An e-survey study on the practice of recruitment manoeuvres in dogs among board-certified veterinary anaesthesia and analgesia specialists

IF 3.1 2区 农林科学 Q1 VETERINARY SCIENCES
Fergus Fox, Chiara Adami
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引用次数: 0

Abstract

Recruitment maneuvers (RMs) are used to treat alveolar collapse and improve lung volumes and ventilatory mechanics. The primary aim of this study was to describe current practice pertaining to the use of three types of RMs - sustained inflation (SI), incremental positive end-expiratory pressure increases (Inc-PEEP) and extended sigh (ES) in dogs, among veterinary anaesthesiologists. Based on the Checklist for Reporting Results of Internet E-Surveys (CHERRIES), a questionnaire composed of 33 questions was developed by the authors and distributed via email to approximately 600 potential participants. Measures were applied to ensure data quality and prevent duplicate entries. Data from 92 anonymous participants were analysed with descriptive statistics and analysis of proportions. The most commonly used RMs were SI and Inc-PEEP. For SI, most participants reportedly set inspiratory time below 20 s, and factors associated with conservative ventilation parameters setting were chronic lung disease (P = 0.001), BOAS (P = 0.002), and acute lung disease (P < 0.001). For Inc-PEEP, regardless of patient factors, most participants reportedly increased PEEP values at 10–15 breaths intervals, with incremental increases in PEEP of 2–3 cmH2O. For ES, factors associated with setting of conservative pressure values were chronic lung disease (P = 0.025) and open chest surgery (P = 0.034). This study indicates that RMs are performed by veterinary anaesthesiologists, particularly the SI and Inc-PEEP techniques, with a tendency toward more conservative settings in the presence of underlying lung disease. However, unanimous consensus on parameters setting is lacking at date.
一项关于在委员会认证的兽医麻醉和镇痛专家中招募狗的实践电子调查研究
招募机动(RMs)用于治疗肺泡塌陷和改善肺容量和通气力学。本研究的主要目的是描述当前兽医麻醉师在犬类中使用三种RMs的实践情况——持续充气(SI)、呼气末正压递增(Inc-PEEP)和延长叹气(ES)。基于互联网电子调查报告结果清单(樱桃),作者编制了一份包含33个问题的问卷,并通过电子邮件向大约600名潜在参与者分发了问卷。采取了确保数据质量和防止重复输入的措施。对92名匿名参与者的数据进行描述性统计和比例分析。最常用的均方根是SI和Inc-PEEP。对于SI,据报道,大多数参与者将吸气时间设置在20 s以下,与保守通气参数设置相关的因素是慢性肺病(P = 0.001),BOAS (P = 0.002)和急性肺病(P <; 0.001)。对于Inc-PEEP,无论患者因素如何,大多数参与者在10-15次呼吸间隔内增加PEEP值,PEEP的增量为2-3 cmH2O。对于ES,与保守压力值设置相关的因素是慢性肺部疾病(P = 0.025)和开胸手术(P = 0.034)。这项研究表明,RMs是由兽医麻醉师进行的,特别是SI和Inc-PEEP技术,在存在潜在肺部疾病的情况下倾向于更保守的设置。然而,目前在参数设置上还缺乏一致的共识。
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来源期刊
Veterinary journal
Veterinary journal 农林科学-兽医学
CiteScore
4.10
自引率
4.50%
发文量
79
审稿时长
40 days
期刊介绍: The Veterinary Journal (established 1875) publishes worldwide contributions on all aspects of veterinary science and its related subjects. It provides regular book reviews and a short communications section. The journal regularly commissions topical reviews and commentaries on features of major importance. Research areas include infectious diseases, applied biochemistry, parasitology, endocrinology, microbiology, immunology, pathology, pharmacology, physiology, molecular biology, immunogenetics, surgery, ophthalmology, dermatology and oncology.
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