Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, USA.
Vet Anaesth Analg. 2022 Nov;49(6):556-562. doi: 10.1016/j.vaa.2022.07.010. Epub 2022 Aug 9.
To acquire information about anesthesia and analgesia protocols used by United States (US) veterinarians in primary care practices when performing routine ovariohysterectomy in dogs.
Cross-sectional survey.
Primary care veterinarians in the US.
An online anonymous survey, originally created in New Zealand, was modified with permission and made available to Veterinary Information Network (VIN) members. The survey asked questions about performing ovariohysterectomy in healthy adolescent dogs in the categories of preanesthetic evaluation, premedication and induction protocols, maintenance protocols and monitoring equipment, and postoperative analgesic and sedation protocols and pain assessments.
A total of 1213 US veterinarians completed the survey. Respondents (n; %) reported performing preoperative laboratory tests [packed cell volume (135; 11%), complete blood cell count (889; 73%) and biochemistry panels (1057; 87%)] and preanesthetic examinations on the morning of surgery (1083; 90%). The most commonly administered drugs for premedication were acepromazine (512; 42%), hydromorphone (475; 39%) or butorphanol (463; 38%), with propofol (637; 67%) for induction of anesthesia and isoflurane (882; 73%) for maintenance of anesthesia. Most veterinarians reported placing intravenous catheters (945; 78%), administering electrolyte solutions (747; 67%) and providing heat support (1160; 96%). Perioperative and postoperative analgesia included local anesthetics (545; 45%), opioids (844; 70%) and non-steroidal anti-inflammatory drugs (NSAIDs) (953; 79%); NSAIDs were dispensed for home use (985; 81%). Dogs were most frequently discharged on the day of surgery (1068; 88%) and the owners were contacted (914; 75%) for follow-up within 1-2 days.
Anesthetic management for routine ovariohysterectomy in dogs varies among US veterinary VIN members. Information from this study is useful for all veterinarians for comparison with their practice management and for teachers of veterinary anesthesia to continue to emphasize options for analgesia.
获取美国（US）初级保健兽医在为犬进行常规卵巢子宫切除术时使用的麻醉和镇痛方案信息。
横断面调查。
美国初级保健兽医。
在兽医信息网络（VIN）成员的许可下，对最初在新西兰创建的在线匿名调查进行了修改并提供。该调查询问了在健康青少年犬中进行卵巢子宫切除术的类别中的问题，包括术前评估、术前用药和诱导方案、维持方案和监测设备以及术后镇痛和镇静方案以及疼痛评估。
共有 1213 名美国兽医完成了调查。受访者（n;％）报告说，他们在手术当天早上进行了术前实验室检查[红细胞压积（135; 11％）、全血细胞计数（889; 73％）和生化小组（1057; 87％）]和术前检查。最常用于术前用药的药物是乙酰丙嗪（512; 42％）、氢吗啡酮（475; 39％）或布托啡诺（463; 38％），异丙酚（637; 67％）用于麻醉诱导，异氟烷（882; 73％）用于维持麻醉。大多数兽医报告说放置了静脉导管（945; 78％）、给予电解质溶液（747; 67％）和提供热支持（1160; 96％）。围手术期和术后镇痛包括局部麻醉剂（545; 45％）、阿片类药物（844; 70％）和非甾体抗炎药（NSAIDs）（953; 79％）; NSAIDs 被开为家庭使用（985; 81％）。犬最常在手术当天出院（1068; 88％），并在 1-2 天内联系犬主进行随访（914; 75％）。
美国兽医 VIN 成员对犬常规卵巢子宫切除术的麻醉管理各不相同。这项研究的信息对于所有兽医都有用，可用于与他们的实践管理进行比较，并为兽医麻醉教师继续强调镇痛选择。
