Page 202 - BSAVA Guide to Pain Management in Small Animal Practice
P. 202

2  |  Major local anaesthetic blocks



        VetBooks.ir                                      angle, in a medial direction, ventral to
                                                         the border of the  ygomatic arch and

                 C                                       about  .  cm caudal to the lateral
                                                         canthus, and then advance it toward the
                                     D                   pterygopalatine fossa.
                                                      •  Slowly in ect the local anaesthetic after
                                                         test aspiration. In ect between  .  and
                                                           ml depending on the patient s si e
                                                         and breed.
                                                      •   his techni ue is more di cult to
                                        B
                                                         perform in cats.
                                                   ■    hese blocks should be administered
               A                                      cautiously in brachycephalic dogs and cats
                                                      because of the proximity of the orbit to the
             Anatomical landmarks for performing mental  A ,   foramen and the potential for penetrating
             mandibular  B , infraorbital  C  and maxillary     nerve   the globe.
             blocks in dogs.
                                                   Auriculotemporal (A) and
                                                   great auricular (B) nerve
                                                   block (dog)

                                                   ■    his block provides analgesia to the
                                                      external ear canal and the auricular
               C
                                                      cartilage and is a useful techni ue for dogs
                                                      undergoing total ear canal ablation and
                                                      bulla osteotomy.
               A                                      •   he auriculotemporal nerve is located
                                                         by slowly advancing a needle between
                                                         the rostral aspect of the vertical
                                                         ear canal and the caudal aspect of
                                                         the  ygomatic arch perpendicular to the
                                 B
             Anatomical landmarks for performing mental  A ,
             mandibular  B  and infraorbital  C  nerve blocks in cats.
                                                                          A
             ■    o block the infraorbital nerve                                    B
               •  Insert a needle through the buccal
                  mucosa over the foramen, which is
                  usually found dorsal to the third
                  premolar, and deposit local anaesthetic.
               •  In ect between  .   and 1.  ml depend-
                  ing on the patient s si e and breed.
             ■    o anaestheti e the entire upper  aw,
               including all of the teeth
               •  Block the maxillary nerve either via the
                  use of a  exible cannula inserted into
                  the infraorbital foramen, or insert a   Anatomical landmarks for performing auriculotemporal
                  needle through the skin at a 9  degree    A  and great auricular  B  nerve block in dogs.

                                                                                    197



         Appendix 2.indd   197                                                  19/12/2018   10:50
   197   198   199   200   201   202   203   204   205   206   207