Navarro Iliana, Summers Stacie, Rishniw Mark, Quimby Jessica
Oregon State University, Corvallis, OR, USA.
Veterinary Information Network, Davis, CA, USA.
J Feline Med Surg. 2022 Dec;24(12):1195-1202. doi: 10.1177/1098612X211067015. Epub 2022 Feb 3.
This survey of small animal veterinarians endeavored to: (1) determine current methods of indirect blood pressure measurement; (2) detail techniques used to reduce situational hypertension; and (3) better understand the obstacles to performing blood pressure measurement in cats.
An online survey was produced and circulated to members of the Veterinary Information Network. A total of 733 veterinarians who saw cats in their practice and had access to at least one indirect blood pressure device completed the entirety of the survey.
Ninety-six percent (703/733) of veterinarians who completed the survey reported measuring indirect blood pressure in cats in their practice, with veterinary technicians conducting most (600/703; 85.3%) of these measurements. Few veterinarians (30/733; 4.1%) did not measure blood pressure, with these veterinarians citing several obstacles including: difficulty interpreting results with the occurrence of fear, anxiety and stress in cats (20/30; 66.7%); difficulty performing measurements in cats (17/30; 56.7%); and technical staff being uncomfortable performing measurements (12/30; 40.0%). Most veterinarians (300/435; 69.0%) in this survey preferred an ultrasonic Doppler flow detector with sphygmomanometry, with many (272/300; 90.7%) perceiving that the results obtained with this device were more trustworthy compared with results obtained with oscillometry. Ninety percent (633/703) of veterinarians employed techniques to reduce situational hypertension in cats. Techniques perceived to be most helpful among veterinarians included: using a quiet location (454/633; 71.7%); minimizing restraint (316/633; 49.9%); performing blood pressure prior to other procedures (eg, phlebotomy, cystocentesis) (302/633; 47.7%); avoiding other animals (219/633; 34.6%); and allowing time for acclimation (167/633; 26.4%).
This survey study of veterinarians helps clarify obstacles to routine blood pressure measurement in conscious cats. Veterinarians reported several strategies that they felt reduced situational hypertension in cats. The data inform modifications of techniques to increase the frequency and perceived reliability of blood pressure measurement in at-risk cats.
本次对小动物兽医的调查旨在：（1）确定当前间接血压测量方法；（2）详细介绍用于减轻情境性高血压的技术；（3）更好地了解猫血压测量的障碍。
制作了一份在线调查问卷并分发给兽医信息网络的成员。共有733名在临床中诊治猫且能使用至少一种间接血压测量设备的兽医完成了全部调查。
完成调查的兽医中有96%（703/733）报告在临床中对猫进行间接血压测量，其中大部分测量（600/703；85.3%）由兽医技术人员进行。很少有兽医（30/733；4.1%）不测量血压，这些兽医列举了几个障碍，包括：猫出现恐惧、焦虑和应激时难以解读结果（20/30；66.7%）；在猫身上进行测量困难（17/30；56.7%）；技术人员对进行测量感到不自在（12/30；40.0%）。本次调查中大多数兽医（300/435；69.0%）更喜欢使用超声多普勒血流探测器结合血压计，许多人（272/300；90.7%）认为与示波法获得的结果相比，该设备获得的结果更可靠。90%（633/703）的兽医采用技术减轻猫的情境性高血压。兽医认为最有帮助的技术包括：使用安静的地点（454/633；71.7%）；尽量减少约束（316/633；49.9%）；在其他操作（如静脉穿刺、膀胱穿刺）之前测量血压（302/633；47.7%）；避免有其他动物（219/633；34.6%）；留出适应时间（167/633；26.4%）。
这项针对兽医的调查研究有助于阐明清醒猫常规血压测量的障碍。兽医报告了他们认为能减轻猫情境性高血压的几种策略。这些数据为改进技术提供了参考，以提高高危猫血压测量的频率和可信度。
