关于管理狗和猫的状态和集群的ACVIM共识声明
Marios Charalambous1, Karen Muñana2, Edward E Patterson3
1University of Veterinary Medicine Hannover, Hannover, Germany.
Journal of veterinary internal medicine
|November 3, 2023
概括
发作紧急情况,如状态 (SE) 和集群发作 (CS),需要早期,基于阶段的治疗. 需要指导方针来有效管理这些具有挑战性的狗和猫类疾病.
科学领域:
- 兽医神经学 兽医神经学
- 紧急医疗 紧急医疗
- 临床药理学 临床药理学
背景情况:
- 发作紧急情况,包括状态 (SE) 和集群 (CS),在兽医中构成复杂的挑战.
- 这些疾病的特点是快速进展,耐药性以及显著的发病率和死亡率.
- 目前的治疗策略缺乏标准化,基于证据的指导方针.
研究的目的:
- 制定基于证据的指导方针,用于管理狗和猫的SE和CS.
- 在董事会认证的专家之间就适当的治疗方案达成共识.
- 解决对兽医紧急发作管理中标准化护理的需求.
主要方法:
- 一个由5名兽医专家组成的小组召开了会议,以审查和综合同行评审的文献.
- 评估了来自兽医临床研究,药物动力学研究和人类医学的证据.
- 制定了基于共识的临床建议,特别是对于兽医数据有限的领域.
主要成果:
- 第一线管理,主要涉及类药物,对这两种物种都有最多的可用证据.
- 与犬类病例相比,对管理猫类发作紧急情况的临床证据较少.
- 建议主要以温和的兽医证据,药物动力学数据,人体研究和基础研究为依据.
结论:
- 发作紧急情况的有效管理需要早期,快速和基于阶段的治疗方法.
- 干预措施应与ACVIM (美国兽医内科医学院) 推的中等至高标准保持一致.
- 解决并发症和潜在原因与抗发作药物治疗一起对于成功的结果至关重要.
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