Skarda R T, Hubbell J A, Muir W W, Bednarski R M, Mason D E
College of Veterinary Medicine, Ohio State University, Columbus, USA.
Schweiz Arch Tierheilkd. 1996;138(6):312-8.
The purpose of this study was to review ventilation and postoperative analgesic technics in 137 dogs and 13 cats with congenital or acquired heart disease. The animals were referred to the Department of Veterinary Clinical Sciences at The Ohio State University, U.S.A, for the following surgical interventions: correction of patent ductus arteriosus (PDA-ligation, 28%), cardiac catheterization with angiogram and angioplasty (22%), pacemaker implantation (18%), exploratory lateral thoracotomy (8.7%), correction of right aortic arch ring anomaly (3.3%), correction of subvalvular aortic stenosis (2.7%), correction of PDA with coil in patients with mitral regurgitation and congestive heart failure (2%), pericardectomy and removal of heart base tumor (2%), and palliative surgery for ventricular septal defect (VSD, 0.7%). Controlled ventilation was used in all animals during thoracotomy. Anesthesia was maintained over 2.3 +/- 1.3 hours by using either isoflurane, halothane, propofol, or diazepam-ketamine in 64%, 32%, 2%, and 0.7% of animals, respectively. Postoperative analgesia was necessary in 20% of animals and was provided by using different technics over several hours. The technics and respective percentages of animals in which they were used, were: intravenous buprenorphine (3.3%), intercostal nerve blocks (8.7%), epidural morphine (4%), and interpleural regional analgesia (4%).
本研究旨在回顾137只犬和13只猫先天性或后天性心脏病的通气及术后镇痛技术。这些动物被转诊至美国俄亥俄州立大学兽医临床科学系接受以下手术干预：动脉导管未闭矫正术（动脉导管结扎术，28%）、心脏导管插入术及血管造影和血管成形术（22%）、起搏器植入术（18%）、 exploratory lateral thoracotomy（8.7%）、右主动脉弓环异常矫正术（3.3%）、瓣膜下主动脉狭窄矫正术（2.7%）、二尖瓣反流和充血性心力衰竭患者经皮导管封堵动脉导管未闭（2%）、心包切除术及心脏基部肿瘤切除术（2%）以及室间隔缺损姑息手术（室间隔缺损，0.7%）。所有动物在开胸手术期间均采用控制通气。分别有64%、32%、2%和0.7%的动物使用异氟烷、氟烷、丙泊酚或地西泮 - 氯胺酮维持麻醉2.3±1.3小时。20%的动物术后需要镇痛，并在数小时内采用不同技术进行镇痛。所使用的技术及其使用动物各自的百分比分别为：静脉注射丁丙诺啡（3.3%）、肋间神经阻滞（8.7%）、硬膜外注射吗啡（4%）和胸膜间区域镇痛（4%）。
