Use of the caudal thoracic paravertebral block in a multimodal anaesthetic protocol for cholecystectomy in a diabetic dog.
González LE, Sirvent NP, Rodrigo IC, Usón Casaús JM, Pérez Merino EM · Veterinary anaesthesia and analgesia · 29 November 2025
Ultrasound-guided bilateral caudal thoracic paravertebral block provides effective analgesia in diabetic dogs undergoing cholecystectomy.
This case report details the anesthetic management of a diabetic dog undergoing cholecystectomy, employing a multimodal analgesic approach to enhance pain control and minimize the use of inhalational anesthetics and systemic opioids. A key component of this protocol was the ultrasound-guided bilateral caudal thoracic paravertebral block (CTPVB) administered with bupivacaine. The CTPVB effectively provided analgesia and maintained cardiovascular stability throughout the procedure. Notably, no additional analgesia was required during the 8-hour period following endotracheal extubation, indicating prolonged postoperative pain relief. This report is the first to describe the use of CTPVB in a diabetic dog undergoing cholecystectomy, highlighting its potential benefits in managing perioperative pain and reducing the need for systemic analgesics.
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