Elane George L, Portela Diego A, Hobbs Kallie J, Bauck Anje G, Biedrzycki Adam H
1Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL.
2Department of Comparative, Diagnostic, and Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL.
J Am Vet Med Assoc. 2023 Jan 2;261(3):391-396. doi: 10.2460/javma.22.10.0466.
To determine whether anesthesia type (sedation or general anesthesia) affects kid survival to discharge in caprine cesarean sections (C-sections).
Retrospective cohort of 99 caprine C-sections (2011-2021).
All surgeries were performed via left flank laparotomy in right lateral recumbency. The number of kids alive at presentation, surgery, and discharge was recorded. Kids that were dead on presentation or euthanized intraoperatively were excluded. Goats were classified as "healthy" (American Society of Anesthesiologists status ≤ 2) or "sick" (≥ 3).
Kid survival was significantly higher for C-sections performed under sedation (47/52 [90%]) than for C-sections performed under general anesthesia (16/24 [66%]; P = .004). Relative risk was 1.4 and odds ratio was 4.7.
Performing C-sections in sedated goats may improve kid survival rates over those under general anesthesia.
确定麻醉类型（镇静或全身麻醉）是否会影响山羊剖宫产（剖腹产）时幼崽存活至出院的情况。
对99例山羊剖腹产手术（2011 - 2021年）进行回顾性队列研究。
所有手术均在右侧卧位下经左腹胁部剖腹进行。记录出生时、手术时和出院时存活的幼崽数量。出生时已死亡或术中实施安乐死的幼崽被排除。山羊被分类为“健康”（美国麻醉医师协会状态≤2）或“患病”（≥3）。
镇静状态下进行剖腹产的幼崽存活率（47/52 [90%]）显著高于全身麻醉下进行剖腹产的幼崽存活率（16/24 [66%]；P = .004）。相对风险为1.4，优势比为4.7。
与全身麻醉相比，对镇静状态下的山羊进行剖腹产可能会提高幼崽存活率。
