Anesthesia of the critically ill equine patient

Cornick-Seahorn, Janyce L.

doi:10.1016/j.cveq.2003.12.008

Cited by 11 publications

(7 citation statements)

References 101 publications

(100 reference statements)

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“…This did not reflect on quality of recovery, since some horses attempted to get up before they had completely regained motor control over their body increasing the need for support from the three ropes. The present study corroborates the statements of CORNICK- SEAHORN (2004) and BETTSCHART-WOLFENSBERGER & LARENZA (2007), who claimed that anesthetic maintenance with isoflurane provides faster recovery than halothane; however, recovery from anesthesia was not better and in some cases was even worse than those with halothane if the number of attempts to get up of the isofluraneanesthetized animals was considered.…”

Section: Results and Conclusionsupporting

confidence: 91%

Anesthetic recovery assisted by rope at three points in horses

Silva¹,

Silva

Côrte

et al. 2018

Cienc. Rural

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This study evaluated the quality of anesthesyc recovery of horses using a three-point assisted method. Sixty-eight horses (37 females and 31 males) of different breeds, age and weight submitted to general anesthesia for abdominal - ABD (n=15), arthroscopy - ART (n=17), other orthopedic - ORT (n=18) and miscellaneous - MIX (n=18) surgical procedures. Isoflurane resulted in shorter recovery time (67.4±25.7min) compared to halothane (88.0±37.8min). The mean duration (±SD) of anesthesia for ABD, ORT, ART and MIXgroups was 166.7 (±14), 54.9 (±5.9), 86.5 (±7.3) and 76.4 (±32.5) minutes (min) respectively. Quality of recovery wasn’t influenced by duration of anesthesia or by use of analgesic, sedative and/or anesthetic drugs or not (p>0.05). Mean standing time (TEst) during anesthetic recovery was 67.5 (±29.9) min in ABD, 44.4 (±27) min in ORT, 42.2 (±23.2) min in ART and 39 (±14.7) min in MIX group. Average number of attempts (Ast) to stand was 1.8 (±0.8) in ABD group, 3.1 (±4.7) in ORT, 1.8 (±1.2) in ART and 1.8 (±1.2) in MIX. Recovery time (TRec) in ABD group was 102.2 (±36.5) min, ORT 70.1 (±36.5) min, ART 72.2 (±24.8) min and MIX group 66.6 (±19.1) min. TRec differed (p<0.05) between ABDand other groups. Three-point assisted recoveryfrom anesthesia showed to be a safe procedure during horses’ recovery. This method is easy to apply and well tolerated by horses regardless of the surgical procedure.

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Section: Results and Conclusionsupporting

confidence: 91%

Anesthetic recovery assisted by rope at three points in horses

Silva¹,

Silva

Côrte

et al. 2018

Cienc. Rural

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“…Avoiding complications [9] (4) Recovery of horses from anesthesia [10] Postanaesthetic myopathy (5) Equine postanesthetic myopathy-An update [16] Pulmonary function GA (6) Pulmonary function in the horse during anaesthesia: A review [17] Upper airway during recovery (7) Post-anaesthetic pulmonary oedema in horses: A review [7] (8) Mitigating the risk of airway obstruction during recovery from anaesthesia: The way is far from clear [18] Complications during GA (9) Complications in equine anesthesia [19] (10) Equine anaesthesia-associated mortality: where are we now? [2] (11) Anaesthesia-related complications in horses-results of the last few years [20] (12) Editorial: Anesthetic risk and complications in veterinary medicine [21] (13) Mortality and morbidity in equine anaesthesia [22] Complications during GA in the clinically ill horse (14) Anesthesia in horses with colic syndrome: Analysis of 48 cases and literature review [23] (15) Anesthesia of the critically ill equine patient [24] (16) Incisional infections associated with ventral midline celiotomy in horses [25] Complications during GA in orthopaedics (17) Anesthetic management and recovery of large orthopedic patients [26] (18) Fracture fixation in horses: Recent developments in implants, management and recovery-A rewiew [27] (19) Bog spavin: Recognising the problem is the first step towards recovery [28] Complications during GA in late-term mares (20) Anesthesia and sedation for late-term mares [29] Effects of α 2 -agonists (21) Pre-anesthetic medication in the horse part IV. Sedative-hypnotics and drug mixtures [30] (22) The responses to the use of detomidine (Domosedan) in the horse [31] (23) Use of the alpha-2 agonists xylazine and detomidine in the perianaesthetic period in the horse [32] (24) Is there a place for dexmedetomidine in equine anaesthesia and analgesia?…”

Section: Type Of Manuscript Referencesmentioning

confidence: 99%

“…Four reviews focused on specific complications during recovery such as post-anaesthetic myopathy (PAM) [16] and respiratory tract problems [7,17,18]. Eleven publications described the complications of all the phases of general anaesthesia, focussing on the recovery in general [2,[19][20][21][22] and in particular cases such as sick patients [23][24][25], orthopaedics [26][27][28] and pregnant mares [29]. The other 21 narrative reviews/expert opinions focussed on the effects of different drugs in anaesthesia with references to the recovery phase .…”

Section: Narrative Reviews/expert Opinionsmentioning

confidence: 99%

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Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature

Gozalo-Marcilla

Ringer

2021

Animals

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Recovery remains the most dangerous phase of general anaesthesia in horses. The objective of this publication was to perform a structured literature review including levels of evidence (LoE) of each study with the keywords “recovery anaesthesia horse”, entered at once, in the search browsers PubMed and Web of Science. The two authors independently evaluated each candidate article. A final list with 444 articles was obtained on 5 April 2021, classified as: 41 “narrative reviews/expert opinions”, 16 “retrospective outcome studies”, 5 “surveys”, 59 “premedication/sedation and induction drugs”, 27 “maintenance with inhalant agents”, 55 “maintenance with total intravenous anaesthesia (TIVA)”, 3 “TIVA versus inhalants”, 56 “maintenance with partial intravenous anaesthesia (PIVA)”, 27 “other drugs used during maintenance”, 18 “drugs before/during recovery”, 18 “recovery systems”, 21 “respiratory system in recovery”, 41 “other factors”, 51 “case series/reports” and 6 “systems to score recoveries”. Of them, 167 were LoE 1, 36 LoE 2, 33 LoE 3, 110 LoE 4, 90 LoE 5 and 8 could not be classified based on the available abstract. This review can be used as an up-to-date compilation of the literature about recovery after general anaesthesia in adult horses that tried to minimise the bias inherent to narrative reviews.

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“…(JOHNSTON et al, 1995). Entretanto, a taxa de mortalidade de equinos submetidos à anestesia é superior quando comparado à outras espécies, sendo a depressão cardiovascular uma das maiores causas de morte perianestésica de equinos (JOHNSTON et al, 2002;CORNICK-SEAHORN, 2004;BIDWELL et al, 2007;WAGNER, 2009…”

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>b<Comparação dos efeitos hemodinâmicos da efedrina ou dobutamina em equinos anestesiados com Isofluorano>/b<

Filho¹,

Fantoni²

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Agradeço à minha orientadora Profª. Drª. Denise Tabachi Fantoni, pela orientação durante a execução deste trabalho, mas também pela inspiração como profissional de excelência, sempre com muita ética, dedicação e sabedoria.Renata e Rosana, pela ajuda na execução do trabalho, além da amizade, que tornou a passagem pela pós-graduação muito mais leve e agradável.Aos residentes, Aline, Raquel, Maria Eduarda, Carol Serrano, Erica, Sofia, Anderson, Neto e Carol Pelegrini, pela ajuda em diversas coletas de dados e em cuidados pós-operatórios de animais, com muita generosidade ajudaram, mesmo em dias conturbados.Aos animais que me inspiraram a cursar medicina veterinária e a todos os que passaram por mim durante a vida profissional, contribuindo para a formação do meu conhecimento. E principalmente aos animais utilizados nesta pesquisa.Ao meu pai, Sergio, mãe, Rosana (in memorian), irmã, Fernanda, por todo apoio até este momento, sem a compreensão e ajuda de cada um deles em toda minha vida, nada seria possível.À Ana Carolina, por ter sido companheira em tantas etapas, dividindo aflições, medos, mas sempre me encorajando, por ter sido uma ótima conselheira. À minha filha, Giovanna, que nasceu no início do mestrado e foi como uma inspiração e motivação. À Deus por me dar força para seguir em frente nessa jornada e ser a base de tudo, pois Dele, por Ele e para Ele são todas as coisas. Palavras-chave: Hipotensão. Simpatomiméticos. Débito cardíaco. Vasoativos. Inotrópicos. ABSTRACT GARCIA FILHO, S.G. Comparison of the hemodynamic effects of ephedrine or dobutamine in horses anesthetized with isoflurane [Comparação dos efeitos hemodinâmicos da efedrina ou dobutamina em equinos anestesiados com Isofluorano]. 2018. 78 f. Dissertação de Mestrado em Ciências -Faculdade de Medicina Veterinária e Zootecnia, Universidade de São Paulo, São Paulo, 2017Trans-anesthetic hypotension is frequent in horses submitted to general inhalation anesthesia and may lead to severe post-anesthetic complications. Consequently, adequate treatment should be instituted rapidly, however, there are few studies in the species that assist in the choice of sympathomimetic drug when the inhalant agent employed is isoflurane. Thus, the present study aimed to compare the cardiovascular effects of ephedrine with those of dobutamine. The experiment was divided into two phases: in Phase I, 13 horses were monitored with a pulmonary artery catheter, which allowed a hemodynamic evaluation, in addition to obtaining venous mixed blood. In addition, measurement of serum lactate, troponin I and ventilation and oxygenation parameters were performed, the animals were not submitted to a surgical procedure. In Phase II, 22 horses from large animals surgery routine were submitted to cardiovascular evaluation (heart rate and systemic arterial pressure), ventilation and oxygenation parameters, electrolyte evaluation and serum lactate. In both phases the animals were randomized in two groups, the treatment started after detection of hypotension (MAP <60 mmHg). The dobutamine group...

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Anesthesia of the critically ill equine patient

Cited by 11 publications

References 101 publications

Anesthetic recovery assisted by rope at three points in horses

Anesthetic recovery assisted by rope at three points in horses

Recovery after General Anaesthesia in Adult Horses: A Structured Summary of the Literature

>b<Comparação dos efeitos hemodinâmicos da efedrina ou dobutamina em equinos anestesiados com Isofluorano>/b<

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