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在为期一年的临床前外科实验室中,兽医专业学生进行犬猫去势手术时影响麻醉和手术时长的因素。

Factors affecting the duration of anesthesia and surgery of canine and feline gonadectomies performed by veterinary students in a year-long preclinical surgery laboratory.

作者信息

Shaver Stephanie L, Larrosa Matias, Hofmeister Erik H

机构信息

Department of Surgery, Midwestern University, Glendale, Arizona.

College of Veterinary Medicine, Midwestern University, Glendale, Arizona.

出版信息

Vet Surg. 2019 Apr;48(3):352-359. doi: 10.1111/vsu.13163. Epub 2019 Jan 12.

Abstract

OBJECTIVE

To determine factors affecting the duration of canine and feline gonadectomies performed by second-year veterinary students.

STUDY DESIGN

Retrospective study of 1288 gonadectomies.

SAMPLE POPULATION

One hundred ninety-four second-year veterinary students in a 24-week veterinary surgical teaching laboratory.

METHODS

Surgical and anesthetic records were analyzed and arranged by primary surgeon in chronological order. Species, sex, weight, body condition score, occurrence of an intraoperative complication, and order of sequential cases in the year performed by the primary surgeon were assessed for their influence on anesthesia, surgery, and preparation times.

RESULTS

Each student performed an average of 6.6 (±1.08) gonadectomies over 24 weeks. Dogs, females, increasing weight, intraoperative complications, and earlier sequential cases were associated with longer duration of surgery and anesthesia. These factors accounted for 50% and 59% of anesthetic and surgical time variance, respectively. The rate of intraoperative complications did not change across time but was higher during canine ovariohysterectomies. Duration of anesthesia and surgery for canine orchiectomy decreased by 29 and 21 minutes, respectively, and for canine ovariohysterectomy decreased by 16 and 12 minutes, respectively, over 24 weeks without reaching a learning plateau.

CONCLUSION

Species, sex, weight, complications, and earlier sequential cases influenced duration of anesthesia and surgery.

CLINICAL SIGNIFICANCE

By establishing a baseline for duration of student-performed surgeries and describing the relative impact of factors influencing duration, students and educators may be able to set goals for student improvement during teaching laboratories.

摘要

目的

确定影响二年级兽医学生实施犬猫去势手术时间长短的因素。

研究设计

对1288例去势手术进行回顾性研究。

样本总体

在一个为期24周的兽医外科教学实验室中的194名二年级兽医学生。

方法

由主刀医生按时间顺序分析和整理手术及麻醉记录。评估物种、性别、体重、身体状况评分、术中并发症的发生情况以及主刀医生当年连续病例的顺序对麻醉、手术和准备时间的影响。

结果

每位学生在24周内平均实施6.6(±1.08)例去势手术。犬、雌性、体重增加、术中并发症以及较早的连续病例与更长的手术和麻醉时间相关。这些因素分别占麻醉时间和手术时间差异的50%和59%。术中并发症的发生率并未随时间变化,但在犬卵巢子宫切除术期间更高。在24周内,犬睾丸切除术的麻醉和手术时间分别减少了29分钟和21分钟,犬卵巢子宫切除术的麻醉和手术时间分别减少了16分钟和12分钟,且未达到学习平台期。

结论

物种、性别、体重、并发症以及较早的连续病例影响麻醉和手术时间。

临床意义

通过确定学生实施手术时间的基线并描述影响时间长短的因素的相对影响,学生和教育工作者在教学实验室期间或许能够为学生的进步设定目标。

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