Carcéles Aida Fages, Degani Massimiliano, Soler Carme, Serra Claudio Iván, Fernández-Salesa Nuria, García de Carellán Mateo Alejandra, Herrería-Bustillo Vicente José, Di Franco Chiara, Briganti Angela
Department of Veterinary Sciences, Veterinary Teaching Hospital "M. Modenato", University of Pisa, 56122 Pisa, Italy.
Doctoral School, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain.
Vet Sci. 2025 Apr 17;12(4):377. doi: 10.3390/vetsci12040377.
This study aimed to assess the efficacy of a veterinary enhanced recovery after surgery (Vet-ERAS) protocol in dogs undergoing emergency laparotomy (EL). The protocol, adapted from human medicine, encompassed a multidisciplinary approach and interventions such as early goal-directed fluid resuscitation, antibiotic prophylaxis, anti-emetic therapy, multimodal analgesia, and early enteral nutrition. A prospective observational study compared outcomes between dogs managed with the Vet-ERAS protocol ( = 59) and historical controls ( = 82). Implementation of the Vet-ERAS protocol resulted in a significant reduction in perioperative complication rates ( = 0.003) and 15-day mortality (5% vs. 20.7%). Intraoperative complications, including tachycardia and hypothermia, were significantly lower in the Vet-ERAS group. Compliance with the protocol improved over time ( = 0.01). These findings suggest that integrating the Vet-ERAS protocol into perioperative management can improve outcomes in dogs undergoing EL.
本研究旨在评估兽医术后加速康复（Vet-ERAS）方案在接受急诊剖腹手术（EL）的犬类中的疗效。该方案改编自人类医学，采用多学科方法和干预措施，如早期目标导向性液体复苏、抗生素预防、止吐治疗、多模式镇痛和早期肠内营养。一项前瞻性观察性研究比较了采用Vet-ERAS方案治疗的犬类（n = 59）与历史对照组（n = 82）的结局。实施Vet-ERAS方案可显著降低围手术期并发症发生率（P = 0.003）和15天死亡率（5%对20.7%）。Vet-ERAS组的术中并发症，包括心动过速和体温过低，明显更低。随着时间的推移，对该方案的依从性有所改善（P = 0.01）。这些发现表明，将Vet-ERAS方案纳入围手术期管理可改善接受EL的犬类的结局。
