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马匹全身麻醉后使用充气枕辅助恢复的初步研究

The Use of an Air-Inflated Pillow for Assisted Recovery After General Anaesthesia in Horses: A Preliminary Study.

作者信息

Vandaele Zoë, Van den Broeke Charlotte, Merchiers Alexandre, Schauvliege Stijn

机构信息

Department of Large Animal Surgery, Anaesthesia and Orthopaedics, Faculty of Veterinary Medicine, Ghent University, 9820 Merelbeke, Belgium.

出版信息

Animals (Basel). 2025 Feb 15;15(4):564. doi: 10.3390/ani15040564.

DOI:10.3390/ani15040564
PMID:40003045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11852072/
Abstract

Different assisted recovery techniques have been developed to enhance the safety and quality of equine recoveries. This case series evaluates the recovery of horses using an air-inflated pillow (Equi-lift). With owner consent, the following data were collected from 19 horses undergoing open castration and 21 horses where a difficult recovery was anticipated: age, bodyweight, procedure, anaesthetic protocol, time required for proper positioning in the Equi-lift, time to extubation, time to standing, number of attempts to stand, number of stimuli, behaviour during recumbency/first attempts, and overall impression. Horses were 1-24 years old, with a bodyweight of 483.5 ± 106.8 kg. The median time to properly position a horse into the system was 6 min (range: 1-15 min). The recovery duration was 42 min (range: 21-181 min), with a median of 4 attempts (range: 1-12 attempts) and 1 stimulus (range: 0-10) before fully standing. Recovery was calm in most horses (32/40) and moderate (with signs of anxiety and/or excitation) in 3/40 horses. In five horses, the use of this technique was discontinued. All horses recovered without any injuries or other immediate postoperative complications. In conclusion, this recovery technique shows promising results, but further studies are needed to confirm the findings.

摘要

已经开发出不同的辅助恢复技术来提高马匹恢复的安全性和质量。本病例系列评估了使用充气枕头(Equi-lift)对马匹进行的恢复情况。在获得主人同意后,从19匹接受开放式去势手术的马和21匹预计恢复困难的马中收集了以下数据:年龄、体重、手术、麻醉方案、在Equi-lift中正确定位所需时间、拔管时间、站立时间、站立尝试次数、刺激次数、卧姿/首次尝试时的行为以及总体印象。马匹年龄为1至24岁,体重为483.5±106.8千克。将马正确放置到系统中的中位时间为6分钟(范围:1至15分钟)。恢复持续时间为42分钟(范围:21至181分钟),完全站立前的中位尝试次数为4次(范围:1至12次),刺激次数为1次(范围:0至10次)。大多数马(32/40)恢复过程平静,3/40的马恢复过程中度(有焦虑和/或兴奋迹象)。有5匹马停止使用该技术。所有马匹均顺利恢复,无任何损伤或其他术后即刻并发症。总之,这种恢复技术显示出有希望的结果,但需要进一步研究来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a475/11852072/2406b9e0c029/animals-15-00564-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a475/11852072/bb5dd4857bf5/animals-15-00564-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a475/11852072/2406b9e0c029/animals-15-00564-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a475/11852072/bb5dd4857bf5/animals-15-00564-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a475/11852072/2406b9e0c029/animals-15-00564-g002.jpg

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本文引用的文献

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Am J Vet Res. 2024 Mar 18;85(5). doi: 10.2460/ajvr.24.02.0024. Print 2024 May 1.
2
The influence of hypoxaemia, hypotension and hypercapnia (among other factors) on quality of recovery from general anaesthesia in horses.低氧血症、低血压和高碳酸血症(以及其他因素)对马全身麻醉后恢复质量的影响。
Vet Anaesth Analg. 2024 Mar-Apr;51(2):135-143. doi: 10.1016/j.vaa.2023.10.032. Epub 2023 Oct 23.
3
Data Collection for the Fourth Multicentre Confidential Enquiry into Perioperative Equine Fatalities (CEPEF4) Study: New Technology and Preliminary Results.
第四次围手术期马属动物死亡多中心保密调查(CEPEF4)研究的数据收集:新技术与初步结果
Animals (Basel). 2021 Aug 30;11(9):2549. doi: 10.3390/ani11092549.
4
Head and tail rope-assisted recovery improves quality of recovery from general anaesthesia in horses undergoing emergency exploratory laparotomy.头尾绳辅助恢复可提高行急诊剖腹探查术的马全身麻醉后恢复质量。
Equine Vet J. 2022 Sep;54(5):875-884. doi: 10.1111/evj.13516. Epub 2021 Oct 19.
5
Recovery of horses from general anaesthesia: A systematic review (2000-2020) of risk factors and influence of interventions during the recovery period.马从全身麻醉中苏醒:对恢复期风险因素和干预措施影响的系统评价(2000-2020 年)。
Equine Vet J. 2022 Mar;54(2):201-218. doi: 10.1111/evj.13517. Epub 2021 Oct 11.
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