RU2596725C2 - Method of pelvic diseases therapeutic block in animals and offering obstetric aid during pathological delivery - Google Patents

Abstract

FIELD: veterinary science.

SUBSTANCE: invention refers to veterinary science and concerns pelvic diseases therapeutic blockade in animals or offering obstetric aid during pathological delivery. Method involves determining needle stick point and introduction of 0.25-0.5 % novocaine. Needle is stuck to right or left side along inner edge of iliac bone to its stop at inner surface of iliac bone wing. At that, end of needle is pulled up and novocaine solution is introduced in amount of 0.5 ml per 1 kg of animal body weight. For 0.5 ml of introduced solution added 0.1 mg of dexamethasone, 0.1 ml of polyglucin and 10 mg of ceftriaxone or gentamycin. Similarly acting on opposite side of pelvis.

EFFECT: method provides fast and stable elimination of pain and inflammatory reaction.

1 cl, 4 ex

Description

The invention relates to veterinary medicine and can be used to treat sick animals in the presence of diseases of the pelvic organs (kidneys, bladder, genitals), as well as in the provision of obstetric care in pathological births (to relieve uterus contractions and contractions during cesarean section).

There is a method of intravascular administration of novocaine in cows according to L.D. Pozdrachev [1]. In this case, the needle is inserted at the level of the 3rd sacral vertebra, the spinous process of which protrudes most sharply in the sacral ridge, retreating 5-8 cm from the midline of the body. After the preparation of the surgical field, the skin is punctured, the needle is advanced at an angle of 55 degrees to the middle sagittal plane until it stops at the edge of the merged transverse processes of the sacral vertebrae. Then the needle is displaced from the edges of the processes (slightly pulled back and placed more steeply) and advanced 1-2 cm deep. The needle injection depth varies from 4 to 8 cm. After making sure the needle is in the correct position, a 0.25-0.5% solution is injected. novocaine at a dose of 1 ml per 1 kg of animal weight. The total dose of the anesthetic solution is injected in equal portions on the left and right sides of the animal’s body. Anesthesia occurs after 10-15 minutes and lasts 1.5-2 hours. In this case, the labia, vaginal wall, cervix and uterine wall are relaxed.

Known presacral novocaine blockade according to G.S. Fateev [1], which is used in cows for cesarean section, obstetrics, prolapse of the uterus and vagina, retention of the placenta, diseases of the udder (acute and chronic forms of mastitis, postpartum edema, furunculosis). The skin between the root of the tail and the anus is thoroughly washed with soap, wiped and lubricated twice with an alcoholic solution of iodine. Bobrov’s needle is inserted to the right and left of the root of the tail, retreating 1-2 cm from the anteroposterior angle of the sciatic-rectal fossa to a depth of 3-4 cm at an angle of 30-45 degrees to the cavity of the sciatic-rectal fossa. Having attached a Janet syringe to a needle using a rubber tube 80-100 cm long, they lift it, and the anesthetic solution enters the tissues under the force of its own pressure. For blockade, a 0.5% solution of novocaine is used. The amount of anesthetic depends on the purpose of the blockade. To block the pelvic plexus of the shameful and hemorrhoidal nerves, novocaine solution is administered at the rate of 1 ml per 1 kg of live weight; to block the shameful and hemorrhoidal nerves - 100 ml. The total dose of anesthetic solution is administered in equal parts on each side. Anesthesia occurs after 15-20 minutes and lasts 1.5-2.5 hours, the posterior udder in 90% of cases, the anterior - 50%. According to the author, anesthesia of the udder is not observed in excited, nervous animals.

      Known intra-pelvic procaine blockade in cats according to LB Potryasov [2]. Blockade is used for inflammation of the urethra and bladder. The cat is fixed in position on the stomach, aggressive animals are administered the minimum dose of tranquilizers. The needle is injected above the middle of the sciatic arch and 0.5 ml of the solution is injected subcutaneously, then the needle is advanced horizontally in the cranial direction over the entire length of the needle, pre-sending the solution to the movement of the needle (1 ml). After that, the needle is removed under the skin and injected laterally in the direction first to one, and then to the other hip joints to a depth of 10 mm, pre-sending the solution to the needle advancement (0.5 ml is injected). These injections block the shameful, dorsal udal nerves and branches of the pelvic nerve plexus. After 5-7 minutes, in most cases, spontaneous prolapse of the penis is observed. The introduction of a catheter pre-lubricated with liquid paraffin is recommended 10-15 minutes after blockade. If there are indications for antibiotic therapy, then an antibiotic is added to novocaine, taking into account the sensitivity of microflora.

The disadvantages of these methods are: a limited zone of therapeutic effect on the pelvic organs, insufficient anti-inflammatory effect in diseases of the pelvic organs.

The technical result consists in improving the quality of treatment by faster and more stable elimination of pain and inflammatory reactions in diseases of the pelvic organs, as well as in the provision of obstetric care in difficult births of animals.

The technical result is achieved by the fact that with the method of therapeutic blockade in animals with diseases of the pelvic organs, as well as with the provision of obstetric care for difficult birth of animals, the injection needle is carried out from the right or left side along the inner edge of the iliac crest until it stops against the inner wing surface the ilium, after which the end of the needle is pulled up and injected 0.25-0.5% solution of novocaine at the rate of 0.5 ml per 1 kg of animal body weight, with the addition of 0.1 mg of dexamethasone per 0.5 ml of the administered solution, 0 , 1 ml polyglucin a and 10 mg of ceftriaxone or gentamicin, similarly act on the opposite side of the pelvis.

The implementation of the blockade with a multicomponent solution, including novocaine, dexamethasone, polyglucin and an antibiotic, provides comprehensive protection of the blockade zone, has a bactericidal effect on the microflora of the pelvic organs and has a long therapeutic effect.

The method is as follows. The skin of the injection site is treated with a solution of iodine and alcohol. On the right or left side, the projection of the iliac crest is determined by palpation. With a translational and rotational movements, a needle with a mandrin is inserted along the inner edge of the iliac crest until it stops in the inner surface of the iliac wing, after which the end of the needle is pulled up and 0.25-0.5% novocaine solution is introduced at a rate of 0.5 ml per 1 kg of animal body weight with the addition of 0.1 mg of dexamethasone, 0.1 ml of polyglucin and 10 mg of ceftriaxone or gentamicin per 0.5 ml of the administered solution. Then, on the opposite side, the projection of the iliac crest is determined by palpation. With a translational and rotational movements, the needle is inserted along the inner edge of the iliac crest until it stops in the inner surface of the ilium wing, after which the end of the needle is pulled up and 0.25-0.5% novocaine solution is introduced at the rate of 0.5 ml per 1 kg of mass the animal’s body with the addition of 0.1 mg of dexamethasone, 0.1 ml of polyglucin and 10 mg of ceftriaxone per 0.5 ml of the injected solution. Then apply an antiseptic dressing for 3-4 hours.

Examples of the method.

Example 1. Cat Martin, owned by N-VU A.V., was admitted to a veterinary clinic in Perm with a diagnosis of Chronic cystitis. Clinical signs: depression, lethargy, refusal to feed, vomiting, difficulty urinating, urine is excreted dropwise, in the urine - an admixture of blood. The weight of the cat is 4.2 kg. A general blood test showed pronounced leukocytosis (22 thousand / mm ³ ), an elevated ESR level (erythrocyte sedimentation rate of 12 mm per 1 min), and a reduced platelet count (82 × 109 / L). The diagnosis is confirmed by ultrasound. After antiseptic treatment of the injection site with a solution of iodine and alcohol on the right side, the projection of the iliac crest was determined. With a translational and rotational movements, the needle with the mandrel was immersed along the inner edge of the iliac crest until it abutted into the inner surface of the iliac wing, after which the end of the needle was pulled up and a 0.25% novocaine solution in a dose of 2.1 ml was added with the addition of 0.42 mg dexamethasone, 0.42 ml of polyglucin and 24 mg of ceftriaxone. Then, the projection of the iliac crest was determined on the left side. With a translational and rotational movements, a mandrel needle was inserted along the inner edge of the iliac crest until it abutted into the inner surface of the iliac wing, after which the end of the needle was pulled and a 0.25% solution of novocaine in a dose of 2.1 ml was added with the addition of 0.42 mg of dexamethasone 0.42 ml of polyglucin and 24 mg of ceftriaxone. After the first blockade, a significant decrease in the intensity of the pain syndrome was noted, the daily urine urine output increased. In total, 3 blockades were performed every 3 days. After the third blockade, the cat came to clinical recovery. General blood counts were within the physiological norm; ultrasound examination - the wall of the bladder without pathological changes.

Example 2. A dog of Varvara, 12 years old, owned by St. VA, was admitted to a veterinary clinic in Perm with a diagnosis of Postoperative paresis of the small intestine. Weight - 24.6 kg. Clinical signs: depressed state, bloating. On auscultation, rare peristaltic bowel murmurs. The patient underwent therapeutic blockade according to the proposed technique. A 0.2.6% solution of novocaine was administered at a dose of 24.6 ml with the addition of 4.92 mg of dexamethasone, 4.92 ml of polyglucin and 492 mg of ceftriaxone on both sides of the pelvis in equal amounts. After blockade, restoration of intestinal motor function was noted

Example 3. A Maya dog, 3 years old, owned by L-th A.G., was admitted to the veterinary clinic in Tyumen for an emergency cesarean section. Weight 5.7 kg. The reason for the surgical intervention is the lateral position of the fetus (determined using ultrasound). Before surgery, a therapeutic block was made according to the alleged invention. A 0.25% solution of novocaine in a dose of 5.7 ml was added with the addition of 1.14 mg of dexamethasone, 1.14 ml of polyglucin and 114 mg of heptamycin on both sides of the pelvis in equal amounts. After surgery, the condition of the dog could be assessed as satisfactory. Within 24 hours, no pain symptom was noted, postoperative complications were not registered.

Example 4. The patient is a cow No. 2676, 2 years old, owned by FSUE Uchkhoz GAU Northern Trans-Urals. Approximate weight - 350 kg. Due to complications during childbirth (inversion of the fetal head to the side), obstetrics was provided. Preliminarily, therapeutic blockade was performed), according to the alleged invention. A 0.5% solution of novocaine in a dose of 350 ml was added with the addition of 70 mg of dexamethasone, 70 ml of polyglucin and 7 g of bicillip-3 from both sides of the pelvis in equal amounts. The blockade made it easier to deliver obstetrics. The cow felt satisfactory; complications of a different nature were not observed.

Thus, with therapeutic blockade in animals with diseases of the gas organs and obstetric care in pathological births according to the proposed method, the elimination of pain was recorded in all sick animals after the first blockade, the analgesic effect lasted for at least 15 hours. This blockade method was tested in Veterinary clinics in Tyumen, Perm and in livestock farms of the Tyumen region in the treatment of 20 cats, 17 dogs, 18 cows and obstetric care for pathological births in 8 cats, 12 dogs, 14 cows s with a positive result.

Information sources

1. Shakurov M.Sh., Timofeev S.V., Galimzyanov I.G. Novocainic blockade in veterinary medicine. Tutorial. - M .: Kolos S. - 11 p.

2. Potryasov A.B. Intrathase novocaine blockade in cats. // Actual issues of veterinary medicine of small domestic animals / Materials of the Interregional Scientific and Practical Conference Novosibirsk - 2002. - P. 6.

Claims (1)

The method of therapeutic blockade in animals with diseases of the pelvic organs or the provision of obstetric care in pathological birth, including determining the point of injection of the needle and the introduction of 0.25-0.5% solution of novocaine, characterized in that the injection of the injection needle is carried out on the right or left side the inner edge of the iliac crest until it stops in the inner surface of the iliac wing, while the end of the needle is pulled up and a solution of novocaine is administered at the rate of 0.5 ml per 1 kg of animal body weight with the addition of 0.1 ml of the injected solution g dexamethasone, 0.1 ml and 10 mg poliglyukina ceftriaxone or gentamicin similarly fed on the opposite side of the pelvis.