RESUMO
OBJECTIVES: To report the mortality rate within a cohort of dogs undergoing cholecystectomy and investigate the impact of intra-operative hypotension on mortality. MATERIALS AND METHODS: Clinical records at five UK referral centres were reviewed for dogs undergoing cholecystectomy. Data collected included presenting signs, pre-operative blood test results, intra-operative data including frequency and duration of hypotension and the incidence and type of post-operative complications. RESULTS: Data from 119 dogs were included. Sixteen dogs (13%) died before discharge and by 28 days after surgery the total mortality was 19 dogs (17%). Hypotension lasting over 10 minutes during general anaesthesia occurred in 65 dogs (54.6%), with a mean ± sd duration of 36.1 ± 30.0 minutes. Intra-operative hypotension or the number of hypotensive episodes did not appear to be associated with in-hospital or 28-day mortality. American Society of Anaesthesiologists grade (of fitness for surgery) was significantly associated with both in-hospital and 28-day mortality on univariable analysis, as were post-operative hypoproteinaemia, ileus and pancreatitis. However on multivariable analysis, only ileus and pancreatitis were found to significantly impact mortality. CLINICAL SIGNIFICANCE: Dogs presenting with a higher American Society of Anaesthesiologists grade appear to have a higher risk of mortality, although intra-operative hypotension did not appear to be part of this risk.
Assuntos
Doenças do Cão , Hipotensão , Animais , Colecistectomia/veterinária , Estudos de Coortes , Doenças do Cão/cirurgia , Cães , Hipotensão/veterinária , Complicações Intraoperatórias/veterinária , Complicações Pós-Operatórias/veterináriaRESUMO
Brachycephalic breeds of dog have grown in popularity in the UK and so form an increasing proportion of cases requiring anaesthesia. These breeds are predisposed to several conditions, notably brachycephalic obstructive airway syndrome and gastro-oesophageal reflux, that have important implications for anaesthetic management and carry high risk for complications. This review incorporates peer-reviewed veterinary literature with clinical experience in a discussion on perioperative management of brachycephalic dogs. We focus on preoperative identification of common concurrent conditions, practical strategies for reducing anaesthetic risk and improving postoperative management. Comparisons of brachycephalic obstructive airway syndrome with the human condition of obstructive sleep apnoea are included where appropriate.
Assuntos
Anestesia/veterinária , Craniossinostoses/veterinária , Obstrução das Vias Respiratórias/prevenção & controle , Obstrução das Vias Respiratórias/veterinária , Anestesia/efeitos adversos , Anestesia/métodos , Animais , Craniossinostoses/complicações , Doenças do Cão/etiologia , Doenças do Cão/prevenção & controle , Cães/cirurgia , Refluxo Gastroesofágico/prevenção & controle , Refluxo Gastroesofágico/veterinária , Humanos , Assistência Perioperatória/veterináriaRESUMO
Houses were surveyed by dust sampling to examine the occurrence and significance of storage mites in rural areas in the U.K. As a part of this project pets' beds were sampled, and it was discovered that not only do they contain storage mites, but that in nearly all instances the classical housedust mite (D. pteronyssinus) was present in significant numbers.
Assuntos
Animais Domésticos , Poeira/efeitos adversos , Hipersensibilidade/etiologia , Ácaros/imunologia , Animais , Leitos , Humanos , Ácaros/isolamento & purificaçãoRESUMO
Patients with symptoms suggesting housedust mite allergy were tested to storage mites, housedust, and Dermatophagoides spp. Housedust was examined for mites. All patients responded to storage mites. Some were negative to Dermatophagoides. All houses proved to have storage mites in the dust as well as Dermatophagoides, mainly in food stores or pet beds. Storage mites, therefore, are involved in dust allergy.