Sixty years of equine anaesthesia - are we getting better at it?

IF 1.9 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary anaesthesia and analgesia Pub Date : 2025-05-07 DOI:10.1016/j.vaa.2025.04.012

Polly M Taylor, Miguel Gozalo-Marcilla, Regula Bettschart-Wolfensberger, José I Redondo, G Mark Johnston

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引用次数: 0

Abstract

Objective: To present the essence of the presentation 'CEPEF - what we knew then and what we know now' given at the autumn meeting of the Association of Veterinary Anaesthetists in 2024, celebrating its 60th anniversary.

Databases used: (this is not a formal systematic review). PubMed, Scopus, Google Scholar and the 4th Confidential Enquiry into Equine Perioperative Fatalities (CEPEF4). Search terms used: horse; pony; equine; anaesthesia; anesthesia; recovery; morbidity and mortality.

Conclusions: It is well recognized that general anaesthesia carries a greater risk of mortality in horses than in other domestic species and humans. The history of equine anaesthesia, whose beginnings were not far removed from those of human anaesthesia, is traced from its start in the 19th century. The extent of the risk of equine anaesthesia-related mortality was first formally documented in the 1980s. Subsequent studies have evaluated developments including new drugs and methods of their administration, enhanced monitoring and a range of handling procedures. These changes appear to be associated with a decrease in the mortality risk in healthy horses from around 1% in 2002 to 0.6% in 2025. However, the risk of mortality is still serious, and the results of CEPEF4 outline potential areas for improvement and for further research via the proposed CEPEF5.

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六十年的马麻醉——我们做得更好了吗？

目的：介绍兽医麻醉师协会在2024年庆祝其成立60周年的秋季会议上发表的“CEPEF -我们当时所知道的和我们现在所知道的”演讲的精髓。使用的数据库：（这不是正式的系统审查）。PubMed, Scopus，谷歌Scholar和第四次马围手术期死亡保密调查（CEPEF4）。常用搜索词：马；矮种马;马;麻醉;麻醉;复苏;发病率和死亡率。结论：众所周知，与其他家畜和人类相比，全身麻醉对马的死亡风险更大。马的麻醉历史始于19世纪，其起源与人类的麻醉相距不远。马麻醉相关死亡的风险程度在20世纪80年代首次被正式记录。随后的研究评估了包括新药及其给药方法、加强监测和一系列处理程序在内的发展。这些变化似乎与健康马的死亡风险从2002年的约1%下降到2025年的0.6%有关。然而，死亡风险仍然很严重，CEPEF4的结果概述了潜在的改进领域，并通过拟议的CEPEF5进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary anaesthesia and analgesia 农林科学-兽医学

CiteScore

3.10

自引率

17.60%

发文量

审稿时长

97 days

期刊介绍： Veterinary Anaesthesia and Analgesia is the official journal of the Association of Veterinary Anaesthetists, the American College of Veterinary Anesthesia and Analgesia and the European College of Veterinary Anaesthesia and Analgesia. Its purpose is the publication of original, peer reviewed articles covering all branches of anaesthesia and the relief of pain in animals. Articles concerned with the following subjects related to anaesthesia and analgesia are also welcome: the basic sciences; pathophysiology of disease as it relates to anaesthetic management equipment intensive care chemical restraint of animals including laboratory animals, wildlife and exotic animals welfare issues associated with pain and distress education in veterinary anaesthesia and analgesia. Review articles, special articles, and historical notes will also be published, along with editorials, case reports in the form of letters to the editor, and book reviews. There is also an active correspondence section.