2020年美国动物医院协会犬猫麻醉与监测指南。

2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats.

作者信息

Grubb Tamara, Sager Jennifer, Gaynor James S, Montgomery Elizabeth, Parker Judith A, Shafford Heidi, Tearney Caitlin

机构信息

From Washington State University College of Veterinary Medicine, Pullman, Washington (T.G.); University of Florida Veterinary Hospitals, Gainesville, Florida (J.S.); Peak Performance Veterinary Group, Breckenridge, Colorado (J.S.G.); University of California, Davis, School of Veterinary Medicine, Davis, California (E.M.); Pima Pet Clinic, Tucson, Arizona (J.A.P.); Veterinary Anesthesia Specialists, Clackamas, Oregon (H.S.); and Wheat Ridge Animal Hospital, Wheat Ridge, Colorado (C.T.).

出版信息

J Am Anim Hosp Assoc. 2020 Mar/Apr;56(2):59-82. doi: 10.5326/JAAHA-MS-7055.

DOI:10.5326/JAAHA-MS-7055

PMID:32078360

Abstract

Risk for complications and even death is inherent to anesthesia. However, the use of guidelines, checklists, and training can decrease the risk of anesthesia-related adverse events. These tools should be used not only during the time the patient is unconscious but also before and after this phase. The framework for safe anesthesia delivered as a continuum of care from home to hospital and back to home is presented in these guidelines. The critical importance of client communication and staff training have been highlighted. The role of perioperative analgesia, anxiolytics, and proper handling of fractious/fearful/aggressive patients as components of anesthetic safety are stressed. Anesthesia equipment selection and care is detailed. The objective of these guidelines is to make the anesthesia period as safe as possible for dogs and cats while providing a practical framework for delivering anesthesia care. To meet this goal, tables, algorithms, figures, and "tip" boxes with critical information are included in the manuscript and an in-depth online resource center is available at aaha.org/anesthesia.

摘要

麻醉本身就存在并发症甚至死亡的风险。然而，使用指南、检查表和培训可以降低与麻醉相关的不良事件风险。这些工具不仅应在患者无意识期间使用，还应在此阶段之前和之后使用。这些指南提出了从家到医院再回到家的连续护理中安全麻醉的框架。强调了与客户沟通和员工培训的至关重要性。强调了围手术期镇痛、抗焦虑药以及妥善处理烦躁/恐惧/攻击性患者作为麻醉安全组成部分的作用。详细介绍了麻醉设备的选择和护理。这些指南的目标是在为犬猫提供麻醉护理的实用框架的同时，使麻醉期尽可能安全。为实现这一目标，手稿中包含了带有关键信息的表格、算法、图表和“提示”框，并且在aaha.org/anesthesia上有一个深入的在线资源中心。