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多中心研究调查与犬麻醉期间直肠温度变化相关的因素。

Multicenter study to investigate factors associated with change in rectal temperature during anesthesia in dogs.

出版信息

J Am Vet Med Assoc. 2021 Jan 1;258(1):64-71. doi: 10.2460/javma.258.1.64.

Abstract

OBJECTIVE

To determine factors associated with change in rectal temperature (RT) of dogs undergoing anesthesia.

ANIMALS

507 dogs.

PROCEDURES

In a prospective observational study, the RT of dogs undergoing anesthesia at 5 veterinary hospitals was recorded at the time of induction of anesthesia and at the time of recovery from anesthesia (ie, at the time of extubation). Demographic data, body condition score, American Society of Anesthesiologists (ASA) physical status classification, types of procedure performed and medications administered, duration of anesthesia, and use of heat support were also recorded. Multiple regression analysis was performed to determine factors that were significantly associated with a decrease or an increase (or no change) in RT. Odds ratios were calculated for factors significantly associated with a decrease in RT.

RESULTS

Among the 507 dogs undergoing anesthesia, RT decreased in 89% (median decrease, -1.2°C [-2.2°F]; range, -0.1°C to -5.7°C [-0.2°F to -10.3°F]), increased in 9% (median increase, 0.65°C [1.2°F]; range, 0.1°C to 2.1°C [3.8°F]), and did not change in 2%. Factors that significantly predicted and increased the odds of a decrease in RT included lower weight, ASA classification > 2, surgery for orthopedic or neurologic disease, MRI procedures, use of an α-adrenergic or μ-opioid receptor agonist, longer duration of anesthesia, and higher heat loss rate. Lack of μ-opioid receptor agonist use, shorter duration of anesthesia, and lower heat loss rate were significantly associated with an increase in RT.

CONCLUSIONS AND CLINICAL RELEVANCE

Multiple factors that were associated with a decrease in RT in dogs undergoing anesthesia were identified. Knowledge of these factors may help identify dogs at greater risk of developing inadvertent perianesthetic hypothermia.

摘要

目的

确定与麻醉犬直肠温度(RT)变化相关的因素。

动物

507 只狗。

程序

在一项前瞻性观察研究中,记录了在 5 家兽医医院接受麻醉的狗在麻醉诱导时和从麻醉中恢复时(即拔管时)的 RT。还记录了人口统计学数据、身体状况评分、美国麻醉师协会(ASA)身体状况分类、进行的手术类型和给予的药物、麻醉持续时间以及热支持的使用情况。进行了多元回归分析,以确定与 RT 降低、增加(或不变)显著相关的因素。对于与 RT 降低显著相关的因素,计算了比值比。

结果

在接受麻醉的 507 只狗中,89%(中位数降低,-1.2°C [-2.2°F];范围,-0.1°C 至-5.7°C [-0.2°F 至-10.3°F])的 RT 降低,9%(中位数增加,0.65°C [1.2°F];范围,0.1°C 至 2.1°C [3.8°F])的 RT 增加,2%的 RT 不变。显著预测和增加 RT 降低几率的因素包括体重较低、ASA 分类>2、骨科或神经疾病手术、MRI 程序、使用α-肾上腺素能或μ-阿片受体激动剂、麻醉持续时间较长以及更高的热损失率。缺乏μ-阿片受体激动剂的使用、麻醉持续时间较短以及较低的热损失率与 RT 的增加显著相关。

结论和临床相关性

确定了与麻醉犬 RT 降低相关的多个因素。了解这些因素可能有助于识别在麻醉期间更易发生意外围手术期低体温的犬。

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