Canine anaesthetic death in Spain: a multicentre prospective cohort study of 2012 cases

Gil, Laura; Redondo, J. I.

doi:10.1111/vaa.12059

Cited by 38 publications

(70 citation statements)

References 19 publications

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“…At our institution, the ASA score of each patient is determined prior to undergoing anesthesia and recorded on their anesthetic records. Animals with higher severity of disease receive higher ASA scores, which have been correlated with greater anesthetic complication rates . Additional evaluation is required to determine its effect on risk of surgical complications with implementation of an SSC.…”

Section: Discussionmentioning

confidence: 99%

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Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in North America

et al. 2018

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Objective To evaluate the efficacy of a surgical safety checklist (SSC) in reducing perioperative and postoperative complications. Study design Before‐and‐after intervention study. Animals Client‐owned dogs (n = 633) and cats (n = 44). Methods Consecutive surgeries were enrolled in the study. The “before” phase consisted of 267 surgeries performed without an SSC (SSC−) followed by 75 SSC− surgeries in which a trained observer was in the operating room to detect possible complications. An SSC was then implemented in the operating rooms during 1 week. The “after” phase consisted of 58 surgeries in which a safety checklist (SSC+) and an observer were used and 277 SSC+ surgeries without an observer. Complications were prospectively recorded when witnessed by the observer, and all other perioperative complications were retrospectively recorded from veterinary records and client telephone communication. Results There were more perioperative and postoperative complications when surgeries were performed without an SSC (140/342 [40.9%; 95% CI, 35.7%‐46.4%]) than there were when surgeries were performed with an SSC (98/335 [29.3%; 95% CI, 24.4%‐34.4%]; P = .002). Surgical checklist use, presence of an observer, American Society of Anesthesiologists score, and anesthesia time were all independently associated with the odds of complications. Conclusion Implementation of an SSC in an academic teaching hospital decreased the odds of perioperative and postoperative surgical complications. Clinical significance This study supports the use of an SSC to prevent surgical complications in veterinary teaching hospitals.

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Section: Discussionmentioning

confidence: 99%

“…Animals with higher severity of disease receive higher ASA scores, which have been correlated with greater anesthetic complication rates. [18][19][20] Additional evaluation is required to determine its effect on risk of surgical complications with implementation of an SSC.…”

Section: Discussionmentioning

confidence: 99%

Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in North America

et al. 2018

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“…; 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

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“…Only one third of the respondents evaluate ASA physical status grade. Patients with increased ASA grade have higher risk of death [1][2][3][4][5][6][7][8][9][10]. Pre-existing diseases can interfere with the pharmacology of drugs used during anaesthesia and decrease the ability to cope with drug side-effects.…”

Section: Discussionmentioning

confidence: 99%

“…Small animals anaesthesia is performed nearly daily in most veterinary practices of Frenchspeaking Eastern Canada. Anaesthesia is not without risks, with mortality reported to be 0.1 to 0.3% in healthy dogs and cats, and considerably higher in sick patients [1][2][3][4][5][6][7][8][9][10]. Evaluating anaesthetic/peri-anaesthetic care includes American Society of Anesthesiologists (ASA) physical status classification, and morbidity, considering the common adverse effects such as hypotension, hypothermia, hypoxaemia and hypoventilation [2][3][4][5][6][7][8]11].…”

Section: Introductionmentioning

confidence: 99%

Management of veterinary anaesthesia in small animals: A survey of current practice in Quebec

et al. 2020

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ObjectiveTo describe how small animal anaesthesia is performed in French-speaking Eastern Canada, and the variations between practices, in particular based on practice type, veterinarian gender and experience. DesignObservational study, survey. Sample 156 respondents. ProcedureA questionnaire was designed to assess current small animal anaesthesia practices in French-speaking Eastern Canada, mainly in the province of Quebec. The questionnaire was available through SurveyMonkey, and consisted of four parts: demographic information about the veterinarians surveyed, evaluation and management of anaesthetic risk, anaesthesia procedure, monitoring and safety. Gender, year of graduation, and type of practice were tested as potential risk factors. Chi-square exact test was used to study relations between each risk factor, and the effect of the selected risk factor on each response of the survey. For ordinal data, the Cochran-Mantel-Haenszel test was used to maximize power. ResultsResponse rate over a period of 3 months was 20.85% (156 respondents). Overall, the way anaesthesia is performed by most respondents does not meet international guidelines, such as patient preparation and evaluation prior to anaesthesia, not using individualised protocols (for 41%), not obtaining intravenous access (12.4% use it for all their anaesthesia in cats, and 30.6% in dogs), lack of patient monitoring at certain intervals for 55% of the responses, PLOS ONE | https://doi.org/10.1371/journal.pone.

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Canine anaesthetic death in Spain: a multicentre prospective cohort study of 2012 cases

Cited by 38 publications

References 19 publications

Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in North America

Effect of implementation of a surgical safety checklist on perioperative and postoperative complications at an academic institution in North America

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

Management of veterinary anaesthesia in small animals: A survey of current practice in Quebec

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