy surgery was scheduled. Under isoflurane anaesthesia, an epidural catheter was threaded through T13–L1 and advanced 50 mm cranially. Bupivacaine and morphine were administered 30 minutes before incision and at 12-hour intervals thereafter. To minimise side effects, the postoperative dose was titrated to guarantee segmental analgesia. Purposeful movements and signs of sympathetic stimulation in response to surgery were not observed. Intraoperatively, a transient 13% increase in arterial blood pressure occurred, while heart rate remained stable compared with baseline. Although the intended postoperative dose was decreased to prevent side effects, pain scores were below the analgesic intervention score. The catheter was removed on the fourth postoperative day. Complications and neurological sequelae were not noticed.
- pulmonary/thoracic surgery
- thoracic epidural anaesthesia
- thoracic local regional anaesthesia
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Contributors DC: planner and executor of the project and the first author of the case report. LN: assistant in planning the project and the second author of the case report.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Data statement Data sharing is not applicable to this article as no datasts were generated or analysed during the current study. Data (ie pain assessment sheet) of the individual patient are however available from corresponding author upon reasonable request.
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