一份关于2003年至2013年马匹全身麻醉后使用单人（头部和尾部）绳索回收系统相关并发症的回顾性报告。
A retrospective report (2003-2013) of the complications associated with the use of a one-man (head and tail) rope recovery system in horses following general anaesthesia.
作者信息
Niimura Del Barrio Maria Chie, David Florent, Hughes J M Lynne, Clifford David, Wilderjans Hans, Bennett Rachel
机构信息
1UCD Veterinary Hospital, University College Dublin, Belfield, Dublin 4 Ireland.
2Equine Veterinary Medical Center, Al Shaqab- a member of Qatar Foundation, PO Box 90005, Al Shaqab Street, Al Rayyan, Doha, Qatar.
出版信息
Ir Vet J. 2018 Feb 13;71:6. doi: 10.1186/s13620-018-0117-1. eCollection 2018.
BACKGROUND
The mortality rate of horses undergoing general anaesthesia is high when compared to humans or small animal patients. One of the most critical periods during equine anaesthesia is recovery, as the horse attempts to regain a standing position. This study was performed in a private equine practice in Belgium that uses a purpose-designed one-man (head and tail) rope recovery system to assist the horse during the standing process.The main purpose of the retrospective study was to report and analyse complications and the mortality rate in horses during recovery from anaesthesia using the described recovery system. Information retrieved from the medical records included patient signalment, anaesthetic protocol, duration of anaesthesia, ASA grade, type of surgery, recovery time and complications during recovery. Sedation was administered to all horses prior to recovery with the rope system. Complications were divided into major complications in which the horse was euthanized and minor complications where the horse survived. Major complications were further subdivided into those where the rope system did not contribute to the recovery complication (Group 1) and those where it was not possible to determine if the rope system was of any benefit (Group 2).
RESULTS
Five thousand eight hundred fifty two horses recovered from general anaesthesia with rope assistance. Complications were identified in 30 (0.51%). Major complications occurred in 12 horses (0.20%) of which three (0.05%) were assigned to Group 1 and nine (0.15%) to Group 2. Three horses in Group 2 suffered musculoskeletal injuries (0.05%). Eighteen horses (0.31%) suffered minor complications, of which five (0.08%) were categorised as failures of the recovery system.
CONCLUSIONS
This study reports the major and minor complication and mortality rate during recovery from anaesthesia using a specific type of rope recovery system. Mortality associated with the rope recovery system was low. During recovery from anaesthesia this rope system may reduce the risk of lethal complications, particularly major orthopaedic injuries.
背景
与人类或小型动物患者相比，接受全身麻醉的马匹死亡率较高。马麻醉过程中最关键的时期之一是恢复阶段，此时马试图重新站立。本研究在比利时一家私人马匹诊所进行，该诊所使用专门设计的单人（头部和尾部）绳索恢复系统，在马站立过程中提供协助。这项回顾性研究的主要目的是报告和分析使用所述恢复系统的马匹在麻醉恢复过程中的并发症和死亡率。从病历中获取的信息包括患者特征、麻醉方案、麻醉持续时间、美国麻醉医师协会（ASA）分级、手术类型、恢复时间以及恢复过程中的并发症。在使用绳索系统恢复之前，所有马匹均接受了镇静处理。并发症分为马匹被安乐死的严重并发症和马匹存活的轻微并发症。严重并发症进一步细分为绳索系统对恢复并发症无影响的情况（第1组）和无法确定绳索系统是否有益的情况（第2组）。
结果
5852匹马在绳索辅助下从全身麻醉中恢复。发现30例（0.51%）出现并发症。12匹马（0.20%）发生严重并发症，其中3例（0.05%）属于第1组，9例（0.15%）属于第2组。第2组中有3匹马遭受肌肉骨骼损伤（0.05%）。18匹马（0.31%）出现轻微并发症，其中5例（0.08%）被归类为恢复系统故障。
结论
本研究报告了使用特定类型绳索恢复系统在麻醉恢复过程中的严重和轻微并发症及死亡率。与绳索恢复系统相关的死亡率较低。在麻醉恢复过程中，这种绳索系统可能会降低致命并发症的风险，尤其是严重的骨科损伤。
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