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在全身麻醉下的狗体质和低血压之间存在关联

L Miller¹, J C Duncan¹, I G Handel¹

¹The Royal (Dick) School of Veterinary Studies & The Roslin Institute, The University of Edinburgh, Easter Bush, Midlothian, EH25 9RG, UK.

The Journal of small animal practice

|September 28, 2023

概括

狗体质较高与在全身麻醉期间低血压风险较低有关. 较低的体重和脑性品种可能需要更密切的血压监测.

科学领域:

兽医麻醉学兽医麻醉学
比较生理学比较生理学
动物健康研究动物健康研究

背景情况:

低血压是狗的全身麻醉期间常见的并发症.
在麻醉期间影响血压的因素需要进一步调查,以提高患者的安全性.
了解风险因素对于优化兽医麻醉方案至关重要.

研究的目的:

为了确定身体质量和低血压发生之间的关联,在接受全身麻醉的狗中.
确定麻醉期间与低血压相关的其他生理和程序因素.

主要方法:

一个回顾性分析的1789麻醉记录从狗进行手术或诊断程序.
收集的数据包括信号,麻醉方案和生理变量,重点是平均动脉压.
采用多变量通用线性模型来评估体质和低血压之间的关联.

主要成果:

增加体重 (每10公斤) 与降低低血压的几率显著相关 (OR 0.68).
增加低血压风险的因素包括胸 (OR 1.72),更高的ASA身体状况 (OR 2.03),手术 (OR 1.57) 和胸 (OR 1.37).
阿尔法-2激素前期治疗 (OR 0.63) 和体温升高 (OR 0.77) 与降低低血压的几率有关.

结论:

在全身麻醉期间,低体重和臂脑性品种的低血压风险可能会增加.
建议对有风险的犬种群进行仔细的血压监测,并为低血压事件做好准备.
精确的血压测量在某些犬子种群中可能更具挑战性.

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