伤口输液导管用于猫的手术后局部麻醉剂的使用
Kristina Kazmir-Lysak1, Lucía Torres-Cantó2, Sara Ingraffia3
1Section of Anaesthesiology, Department of Clinical Diagnostics and Services, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Journal of feline medicine and surgery
|September 15, 2023
概括
伤口输液导管 (WIC) 对接受各种手术的猫是安全的,并发症率低. 每次局部麻醉剂 (LA) 剂量限制可以降低风险.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 疼痛管理 疼痛管理
- 麻醉学 麻醉学
背景情况:
- 伤口输液导管 (WIC) 为术后疼痛管理提供持续局部麻醉 (LA).
- 评估猫科动物患者的WIC安全性和并发症风险对于优化止痛策略至关重要.
研究的目的:
- 评估WIC在猫的各种外科手术中使用的安全性和并发症概况.
- 为了确定与猫患者的WIC安置和LA管理相关的风险因素.
主要方法:
- 一项回顾性多中心研究分析了八家兽医医院 (2010-2021) 的166只猫的数据.
- 收集的数据包括信号,外科手术,WIC细节,LA协议和术后并发症.
主要成果:
- 13.2%的猫出现并发症,其中7.8%与伤口相关,5.4%与药物输送相关.
- 通过WIC给予更高剂量的LA (>2.5毫升/次) 与增加并发症风险显著相关.
- 所有确定的并发症都是轻微的和自我限制的.
结论:
- 在各种猫科动物手术过程中,WICs被使用,LA的使用方案不同.
- 与猫的WIC相关的整体并发症率很低,并发症是自我限制的,表明安全使用.
- 需要进一步的研究来评估止痛疗效,并建立最佳的WIC处理协议.
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