Martin Christine A, Kerr Carolyn L, Pearce Simon G, Lansdowne Jennifer L, Bouré Ludovic P
Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada N1G 2W1.
J Am Vet Med Assoc. 2003 May 15;222(10):1394-8. doi: 10.2460/javma.2003.222.1394.
To determine reasons for epidural catheter placement among horses examined at a veterinary teaching hospital, efficacy of epidural administration of analgesics, duration of catheter placement, reasons for catheter removal, and complications encountered.
Retrospective study.
43 horses.
Medical records were reviewed.
A total of 50 epidural catheters were placed in the 43 horses. Underlying conditions included fractures, lacerations, septic arthritis, myositis, perineal injuries, and cellulitis. Horses ranged from 2 to 21 years old and weighed between 365 and 795 kg (803 and 1,749 lb). Median duration of catheter placement was 96 hours (range, 1.5 to 480 hours). The response to epidural drug administration was reported as positive in 34 horses and negative in 4. There was no apparent response in 2 horses, and response could not be determined in 3. Three temporary patient-related complications associated with epidural catheter administration were observed. Technical problems associated with the epidural catheters included dislodgement of the catheter itself (7 catheters) or of the adapter or filter (5), obstruction (5), and leakage (5). Twenty-two catheters were removed because of resolution of the underlying condition, and 10 were removed because of complications. For 6 catheters, the reason for catheter removal was not recorded. The remaining 12 catheters were in place when the horses were euthanatized.
Results suggest that epidural catheterization can be used successfully for repeated epidural delivery of analgesics and anesthetics in horses with various clinical conditions. Complications associated with epidural catheters or epidural drug administration were infrequent and transient.
确定在一家兽医教学医院接受检查的马匹中硬膜外导管置入的原因、硬膜外给予镇痛药的疗效、导管置入的持续时间、导管拔除的原因以及所遇到的并发症。
回顾性研究。
43匹马。
查阅病历。
43匹马中共置入了50根硬膜外导管。潜在疾病包括骨折、撕裂伤、化脓性关节炎、肌炎、会阴损伤和蜂窝织炎。马匹年龄在2至21岁之间，体重在365至795千克（803至1749磅）之间。导管置入的中位持续时间为96小时（范围为1.5至480小时）。34匹马对硬膜外给药的反应为阳性，4匹马为阴性。2匹马无明显反应，3匹马的反应无法确定。观察到3例与硬膜外导管给药相关的临时患者相关并发症。与硬膜外导管相关的技术问题包括导管本身移位（7根导管）、接头或过滤器移位（5根）、堵塞（5根）和渗漏（5根）。22根导管因潜在疾病缓解而拔除，10根因并发症而拔除。6根导管拔除的原因未记录。其余12根导管在马匹实施安乐死时仍在位。
结果表明，硬膜外导管置入可成功用于在患有各种临床疾病的马匹中重复硬膜外给予镇痛药和麻醉药。与硬膜外导管或硬膜外给药相关的并发症很少见且为暂时性。
