An evidence-based medicine approach to small animal anaesthetic mortality in a referral practice: the influence of initiating three recommendations on subsequent anaesthetic deaths

Bille, Camilla; Auvigne, Vincent; Bomassi, Eric; Durieux, Philippe; Libermann, Stéphane; Rattez, Elise

doi:10.1111/vaa.12116

Cited by 23 publications

(29 citation statements)

References 25 publications

(28 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Further investigation revealed 0% heterogeneity between the studies of Bille et al ( 26 ) and Bille et al ( 30 ), which assessed death until the end of anesthesia ( Q = 0.48; df = 1; P = 0.49), and between these studies and the study of Gil and Redondo ( 29 ), which assessed death until 24 h after anesthesia ( Q = 0.49; df = 2; P = 0.78). They found that dogs with ASA PS ≥III had 3.26 times the risk of anesthesia-related death until the end of anesthesia (95% CI = 3.03 to 3.51; P < 0.001) and until 24 h after anesthesia (95% CI = 3.04 to 3.45; P < 0.001) compared to dogs with ASA PS <III.…”

Section: Resultsmentioning

confidence: 92%

The ASA Physical Status Classification: What Is the Evidence for Recommending Its Use in Veterinary Anesthesia?—A Systematic Review

Portier

Ida

2018

Front. Vet. Sci.

View full text Add to dashboard Cite

Background: The effectiveness of the American Society of Anesthesiologists (ASA) Physical Status (PS) classification to identify the animals at a greater risk of anesthesia-related death and complications is controversial. In this systematic review, we aimed to analyze studies associating the ASA PS scores with the outcome of anesthesia and to verify whether there was any evidence for recommending the use of the ASA PS in veterinary patients.Methods: Research articles found through a systematic literature search were assessed for eligibility, and data were extracted and analyzed using random-effects analysis.Results: A total of 15 observational prospective and retrospective studies including 258,298 dogs, cats, rabbits, and pigs were included. The analysis found consistency between the studies showing that dogs, cats and rabbits with an ASA-PS ≥III had 3.26 times (95% CI = 3.04–3.49), 4.83 times (95% CI = 3.10–7.53), and 11.31 times (95% CI = 2.70–47.39), respectively, the risk of anesthesia-related death within 24 h (dogs) and 72 h (cats and rabbits) after anesthesia compared with those with an ASA PS

show abstract

Section: Resultsmentioning

confidence: 92%

The ASA Physical Status Classification: What Is the Evidence for Recommending Its Use in Veterinary Anesthesia?—A Systematic Review

Portier

Ida

2018

Front. Vet. Sci.

View full text Add to dashboard Cite

show abstract

“…; Bille et al. , ; Gil & Redondo ). This focus on fatality, although clearly important and relevant, inevitably slows the rate at which safety improvements can be made (Boëlle et al.…”

Section: Introductionmentioning

confidence: 99%

Adverse event surveillance in small animal anaesthesia: an intervention-based, voluntary reporting audit

McMillan

Darcy

2016

Veterinary Anaesthesia and Analgesia

View full text Add to dashboard Cite

“…In veterinary literature, cardiovascular and respiratory changes are the major causes of anesthetic deaths in small animals; although,gastrointestinal, neurological, renal and hepatic changes have also been reported (REDONDO et al, 2007). According to BILLE (2014), in order to promote reduction in mortality rates due to anesthesia, it is essential to understand the potential depressant effects of anesthetic drugs in the cardiovascular system, so that anesthetic procedures are conducted in the best possible way.…”

Section: Introductionmentioning

confidence: 99%

Echocardiographic evaluation of dogs subjected to different protocols of anesthetic induction

et al. 2018

View full text Add to dashboard Cite

The objective of this study was to investigate the echocardiographic changes during anesthesia induction in dogs sedated with acepromazine (0.05mg/kg) and butorphanol (0.3mg/kg) (AB). Twenty-four male dogs, with a mean weight of 12.40kg±3.1kg, were randomly assigned to 4 groups (n=6). Fifteen minutes after administering pre-anesthetic medication, anesthesia with diazepam (0.5mg/kg) and etomidate (1mg/kg) (group DE); diazepam (0.5mg/kg) and ketamine (3mg/kg) (group CD); propofol (4mg/kg) (group P); or ketamine (1mg/kg) and propofol (3mg/kg) (group CP) was administered to the 6 dogs in each group. Systolic blood pressure (SBP) was measured and echocardiography was performed immediately prior to the application of the sedation protocol (baseline), 15 minutes after sedation (M1), and immediately after anesthesia induction (M2). No significant differences were observed in SBP and in hemodynamic variables such as cardiac index, shortening fraction, and ejection fraction, between groups at all time points (M0, M1, and M2) evaluated. The SBP was significantly reduced after anesthetic induction in the dogs of the DE and CP groups. It can be concluded that the protocols DE and CP reduce similarly to SPB in dogs medicated with CD and P to SBP remain stable after anesthetic induction. All anesthetic induction protocols maintained a stable IC in premedicated dogs. None of the protocols evaluated promoted significant echocardiographic changes. Furthermore, the ketamine and diazepam combination had a negative impact on myocardial relaxation.

show abstract

An evidence-based medicine approach to small animal anaesthetic mortality in a referral practice: the influence of initiating three recommendations on subsequent anaesthetic deaths

Cited by 23 publications

References 25 publications

The ASA Physical Status Classification: What Is the Evidence for Recommending Its Use in Veterinary Anesthesia?—A Systematic Review

The ASA Physical Status Classification: What Is the Evidence for Recommending Its Use in Veterinary Anesthesia?—A Systematic Review

Adverse event surveillance in small animal anaesthesia: an intervention-based, voluntary reporting audit

Echocardiographic evaluation of dogs subjected to different protocols of anesthetic induction

Contact Info

Product

Resources

About