犬膀胱切开术的麻醉管理策略

Lintan Ayu Kisya, Dian Vidiastuti
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引用次数: 0

摘要

老年分流和门静脉分流可能会增加患泌尿系统结石的犬在膀胱切开术中发生麻醉药物中毒的风险。该研究回顾了 2012-2022 年间发表的病例报告中有关犬膀胱切开术中麻醉的使用情况,这些报告是通过谷歌学术搜索引擎检索到的。综述的纳入标准包括对检查和治疗的详细描述。回顾了十篇文章,结果显示,最常用的预处理、诱导麻醉和维持麻醉剂依次为甲苯噻嗪、氯胺酮和异氟醚。在老年病例中,硫酸阿托品、地西泮和赛拉嗪被用作麻醉前用药,而氯胺酮和异丙酚被用作诱导麻醉。在大型犬种中,赛拉嗪、美洛昔康、硫酸阿托品、地西泮和丁丙诺啡被用作预处理,氯胺酮、地西泮和丙泊酚被用作诱导麻醉,异氟醚被用作维持麻醉。讨论了在不同医疗条件下使用麻醉的注意事项。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anaesthesia Management Strategies for Cystotomy in Dogs
Geriatric and Portosystemic shunts could increase the risk of anaesthetic drug toxicity during cystotomy in dogs experiencing urolithiasis. The study reviewed the use of anaesthesia in cystotomy in dogs, from case reports published during the period between 2012-2022, retreived using the Google Scholar search engine. Inclusion criteria for the review involved a detailed description of the examinations and treatments. Ten articles were reviewed and showed that the most frequently used premedication, - induction anaesthesia, and maintenance anaesthetic agents were Xylazine, Ketamine, and Isoflurane, consecutively. In geriatric cases, Atropine Sulphate, Diazepam and Xylazine were used as premedication, while Ketamine and Propofol were used as induction anaesthesia. In large breeds, Xylazine, Meloxicam, Atropine Sulphate, Diazepam, and Buprenorphine were used as premedication, while Ketamine, Diazepam, and Propofol were used as – induction anaesthesia, and Isoflurane was used as maintenance anaesthesia. Considerations in using anaesthesia in different medical conditions are discussed.
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