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意大利犊牛硬膜外麻醉下腹部手术的短期结局

Short-Term Outcomes of Abdominal Surgeries Performed with Epidural Anaesthesia in Italian Calves.

作者信息

Giusto Gessica, Bellino Claudio, Cerullo Anna, Gandini Marco

机构信息

Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy.

出版信息

Vet Sci. 2025 Apr 28;12(5):417. doi: 10.3390/vetsci12050417.

Abstract

Abdominal surgery is widely described for several diseases in cattle. While in adults surgical procedures are generally performed in standing or in sternal recumbency, lateral or dorsal recumbency is preferred in calves. General anaesthesia is associated with several side effects, and epidural anaesthesia (EA) is a valid alternative anaesthetic protocol for several surgical approaches. Previous studies have already been published about abdominal surgery in calves for several diseases, but they are not focused on short-term outcomes. Therefore, there is a need to report a case series for calves that have undergone exploratory laparotomy under EA. General anaesthesia is limited in cattle due to its association with several complications, such as ruminal stasis, regurgitation and tympany, and alternative protocols need to be used. The aim of this study is to describe the surgical features and short-term outcomes of elective and emergency laparotomies in calves under EA. In more complex or longer-lasting surgery, with a median duration of 80 min, intravenous administration of xylazine was necessary. Short-term survival (defined as survival until discharge from the hospital) rate was 90.1%. The EA was sufficient to ensure adequate analgesia in most surgeries. This type of anaesthesia is easy to administer, with limited side effects. The results of this study support surgeons in decision-making in the event of pathologies requiring abdominal surgery.

摘要

腹部手术在牛的多种疾病治疗中应用广泛。在成年牛中,手术通常在站立位或胸骨卧位下进行,而在犊牛中,侧卧位或背卧位更为可取。全身麻醉会带来多种副作用,硬膜外麻醉(EA)是几种手术方法中一种有效的替代麻醉方案。此前已经发表了关于犊牛多种疾病腹部手术的研究,但这些研究并未聚焦于短期结局。因此,有必要报告一组在EA下接受剖腹探查术的犊牛病例系列。由于全身麻醉与多种并发症相关,如瘤胃积食、反流和鼓胀,在牛中其应用受到限制,需要使用替代方案。本研究的目的是描述在EA下犊牛择期和急诊剖腹手术的手术特点和短期结局。在更复杂或持续时间更长的手术中,中位持续时间为80分钟,需要静脉注射赛拉嗪。短期生存率(定义为存活至出院)为90.1%。在大多数手术中,EA足以确保充分的镇痛效果。这种麻醉方式易于实施,副作用有限。本研究结果有助于外科医生在遇到需要腹部手术的病症时做出决策。

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