在亚洲黑熊 (URSUS THIBETANUS) 进行开放性胆囊切除术的过程中进行间歇性疼痛管理
Szilvia K Kalogeropoulu1, Johanna Painer-Gigler2, Inga-Catalina Cruz-Benedetti3
1Department of Interdisciplinary Life Sciences, Research Institute of Wildlife Ecology, University of Veterinary Medicine, Vienna, A-1160, Austria, szilvia.kalogeropoulu@vetmeduni.ac.at.
概括
一种多式止痛方法有效地控制了亚洲黑熊接受胆囊手术的疼痛. 这种安全且具有成本效益的方案确保了这些救援动物的稳定麻醉和快速恢复.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 麻醉学 麻醉学
- 野生动物医学 野生动物医学
背景情况:
- 来自胆汁养殖场的八只亚洲黑熊 (Ursus thibetanus) 患有慢性胆囊炎,需要手术.
- 伴随性疾病包括心血管问题,脏疾病,关节疾病,肥胖和肉症.
研究的目的:
- 为亚洲黑熊进行胆囊切除术的多式止痛方案进行评估.
- 评估横腹平面 (TAP) 阻塞和腹腔内止痛的安全性和有效性.
主要方法:
- 用提莱塔明/佐拉泽帕姆,梅德托米丁和布托尔醇诱导的麻醉;用异氨酸维持.
- 超声导向TAP阻断用布皮瓦卡因和腹腔内布皮瓦卡因治疗内脏疼痛.
- 持续静脉注射利多卡因输液和外科手术期间的全身抗生素和液体.
主要成果:
- 在整个手术过程中保持稳定的心血管参数 (HR 56 ± 9 bpm,RR 8 ± 3 bpm,MAP 128 ± 40 mmHg).
- TAP阻塞很容易进行,没有并发症;没有观察到局部麻醉毒性.
- 所有熊都恢复良好,并在6周内恢复正常生活.
结论:
- 多模式止痛方法在亚洲黑熊中提供了有效的术后止痛.
- 该协议是安全的,具有成本效益,并且很容易在野生动物手术中实施.
- 这种方法支持复杂健康问题的救援熊的福利.
相关概念视频
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
170
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
170
01:22Aneurysm IV: Nursing Management
19
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
19
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
497
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
497
01:25Analgesia and Pain Management
788
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
788