Anesthetic risk in cats undergoing surgical procedures in a Veterinary Medical Teaching Hospital / Risco anestésico em gatos submetidos a procedimentos cirúrgicos em um Hospital Veterinário Universitário

Background: In order to reduce morbidity and mortality associated with anesthetic procedures in cats, it is important to carry out a thorough pre-anesthetic evaluation. The surgical risk depends on several factors related to the patient, the surgical procedure, and the anesthetic used. Evaluation of perioperative mortality and the identification of the main factors of death reduce mortality rates. This research was conducted to evaluate and obtain the classification of physical status and anesthetic risk in cats submitted for surgical procedures.Materials, Methods & Results: Ninety-two cats were classified into anesthetic categories according to the American Society of Anesthesiologists (ASA) classification. The group consisted of 62 females (67.39%) and 30 males (32.61%). In the ASA classification, the emergency qualifier was added, resulting in 52.17% (48/92) of the total number of surgeries being considered as emergencies. The ASA I patients constituted the majority of the study sample (33.69%, 31/92). There were no deaths among ASA I patients. The ASA II patients represented 20.65% (19/92), with surgeries divided into non-emergency (42.10%, 8/19) and emergency (57.89%, 11/19). All ASA II patients had mild localized infections, and there were no deaths. ASA III patients constituted 28.26% (26/92) of the study sample and had moderate systemic alterations. Surgeries in this group were also classified as emergency (24/26, 92.30%) or non-emergency (2/26, 7.69%). There was one postoperative death in this group. The ASA IV patients represented 17.39% (16/92) of the study sample. The emergency surgeries (81.25%, 13/16) had a greater percentage than the elective surgeries. In this group, two deaths occurring in the immediate postoperative period. The overall mortality for the entire study sample was 3.26% (3/92).[...]

Anesthetic risk in cats undergoing surgical procedures in a Veterinary Medical Teaching Hospital / Risco anestésico em gatos submetidos a procedimentos cirúrgicos em um Hospital Veterinário Universitário

Background: In order to reduce morbidity and mortality associated with anesthetic procedures in cats, it is important to carry out a thorough pre-anesthetic evaluation. The surgical risk depends on several factors related to the patient, the surgical procedure, and the anesthetic used. Evaluation of perioperative mortality and the identification of the main factors of death reduce mortality rates. This research was conducted to evaluate and obtain the classification of physical status and anesthetic risk in cats submitted for surgical procedures.Materials, Methods & Results: Ninety-two cats were classified into anesthetic categories according to the American Society of Anesthesiologists (ASA) classification. The group consisted of 62 females (67.39%) and 30 males (32.61%). In the ASA classification, the emergency qualifier was added, resulting in 52.17% (48/92) of the total number of surgeries being considered as emergencies. The ASA I patients constituted the majority of the study sample (33.69%, 31/92). There were no deaths among ASA I patients. The ASA II patients represented 20.65% (19/92), with surgeries divided into non-emergency (42.10%, 8/19) and emergency (57.89%, 11/19). All ASA II patients had mild localized infections, and there were no deaths. ASA III patients constituted 28.26% (26/92) of the study sample and had moderate systemic alterations. Surgeries in this group were also classified as emergency (24/26, 92.30%) or non-emergency (2/26, 7.69%). There was one postoperative death in this group. The ASA IV patients represented 17.39% (16/92) of the study sample. The emergency surgeries (81.25%, 13/16) had a greater percentage than the elective surgeries. In this group, two deaths occurring in the immediate postoperative period. The overall mortality for the entire study sample was 3.26% (3/92).[...](AU)

Anestesia por perfusão de saco aéreo em arara (Ara chloropterus): relato de caso / Anesthesia by infusion of air sac in a macaw (Ara chloropterus): a case report

O presente relato descreve a utilização da técnica anestésica deperfusão em saco aéreo durante a cirurgia para correção do bicode uma arara (Ara chloropterus). Esse tipo de abordagem anestésicaé recomendado para procedimentos em que se faz necessáriaa manipulação da região de cabeça e pescoço das aves. Após contençãofísica do animal, a anestesia foi induzida com auxílio demáscara facial, conectada ao sistema de Maplesson D (Baraka),utilizando isofluorano e fluxo diluente de oxigênio de 1L/min. Opreparo da cânula e posterior introdução em saco aéreo torácicocaudal foi estabelecido de modo similar ao descrito por Gunkele Lafortune (2005). A técnica mostrou-se adequada e bastantesegura; contudo, para ser empregada, é necessário que o profissionalanestesista conheça a anatomia e fisiologia das aves.

This report describes the use of an anesthetic perfusiontechnique applied in the air sac of a Macaw (Ara chloropterus)during surgery for correction of its broken beak. This anestheticapproach is recommended for procedures in which manipulationof the avian head or neck is necessary. After appropriateimmobilization of the animal, the anesthetic is introduced withthe help of a face mask connected to the Mapleson D (Baraka)system, using isoflurane with 1L-min. flow of diluent oxygen.The cannula preparation and introduction into the caudalthoracic air sac was performed is a way similar to that describedby Gunkel and Lafortune (2005). The technique proved to beappropriate and very safe, but the anesthetic professional musthave thorough of avian anatomy and physiology.

Anestesia por perfusão de saco aéreo em arara (Ara chloropterus): relato de caso / Anesthesia by infusion of air sac in a macaw (Ara chloropterus): a case report

O presente relato descreve a utilização da técnica anestésica deperfusão em saco aéreo durante a cirurgia para correção do bicode uma arara (Ara chloropterus). Esse tipo de abordagem anestésicaé recomendado para procedimentos em que se faz necessáriaa manipulação da região de cabeça e pescoço das aves. Após contençãofísica do animal, a anestesia foi induzida com auxílio demáscara facial, conectada ao sistema de Maplesson D (Baraka),utilizando isofluorano e fluxo diluente de oxigênio de 1L/min. Opreparo da cânula e posterior introdução em saco aéreo torácicocaudal foi estabelecido de modo similar ao descrito por Gunkele Lafortune (2005). A técnica mostrou-se adequada e bastantesegura; contudo, para ser empregada, é necessário que o profissionalanestesista conheça a anatomia e fisiologia das aves.(AU)

This report describes the use of an anesthetic perfusiontechnique applied in the air sac of a Macaw (Ara chloropterus)during surgery for correction of its broken beak. This anestheticapproach is recommended for procedures in which manipulationof the avian head or neck is necessary. After appropriateimmobilization of the animal, the anesthetic is introduced withthe help of a face mask connected to the Mapleson D (Baraka)system, using isoflurane with 1L-min. flow of diluent oxygen.The cannula preparation and introduction into the caudalthoracic air sac was performed is a way similar to that describedby Gunkel and Lafortune (2005). The technique proved to beappropriate and very safe, but the anesthetic professional musthave thorough of avian anatomy and physiology.(AU)