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Equine anaesthesia-associated mortality: where are we now?
Alexandra H A Dugdale1, Polly M Taylor2
1Faculty of Health and Life Sciences, Institute of Veterinary Science, University of Liverpool, Neston, UK.
Veterinary Anaesthesia and Analgesia
|March 14, 2016
Summary
Equine anesthesia mortality has decreased, with newer agents like isoflurane reducing cardiac arrests. However, catastrophic fractures now pose the greatest risk during horse anesthesia recovery.
Area of Science:
- Veterinary Anesthesiology
- Equine Medicine
Background:
- General anesthesia in horses carries inherent mortality risks.
- The Confidential Enquiry into Perioperative Equine Fatalities (CEPEF) aimed to improve outcomes.
- Assessing long-term trends in equine anesthesia mortality is crucial for veterinary practice.
Purpose of the Study:
- To conduct a literature review on equine anesthesia-associated mortality.
- To evaluate changes in horse anesthesia mortality over the past 20 years since CEPEF.
Main Methods:
- Comprehensive literature search using PubMed, Scopus, and Google Scholar.
- Keywords included "horse," "equine," "anesthesia," "recovery," "morbidity," and "mortality."
Main Results:
- Recent studies using isoflurane and sevoflurane show fewer intraoperative cardiac arrests compared to older studies with halothane.
- Catastrophic fractures have emerged as the leading cause of mortality during the recovery phase.
Conclusions:
- Modern anesthetic agents have likely contributed to a reduction in intraoperative complications.
- Fracture-related complications during recovery represent a significant and growing concern in equine anesthesia.
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