Ko Jeff C, Berman Aime G
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-2026, USA.
Top Companion Anim Med. 2010 May;25(2):92-7. doi: 10.1053/j.tcam.2010.03.001.
Shelter medicine presents a unique challenge that is different from veterinary medicine in a hospital setting. The shelter and/or mobile unit environment requires special anesthetic considerations to support high-volume spay-neuter and feral animal programs with high quality of anesthesia/immobilization for surgery and diagnostic procedures. The anesthetic protocols can be tailored to the needs of each specific shelter setting. An ideal shelter anesthesia protocol will have a wide safety margin for animals of all ages. The protocol must also be effective, economical, and easy to use with a small volume for injection, have rapid on- and off-set with a reasonable surgical duration after a single administration, be predictable, and possess perioperative analgesic properties. An anesthesia protocol with a combination of tiletamine-zolazepam and dexmedetomidine in combination with an opioid fits the criteria of the shelter anesthesia protocols. These combinations possess rapid induction of immobilization, unconsciousness, and muscle relaxation with an anesthesia duration of 30 to 45 minutes. Specific and nonspecific reversal agents are also available to facilitate recovery. This article describes the use of these anesthetic protocols as well as monitoring support for these protocols.
收容所医学带来了一项独特的挑战，它不同于医院环境中的兽医学。收容所和/或流动单位的环境需要特殊的麻醉考量，以便为高批量绝育手术和野生动物项目提供支持，在手术和诊断程序中实现高质量的麻醉/制动效果。麻醉方案可根据每个特定收容所的需求进行调整。理想的收容所麻醉方案应对所有年龄段的动物都有较大的安全范围。该方案还必须有效、经济且易于使用，注射量小，单次给药后起效和失效迅速，手术持续时间合理，具有可预测性，并具备围手术期镇痛特性。将替来他明-唑拉西泮与右美托咪定联合使用并搭配阿片类药物的麻醉方案符合收容所麻醉方案的标准。这些组合能迅速诱导制动、意识丧失和肌肉松弛，麻醉持续时间为30至45分钟。也有特异性和非特异性的苏醒剂可促进恢复。本文介绍了这些麻醉方案的使用以及对这些方案的监测支持。
