意大利小牛硬膜外麻醉腹部手术的短期疗效。

IF 2 2区 农林科学 Q2 VETERINARY SCIENCES
Gessica Giusto, Claudio Bellino, Anna Cerullo, Marco Gandini
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引用次数: 0

摘要

腹部手术被广泛描述为牛的几种疾病。成人手术一般为站立或胸骨平卧位,小腿手术首选侧卧或背卧位。全身麻醉与几种副作用有关,硬膜外麻醉(EA)是几种手术入路的有效替代麻醉方案。先前的研究已经发表,关于对几种疾病的小牛进行腹部手术,但它们并不关注短期结果。因此,有必要报道在EA下进行剖腹探查术的小牛的病例系列。由于全身麻醉与几种并发症(如瘤胃淤滞、反流和腹胀)有关,因此对牛进行全身麻醉是有限的,并且需要使用替代方案。本研究的目的是描述EA下犊牛择期和急诊剖腹手术的手术特点和短期结果。在更复杂或持续时间更长的手术中,中位持续时间为80分钟,需要静脉注射噻嗪。短期生存率(定义为存活至出院)为90.1%。在大多数手术中,EA足以保证足够的镇痛。这种麻醉易于使用,副作用有限。本研究的结果支持外科医生在需要腹部手术的病理事件中的决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Short-Term Outcomes of Abdominal Surgeries Performed with Epidural Anaesthesia in Italian Calves.

Abdominal surgery is widely described for several diseases in cattle. While in adults surgical procedures are generally performed in standing or in sternal recumbency, lateral or dorsal recumbency is preferred in calves. General anaesthesia is associated with several side effects, and epidural anaesthesia (EA) is a valid alternative anaesthetic protocol for several surgical approaches. Previous studies have already been published about abdominal surgery in calves for several diseases, but they are not focused on short-term outcomes. Therefore, there is a need to report a case series for calves that have undergone exploratory laparotomy under EA. General anaesthesia is limited in cattle due to its association with several complications, such as ruminal stasis, regurgitation and tympany, and alternative protocols need to be used. The aim of this study is to describe the surgical features and short-term outcomes of elective and emergency laparotomies in calves under EA. In more complex or longer-lasting surgery, with a median duration of 80 min, intravenous administration of xylazine was necessary. Short-term survival (defined as survival until discharge from the hospital) rate was 90.1%. The EA was sufficient to ensure adequate analgesia in most surgeries. This type of anaesthesia is easy to administer, with limited side effects. The results of this study support surgeons in decision-making in the event of pathologies requiring abdominal surgery.

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来源期刊
Veterinary Sciences
Veterinary Sciences VETERINARY SCIENCES-
CiteScore
2.90
自引率
8.30%
发文量
612
审稿时长
6 weeks
期刊介绍: Veterinary Sciences is an international and interdisciplinary scholarly open access journal. It publishes original that are relevant to any field of veterinary sciences, including prevention, diagnosis and treatment of disease, disorder and injury in animals. This journal covers almost all topics related to animal health and veterinary medicine. Research fields of interest include but are not limited to: anaesthesiology anatomy bacteriology biochemistry cardiology dentistry dermatology embryology endocrinology epidemiology genetics histology immunology microbiology molecular biology mycology neurobiology oncology ophthalmology parasitology pathology pharmacology physiology radiology surgery theriogenology toxicology virology.
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