Comparison of Blind, Ultrasound and Computed
Tomographic-Guided Injection Techniques for Nerve Block of the Head
in One-Humped Camel (Camelus dromedaries) Cadavers
El-Sayed El-Shafaey1,2*,
Mohamed Hamed3, Ahmed Abdellatif4 and Eman Abo
Elfadl5
1Department of Surgery,
Anesthesiology and Radiology, Faculty of Veterinary Medicine,
Mansoura University, Mansoura-city, Egypt; 2Department of
Veterinary Medicine, College of Agriculture and Veterinary Medicine,
Qassim University, Qassim, Saudi Arabia; 3Department of Surgery,
Anesthesiology and Radiology, Faculty of Veterinary Medicine, Aswan
University, Aswan-city, Egypt; 4Department of Anatomy and
Embryology, Faculty of Veterinary Medicine, Mansoura University,
Mansoura-city, Egypt; 5Department of animal husbandry and development of
animal wealth, Faculty of Veterinary Medicine, Mansoura University,
Mansoura-city, Egypt *Corresponding author:
sayedelshafaey@yahoo.com
Abstract
The present study was designed to assess the
efficacy of ultrasound (US) and computed tomographic (CT)-guided injection
techniques versus conventional blind technique for various nerve blocks of the
head in one-humped camel cadavers.
Eighteen cadaver heads of adult one-humped camels enrolled were randomly
assigned to blind (n=6), US-guided (n=6), and CT-guided (n=6) injections of
mental, infraorbital, supraorbital and retrobulbar nerves.Injections were made with 2.5 mL of lidocaine HCl mixed
with equal volume of Iopaminolcontrast agent. Injection
criteria (needle localization, correct penetration, difficulty of injection and
performance time) were assessed, scored and statistically compared among three
techniques of injection. Collectively, the summation of injection criteria
scores showed a significant increase (P<0.05) in the US and CT-guided nerve block injection techniques compared with
the blind technique. Imaging-guided injection could precisely discriminate each
target nerve (sensitivity: 72.2-94.4%; specificity: 27.8-83.3%; odds ratio:
6.5-85; CI: 15.03-389; P<0.0001). The highest specificity for imaging-guided nerve
block injection technique was 83.3% for US and CT-guided techniques, whilst the lowest specificity was
recorded for CT versus US-guided technique (27.8%). In conclusion, the US and CT-guided injection techniques offers considerable
advantages for characterization of the anatomical landmarks, needle placement
and selectivity of the head nerve block technique which is difficult to obtained
using conventional blind technique.