Gastro-oesophageal reflux during anaesthesia in the kitten: comparison between use of a laryngeal mask airway or an endotracheal tube

Sideri, Aikaterini; Galatos, Apostolos D.; Kazakos, George; Gouletsou, P.G.

doi:10.1111/j.1467-2995.2009.00499.x

Cited by 19 publications

(13 citation statements)

References 39 publications

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“…; Fulkerson & Gustafson ; Wiederstein & Moens ; Sideri et al. ). However, the design of the human LMA does not directly conform to the specific anatomy of the oro‐ and laryngo‐pharynx in different animal species, which might lead to leakage of volatile anaesthetics and/or inadvertent damage to the soft tissues of the pharyngo‐laryngeal area of these animals.…”

Section: Introductionmentioning

confidence: 99%

A comparison between the v-gel supraglottic airway device and the cuffed endotracheal tube for airway management in spontaneously breathing cats during isoflurane anaesthesia

Oostrom

Krauss

Sap

2013

Veterinary Anaesthesia and Analgesia

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Section: Introductionmentioning

confidence: 99%

A comparison between the v-gel supraglottic airway device and the cuffed endotracheal tube for airway management in spontaneously breathing cats during isoflurane anaesthesia

Oostrom

Krauss

Sap

2013

Veterinary Anaesthesia and Analgesia

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“…Maintenance of tone is complex and involves neurologic (vagal, nonadrenergic noncholinergic) and mechanical (diaphragmatic crural pressure) inputs . Anesthesia‐related GER was a suspected cause of esophageal stricture in 64–71% of cats after anesthesia, but only 2 studies have assessed the incidence of GER in anesthetized cats . One study used pH‐metry to determine the incidence of GER in anesthetized adult cats and documented an incidence ranging from 12 to 16%, depending on the type of anesthesia .…”

mentioning

confidence: 99%

“…One study used pH‐metry to determine the incidence of GER in anesthetized adult cats and documented an incidence ranging from 12 to 16%, depending on the type of anesthesia . A second study in kittens using a single anesthetic protocol documented GER in 23% of the kittens . Relaxation of the LES associated with the administration of injectable and inhaled anesthetic agents represents a primary mechanism for the increased incidence of reflux …”

mentioning

confidence: 99%

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Prevalence of Gastroesophageal Reflux in Cats During Anesthesia and Effect of Omeprazole on GastricpH

Garcia

Belafsky

Maggiore

et al. 2017

Veterinary Internal Medicne

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BackgroundGastroesophageal reflux (GER) is poorly characterized in anesthetized cats, but can cause aspiration pneumonia, esophagitis, and esophageal stricture formation.ObjectiveTo determine whether pre‐anesthetic orally administered omeprazole increases gastric and esophageal pH and increases serum gastrin concentrations in anesthetized cats, and to determine the prevalence of GER using combined multichannel impedance and pH monitoring.AnimalsTwenty‐seven healthy cats undergoing elective dental procedures.MethodsProspective, double‐masked, placebo‐controlled, randomized clinical trial. Cats were randomized to receive 2 PO doses of omeprazole (1.45–2.20 mg/kg) or an empty gelatin capsule placebo 18–24 hours and 4 hours before anesthetic induction. Blood for measurement of serum gastrin concentration was collected during anesthetic induction. An esophageal pH/impedance catheter was utilized to continuously measure esophageal pH and detect GER throughout anesthesia.ResultsMean gastric pH in the cats that received omeprazole was 7.2 ± 0.4 (range, 6.6–7.8) and was significantly higher than the pH in cats that received the placebo 2.8 ± 1.0 (range, 1.3–4.1; P < .001). Omeprazole administration was not associated with a significant increase in serum gastrin concentration (P = .616). Nine of 27 cats (33.3%) had ≥1 episode of GER during anesthesia.Conclusions and Clinical RelevancePre‐anesthetic administration of 2 PO doses of omeprazole at a dosage of 1.45–2.20 mg/kg in cats was associated with a significant increase in gastric and esophageal pH within 24 hours, but was not associated with a significant increase in serum gastrin concentration. Prevalence of reflux events in cats during anesthesia was similar to that of dogs during anesthesia.

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“…Initieel kon dit probleem omzeild worden door het plaatsen van een LM, waardoor zuurstoftoediening en onderhoud met inhalatie-anesthesie toch mogelijk waren tijdens de diagnosestelling. Bij kittens wordt het LM echter vaker geassocieerd met gastro-oesofagale reflux dan de ET (Sideri et al, 2009). In de humane anesthesie werd aangetoond dat het gebruik van een LM niet noodzakelijk gepaard gaat met een hogere contaminatie van de omgevingslucht met anesthesiegassen dan met een ET (Hoerauf et al, 1996).…”

Section: Discussieunclassified

Alfaxalone TIVA bij de chirurgische excisie van een tracheaal adenocarcinoma bij een kat

Deflandre¹,

Bosmans²,

Devriendt³

et al. 2017

Vlaams Diergeneeskundig Tijdschrift

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Een tien jaar oude, vrouwelijke, Europese korthaar werd aangeboden met klachten van progressief verergerende dyspnee, ademen met open muil en inspiratoire en expiratoire stridor. Met behulp van tracheoscopie met bioptname kon de histopathologische diagnose van een intraluminaal tracheaal adenocarcinoma gesteld worden. Computertomografie (CT) toonde aan dat er geen metastasen waren, waarna tijdens dezelfde anesthesie werd overgegaan tot excisie van de tumor. Omwille van de moeilijke hanteerbaarheid van de patiënt was intraveneuze premedicatie niet mogelijk en gebeurde de inductie van de anesthesie aan de hand van een intramusculaire injectie met alfaxalone. De anesthesie werd verder onderhouden met twee verschillende protocollen: initieel werd gebruik gemaakt van een inhalatieanesthesie -protocol, waarbij isofluraan via een laryngeaal masker werd verdampt in 100% zuurstof via een cirkelsysteem, waarna er werd overgeschakeld naar totale intraveneuze anesthesie (TIVA) met alfaxalone tijdens de eigenlijke excisie van de tumor. Door het verwijderen van zeven trachearingen kon de tumor volledig verwijderd worden.

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Gastro-oesophageal reflux during anaesthesia in the kitten: comparison between use of a laryngeal mask airway or an endotracheal tube

Cited by 19 publications

References 39 publications

A comparison between the v-gel supraglottic airway device and the cuffed endotracheal tube for airway management in spontaneously breathing cats during isoflurane anaesthesia

A comparison between the v-gel supraglottic airway device and the cuffed endotracheal tube for airway management in spontaneously breathing cats during isoflurane anaesthesia

Prevalence of Gastroesophageal Reflux in Cats During Anesthesia and Effect of Omeprazole on GastricpH

Alfaxalone TIVA bij de chirurgische excisie van een tracheaal adenocarcinoma bij een kat

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