Longer preoperative fluid resuscitation decreased anesthetic fluid interventions in 297 dogs undergoing surgery for gastrointestinal foreign body obstruction.

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES Javma-journal of The American Veterinary Medical Association Pub Date : 2024-10-25 DOI:10.2460/javma.24.06.0393
Michael P Sliman, Marije Risselada, George E Moore, Alexander P Rahn
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Abstract

Objective: The objectives were to (1) compare the impact of preoperative fluid resuscitation on anesthetic parameters and interventions and (2) assess the impact of preoperative resuscitation duration on the integrity of intestinal tissue and postoperative complications in dogs with gastrointestinal foreign body obstruction.

Methods: Medical records from 1 academic hospital were reviewed for 297 client-owned dogs that underwent gastrointestinal foreign body obstruction surgery between May 2017 and August 2022. Data collected included the following: signalment, preoperative fluid resuscitation, surgical findings, anesthetic parameters and interventions, postoperative complications, and timing of the first meal. Variables for preoperative length of fluid resuscitation (hours), total preoperative fluid bolus (mL/kg), and preoperative fluid rate (mL/kg/d) were changed to categorical variables. Associations between anesthetic interventions, postoperative outcomes, preoperative fluid resuscitation length, and total fluid bolus were assessed with ordered logistic regression.

Results: Shorter preoperative fluid resuscitation length was associated with higher anesthetic fluid rates (P = .033) and fluid boluses performed (P = .023). Increased total volume of preoperative fluid boluses was associated with anesthetic synthetic colloid use (P = .028). There was insufficient evidence to claim an association between the impact of preoperative fluid resuscitation length and intestinal wall compromise (perforation, P = .912; enterectomy performed, P = .711).

Conclusions: Shorter preoperative fluid resuscitation was associated with increased anesthetic fluid interventions but not the need for more complex surgeries.

Clinical relevance: Longer fluid resuscitation periods are associated with fewer anesthetic interventions in dogs.

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在 297 只接受胃肠道异物阻塞手术的狗中,延长术前液体复苏时间可减少麻醉液体干预。
目的目的是:(1) 比较术前液体复苏对麻醉参数和干预措施的影响;(2) 评估术前复苏持续时间对胃肠道异物梗阻犬肠道组织完整性和术后并发症的影响:对 1 所学术医院在 2017 年 5 月至 2022 年 8 月期间接受胃肠道异物梗阻手术的 297 只客户饲养犬的病历进行了审查。收集的数据包括:信号、术前液体复苏、手术结果、麻醉参数和干预措施、术后并发症以及首次进食时间。术前液体复苏时长(小时)、术前液体总量(毫升/千克)和术前液体输注率(毫升/千克/天)等变量被改为分类变量。通过有序逻辑回归评估了麻醉干预、术后结果、术前液体复苏时间和液体总量之间的关系:结果:较短的术前液体复苏时间与较高的麻醉液体使用率(P = .033)和已执行的液体栓量(P = .023)相关。术前补充液体总量的增加与麻醉合成胶体的使用有关(P = .028)。没有足够的证据表明术前液体复苏时间的长短与肠壁损伤(穿孔,P = .912;进行内膜切除术,P = .711)之间存在关联:结论:较短的术前液体复苏时间与麻醉液体干预增加有关,但并不意味着需要进行更复杂的手术:临床意义:较长的液体复苏期与减少犬的麻醉干预有关。
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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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