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Effect of continuous positive airway pressure helmet on respiratory function following surgical procedures in brachycephalic dogs: A randomized controlled trial. 持续气道正压头盔对肱犬手术后呼吸功能的影响:随机对照试验。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-27 DOI: 10.1111/vsu.14111
Joaquin Araos, Galina M Hayes, Sarah A Nugen, Derek Lao, Carol E Fredericks, Andrea L King, Manuel Martin-Flores

Objective: To evaluate the effect of continuous positive airway pressure (CPAP) on respiratory function in the early postoperative period of brachycephalic dogs.

Study design: Prospective, randomized clinical trial.

Animals: A total of 32 dogs.

Methods: Dogs were assigned to recover with or without CPAP (control) and assessed at specific time points over 1 h. Treatment was discontinued for dogs with a CPAP tolerance score of 3 or more (from a range of 0-4). The primary outcome was pulse oximetry (SpO2). Secondary outcomes were arterial O2 pressure (PaO2)/FiO2 ratio (PaO2/FiO2), arterial CO2 pressure (PaCO2), and rectal temperature. For dogs that reached a CPAP tolerance score of 3 or more, only the data collected up to the time point before discontinuation were included in the analysis. The treatment effect (β) was analyzed using random effects models and the results were reported with 95% confidence intervals.

Results: Dogs were assigned randomly to each protocol. Baseline characteristics in both groups were comparable. Arterial blood gases were obtained in seven control group dogs and nine CPAP group dogs. Treatment did not affect SpO2 (β = -0.1, -2.1 to 2.0) but affected the PaO2/FiO2 ratio (β = 58.1, 2.6 to 113.6), with no effects on PaCO2 (β = -4.3, -10.5 to 1.9) or temperature (β = 0.4, -0.8 to 1.6).

Conclusion: In postoperative brachycephalic dogs, CPAP had no effect on SpO2 but improved the PaO2/FiO2 ratio in brachycephalic dogs postoperatively.

Clinical significance: Continuous positive airway pressure offers a valuable solution to improve gas exchange efficiency, a prevalent concern in postoperative brachycephalic dogs, with the potential to enhance overall outcomes.

研究目的评估持续气道正压(CPAP)对手足口犬术后早期呼吸功能的影响:研究设计:前瞻性随机临床试验:共 32 只狗:对 CPAP 耐受力评分达到或超过 3 分(范围为 0-4)的狗停止治疗。主要结果是脉搏血氧饱和度(SpO2)。次要结果为动脉氧气压力 (PaO2)/FiO2 比率 (PaO2/FiO2)、动脉二氧化碳压力 (PaCO2) 和直肠温度。对于 CPAP 耐受评分达到 3 分或以上的狗,分析中仅包括截至停药前时间点收集的数据。使用随机效应模型分析了治疗效果(β),并报告了结果和 95% 的置信区间:狗被随机分配到每个方案中。两组的基线特征具有可比性。7 只对照组犬和 9 只 CPAP 组犬获得了动脉血气。治疗不影响 SpO2(β = -0.1,-2.1 至 2.0),但影响 PaO2/FiO2 比率(β = 58.1,2.6 至 113.6),对 PaCO2(β = -4.3,-10.5 至 1.9)或体温(β = 0.4,-0.8 至 1.6)没有影响:结论:对于术后的手足口犬,CPAP 对 SpO2 没有影响,但改善了手足口犬术后的 PaO2/FiO2 比值:持续气道正压为改善气体交换效率提供了一个有价值的解决方案,而气体交换效率是手足口术后犬普遍关注的问题,持续气道正压有可能提高整体疗效。
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引用次数: 0
Surgical treatment of headshaking by removal of a paracondylar process fragment via modified hyovertebrotomy approach: A detailed anatomical and surgical description in an adult horse. 通过改良的高位截骨法切除髁旁突起片段,对摇头症进行手术治疗:一匹成年马的详细解剖和手术描述。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-13 DOI: 10.1111/vsu.14102
Pius Spiesshofer, Alex E Hawkins, Dagmar Berner, Renato L Previdelli, Andrew R Fiske-Jackson

Objective: To describe, in detail, the relevant anatomy and surgical approach to access the paracondylar process (PCP) and report its application in a clinical case of headshaking.

Animal: A seven-year-old, mixed breed mare.

Study design: Experimental study/case report.

Methods: A seven-year-old mixed breed mare was presented for investigation of acute onset progressing violent headshaking, resulting in the horse falling on multiple occasions. The horse was highly reactive to palpation over the right PCP. Standing computed tomographic (CT) investigation and ultrasonographic examination of the head detected a fracture of the right PCP. Five equine heads of mixed breeds and sizes were dissected to demonstrate the relevant anatomy surrounding the PCP with regard to surgical access. A modified hyovertebrotomy approach was used to remove the fracture fragment under general anesthesia.

Results: The anatomy surrounding the PCP was described. The fragment was successfully removed resulting in gradual resolution of clinical signs. The horse recovered well postoperatively and was back into light levels of work with no signs of headshaking present two and a half years following surgery.

Conclusion: The caudal meningeal artery and vein as well as the glossopharyngeal and hypoglossal nerves are adjacent to the PCP and must be avoided during dissections. The modified hyovertebrotomy approach allows safe surgical access to the PCP. Surgical excision of a PCP fragment can result in complete resolution of clinical signs of headshaking. Computed tomography and ultrasonography are valuable diagnostic tools to identify a fracture of the PCP.

目的详细描述相关解剖结构和进入髁旁突起(PCP)的手术方法,并报告其在一例摇头症临床病例中的应用:研究设计:实验研究/病例报告:实验研究/病例报告:一匹七岁大的混种母马因急性发病,逐渐出现剧烈摇头,导致马匹多次摔倒而前来就诊。该马对右侧PCP的触诊反应强烈。头部的立位计算机断层扫描(CT)检查和超声波检查发现右侧 PCP 骨折。对五匹不同品种和大小的马头进行了解剖,以展示 PCP 周围与手术入路相关的解剖结构。结果:结果:描述了 PCP 周围的解剖结构。结果:描述了 PCP 周围的解剖结构,成功取出了骨折片,临床症状逐渐缓解。这匹马术后恢复良好,术后两年半重新开始从事轻体力劳动,没有摇头的迹象:结论:尾部脑膜动脉和静脉以及舌咽神经和舌下神经与 PCP 相邻,解剖时必须避开。改良的hyovertebrotomy方法可以安全地对PCP进行手术。手术切除 PCP 片段可完全消除摇头的临床症状。计算机断层扫描和超声波检查是识别 PCP 骨折的重要诊断工具。
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引用次数: 0
Outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning. 在透视引导下对 15 只狗和 2 只猫的代谢骨骨折进行正常顺行代谢骨固定治疗的结果。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-13 DOI: 10.1111/vsu.14096
Dirsko J F von Pfeil, Desmond Tan, Robert Adams, Mathieu Glassman

Objective: To report the outcomes of 15 dogs and two cats with metabone fractures treated with fluoroscopically guided normograde metabone pinning (FGNMP).

Study design: Retrospective case series.

Animals: A total of 15 client owned dogs and two cats with 57 metabone fractures.

Methods: Description of FGNMP and reporting of the following data: signalment, pre- and postoperative radiographs, intramedullary pin diameter used, anesthesia, surgery and coaptation times, duration to normal weightbearing and bone union, postoperative care and complications.

Results: Median surgery time was 54 min (range: 26-99), median duration of coaptation was 14 days (range: 1-5 weeks), median time to normal weightbearing was 16 days (range: 2-45) and median time to bone union was 6 weeks (range: 4-12). All cases had at least 12 months of post-surgical follow-up with a median follow-up of 18 months (range: 12-70). No major complications occurred. Mild radiographic changes associated with subchondral bone sclerosis were noted on follow-up radiographs in 13/57 fractures. All cases returned to normal gait and full (15) or acceptable (2) function.

Conclusion: In this study, FGNMP was an effective and safe technique for metabone fracture repair, requiring only short-term external coaptation in most patients. Time to bone union and return to normal function compared favorably to previously reported techniques.

Clinical relevance: Fluoroscopically guided normograde metabone pinning provides an alternative technique for treatment of metabone fractures.

研究目的报告15只狗和2只猫的代谢骨骨折患者接受透视引导下正常代谢骨固定术(FGNMP)治疗的结果:研究设计:回顾性病例系列:动物:共 15 只客户饲养的狗和 2 只猫,57 处代谢骨骨折:方法:描述 FGNMP 并报告以下数据:信号、术前和术后 X 光片、使用的髓内针直径、麻醉、手术和复位时间、正常负重和骨结合的持续时间、术后护理和并发症:手术时间中位数为 54 分钟(范围:26-99 分钟),接合时间中位数为 14 天(范围:1-5 周),正常负重时间中位数为 16 天(范围:2-45 天),骨结合时间中位数为 6 周(范围:4-12 周)。所有病例术后随访至少 12 个月,中位随访时间为 18 个月(12-70 个月)。无重大并发症发生。在 13/57 例骨折患者的随访影像学检查中发现了与软骨下骨硬化相关的轻微变化。所有病例均恢复正常步态和完全(15 例)或可接受(2 例)的功能:在这项研究中,FGNMP 是一种有效、安全的代谢骨骨折修复技术,大多数患者只需短期外固定。与之前报道的技术相比,骨结合和恢复正常功能的时间更短:临床相关性:透视引导下的正常代谢骨固定术为代谢骨骨折的治疗提供了一种替代技术。
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引用次数: 0
Scientific Presentation Abstracts. 科学演讲摘要。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 DOI: 10.1111/vsu.14127
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引用次数: 0
The impact of surgery resident training on the duration of tibial plateau leveling osteotomy surgery. 外科住院医师培训对胫骨平台平整截骨手术时间的影响。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-19 DOI: 10.1111/vsu.14113
Atsushi Niida, Po-Yen Chou, Barbro Filliquist, Denis J Marcellin-Little, Amy S Kapatkin, Philip H Kass

Objective: To investigate the impact of surgery resident training on surgery duration in tibial plateau leveling osteotomy (TPLO) and evaluate whether surgery duration differs with each year of residency training.

Study design: Retrospective medical record review.

Animals: A total of 256 client-owned dogs underwent TPLO.

Methods: Records of dogs that underwent TPLO between August 2019 and August 2022 were reviewed. The effects of the surgeon (faculty/resident) and the procedure (arthrotomy/arthroscopy) on TPLO surgery duration were examined with an analysis of variance, and geometric least squares means (GLSM) were compared. A linear mixed effects model (LMM) was fitted to quantify fixed and random effects.

Results: Four faculty surgeons performed 74 (29%) TPLOs, while 10 residents performed 182 (71%) TPLOs under the direct supervision of a faculty surgeon. All TPLOs were conducted with arthrotomy (109; 43%) or arthroscopy (147; 57%). Overall, residents (GLSM, 153 min) required 54% more surgery duration than faculty surgeons (GLSM, 99 min). Surgery duration among first-year residents (GLSM, 170 min) was 15% longer than second- (GLSM, 148 min) and third-year (GLSM, 147 min) residents, whereas the duration did not differ statistically between second- and third-year residents. Arthroscopy, meniscal tear treatment, surgery on the right stifle, and increasing patient weight were also associated with longer surgery duration.

Conclusion: The duration of TPLO surgery significantly decreased after the first year of residency, but did not decrease afterward.

Clinical significance: The results will aid with resource allocation, curricula planning, and cost management associated with resident training.

研究目的调查外科住院医师培训对胫骨平台平整截骨术(TPLO)手术时间的影响,并评估手术时间是否随住院医师培训年限的不同而不同:研究设计:回顾性病历审查:研究设计:回顾性医疗记录:方法:回顾2019年8月至2022年8月期间接受TPLO的狗的记录。通过方差分析研究了外科医生(教师/住院医师)和手术(关节切开术/关节镜手术)对TPLO手术持续时间的影响,并比较了几何最小二乘法均值(GLSM)。采用线性混合效应模型(LMM)量化固定效应和随机效应:四名外科医生完成了 74 例(29%)TPLO,而 10 名住院医师在外科医生的直接指导下完成了 182 例(71%)TPLO。所有TPLO手术均采用关节切开术(109例;43%)或关节镜手术(147例;57%)。总体而言,住院医师(GLSM,153 分钟)所需的手术时间比外科医生(GLSM,99 分钟)多 54%。一年级住院医师的手术时间(GLSM,170 分钟)比二年级(GLSM,148 分钟)和三年级(GLSM,147 分钟)住院医师长 15%,而二年级和三年级住院医师的手术时间没有统计学差异。关节镜、半月板撕裂治疗、右跗关节手术和患者体重增加也与手术时间延长有关:结论:TPLO手术的持续时间在第一年住院医师培训后明显缩短,但之后并未缩短:临床意义:研究结果将有助于与住院医师培训相关的资源分配、课程规划和成本管理。
{"title":"The impact of surgery resident training on the duration of tibial plateau leveling osteotomy surgery.","authors":"Atsushi Niida, Po-Yen Chou, Barbro Filliquist, Denis J Marcellin-Little, Amy S Kapatkin, Philip H Kass","doi":"10.1111/vsu.14113","DOIUrl":"10.1111/vsu.14113","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the impact of surgery resident training on surgery duration in tibial plateau leveling osteotomy (TPLO) and evaluate whether surgery duration differs with each year of residency training.</p><p><strong>Study design: </strong>Retrospective medical record review.</p><p><strong>Animals: </strong>A total of 256 client-owned dogs underwent TPLO.</p><p><strong>Methods: </strong>Records of dogs that underwent TPLO between August 2019 and August 2022 were reviewed. The effects of the surgeon (faculty/resident) and the procedure (arthrotomy/arthroscopy) on TPLO surgery duration were examined with an analysis of variance, and geometric least squares means (GLSM) were compared. A linear mixed effects model (LMM) was fitted to quantify fixed and random effects.</p><p><strong>Results: </strong>Four faculty surgeons performed 74 (29%) TPLOs, while 10 residents performed 182 (71%) TPLOs under the direct supervision of a faculty surgeon. All TPLOs were conducted with arthrotomy (109; 43%) or arthroscopy (147; 57%). Overall, residents (GLSM, 153 min) required 54% more surgery duration than faculty surgeons (GLSM, 99 min). Surgery duration among first-year residents (GLSM, 170 min) was 15% longer than second- (GLSM, 148 min) and third-year (GLSM, 147 min) residents, whereas the duration did not differ statistically between second- and third-year residents. Arthroscopy, meniscal tear treatment, surgery on the right stifle, and increasing patient weight were also associated with longer surgery duration.</p><p><strong>Conclusion: </strong>The duration of TPLO surgery significantly decreased after the first year of residency, but did not decrease afterward.</p><p><strong>Clinical significance: </strong>The results will aid with resource allocation, curricula planning, and cost management associated with resident training.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"808-815"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trained to cut? A literature review of veterinary surgical resident training. 培训是为了切割?兽医外科住院医师培训文献综述。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-30 DOI: 10.1111/vsu.14110
Micha C Simons, Julie A Hunt, Stacy L Anderson

A surgical residency trains veterinary graduates to a higher level of expertise in surgical procedures than is possible during veterinary school and prepares a resident to pursue board certification in surgery. The education of veterinary surgical residents has changed minimally since its inception in the twentieth century, and there are insufficient studies to determine if residency programs are producing surgeons with competence in each of the necessary procedural categories. The aims of this review were to report the current theory and methods used to provide surgical education to residents, to discuss the training most likely to create a competent, board-certified surgeon and to review assessment methods used during training. Several literature searches using broad terms such as "veterinary surgery residency," "veterinary surgery resident," and "veterinary surgical training" were performed using PubMed, CAB abstracts, and Google Scholar. Literature pertinent to theory, methods, training, and assessment of veterinary surgical residents was included. The reviewed literature demonstrated the need for research-based learning curves for specific procedures. Simulation training is known to facilitate deliberate practice and should be leveraged where possible to reach competency. The creation of validated assessment methods should be pursued as it enables assessment of competency instead of inferring its development from case logs. Understanding and supporting learner cognition and providing sufficient feedback remain important issues in the field. Surgical educators are urged to continue to search for innovative and evidence-based ways to train competent surgical residents.

外科住院医师培训兽医毕业生,使其在外科手术方面达到比在兽医学校期间更高的专业水平,并为住院医师申请外科委员会认证做好准备。兽医外科住院医师教育自二十世纪开始以来变化甚微,目前尚无足够的研究来确定住院医师培训计划是否能培养出具备各类必要手术能力的外科医生。本综述旨在报告目前为住院医师提供外科教育的理论和方法,讨论最有可能培养出合格的、获得董事会认证的外科医生的培训方式,并回顾培训期间使用的评估方法。我们使用 PubMed、CAB 摘要和谷歌学术搜索了多个文献,使用了 "兽医外科住院医师"、"兽医外科住院医师 "和 "兽医外科培训 "等宽泛的术语。与兽医外科住院医师的理论、方法、培训和评估相关的文献均被纳入其中。所查阅的文献表明,有必要针对特定程序制定基于研究的学习曲线。众所周知,模拟训练可促进刻意练习,应尽可能利用模拟训练来达到能力要求。应努力创建经过验证的评估方法,因为这有助于评估能力,而不是从病例记录中推断能力的发展。了解和支持学习者的认知并提供充分的反馈仍是该领域的重要问题。我们敦促外科教育工作者继续寻找创新的、以证据为基础的方法来培训合格的外科住院医师。
{"title":"Trained to cut? A literature review of veterinary surgical resident training.","authors":"Micha C Simons, Julie A Hunt, Stacy L Anderson","doi":"10.1111/vsu.14110","DOIUrl":"10.1111/vsu.14110","url":null,"abstract":"<p><p>A surgical residency trains veterinary graduates to a higher level of expertise in surgical procedures than is possible during veterinary school and prepares a resident to pursue board certification in surgery. The education of veterinary surgical residents has changed minimally since its inception in the twentieth century, and there are insufficient studies to determine if residency programs are producing surgeons with competence in each of the necessary procedural categories. The aims of this review were to report the current theory and methods used to provide surgical education to residents, to discuss the training most likely to create a competent, board-certified surgeon and to review assessment methods used during training. Several literature searches using broad terms such as \"veterinary surgery residency,\" \"veterinary surgery resident,\" and \"veterinary surgical training\" were performed using PubMed, CAB abstracts, and Google Scholar. Literature pertinent to theory, methods, training, and assessment of veterinary surgical residents was included. The reviewed literature demonstrated the need for research-based learning curves for specific procedures. Simulation training is known to facilitate deliberate practice and should be leveraged where possible to reach competency. The creation of validated assessment methods should be pursued as it enables assessment of competency instead of inferring its development from case logs. Understanding and supporting learner cognition and providing sufficient feedback remain important issues in the field. Surgical educators are urged to continue to search for innovative and evidence-based ways to train competent surgical residents.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"791-799"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of storage up to 1 year on the in vitro antimicrobial activity of preformulated antibiotic-impregnated calcium sulfate beads. 储存长达 1 年对预制抗生素浸渍硫酸钙珠体外抗菌活性的影响。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-08-13 DOI: 10.1111/vsu.14014
Emily Allyson Hartman, Daniela Pena Hernandez, Gena Kenitra Hendrix, Marije Risselada, Hsin-Yi Weng, Mark G Papich, Sun Young Kim

Objective: To compare antimicrobial activity as demonstrated by the zone of inhibition (ZOI) produced by antibiotic-impregnated calcium sulfate (CaSO4) beads after storage for 0, 3, 6, 9, and 12 months.

Study design: Controlled laboratory study.

Sample population: Three-millimeter diameter CaSO4 beads impregnated with vancomycin (125 mg/mL), or amikacin (250 mg/mL), or without antibiotic (control).

Methods: Calcium sulfate beads were created at the onset of the study. Individual beads were separated in sterile containers and stored in a closed cabinet at room temperature and humidity for 0, 3, 6, 9, or 12 months until testing. The ZOI against methicillin-resistant Staphylococcus pseudintermedius, methicillin-resistant Staphylococcus aureus, and Pseudomonas aeruginosa was recorded with serial replating on a fresh lawn of bacteria every 24 h until beads failed to produce a ZOI. The ZOIs and their changes were compared with mixed-effects linear models. Eluted concentrations of vancomycin measured with high-performance liquid chromatography were reported.

Results: At 24 h, ZOIs were comparable regardless of time since formulation, except vancomycin against P. aeruginosa, which failed to generate a ZOI. The daily changes of ZOI and duration of activity of antibiotics did not vary between storage length (p > .05). There was no consistent change in eluted drug concentration between storage length of beads.

Conclusion: Light protected storage at room temperature for up to 12 months did not impair the in vitro activity of antibiotic-impregnated CaSO4 beads, as demonstrated through ZOIs.

Clinical significance: When stored correctly, antibiotic-impregnated CaSO4 beads can be used at least up to 12 months after formulation.

目的比较抗生素浸渍的硫酸钙(CaSO4)微珠在储存 0、3、6、9 和 12 个月后产生的抑菌区(ZOI)所显示的抗菌活性:受控实验室研究:浸渍有万古霉素(125 毫克/毫升)或阿米卡星(250 毫克/毫升)或无抗生素(对照组)的直径为三毫米的硫酸钙珠:方法:在研究开始时制作硫酸钙珠。单个微珠在无菌容器中分离,在室温和湿度下密闭保存 0、3、6、9 或 12 个月,直至测试。对耐甲氧西林假中间葡萄球菌、耐甲氧西林金黄色葡萄球菌和铜绿假单胞菌的 ZOI 值是通过每 24 小时在新鲜细菌草坪上进行连续重复来记录的,直到珠子不能产生 ZOI 值为止。用混合效应线性模型比较 ZOIs 及其变化。报告了用高效液相色谱法测量的万古霉素洗脱浓度:结果:在 24 小时内,除万古霉素对铜绿假单胞菌不产生 ZOI 外,其他药物的 ZOI 与配制后的时间无关,具有可比性。不同储存时间段的抗生素 ZOI 和活性持续时间的日变化没有差异(p > .05)。不同储存时间的珠子洗脱出的药物浓度没有一致的变化:结论:通过 ZOIs 可以看出,在室温下避光保存长达 12 个月不会影响抗生素浸渍 CaSO4 微珠的体外活性:临床意义:如果储存得当,抗生素浸渍的 CaSO4 微珠在配制后至少可使用 12 个月。
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引用次数: 0
Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates. 美国兽医外科学院毕业证书获得者对手术安全核对表的态度。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-30 DOI: 10.1111/vsu.14109
William T G Hawker, Ameet Singh, Teagan DeForge, Kelley Thieman Mankin, Michelle A Giuffrida, J Scott Weese

Objective: To examine attitudes towards surgical safety checklists (SSCs) among American College of Veterinary Surgeons (ACVS) diplomates and to identify barriers to implementation.

Study design: Qualitative online research survey.

Sample population: A total of 1282 current ACVS diplomates.

Methods: An anonymous online survey was distributed to current ACVS diplomates via email. ACVS diplomates were identified using publicly available data through the ACVS website. A total of 1282 surveys were electronically distributed, and respondents were given 4 weeks to respond. The survey consisted of 34 questions examining (1) demographic information, (2) current use of SSCs, (3) knowledge and attitudes towards SSCs, (4) perceived advantages and disadvantages to use of SSCs, (5) implementation strategies, and (6) potential reasons for noncompletion of SSCs.

Results: Survey response rate was 20% (257/1282). A total of 169 of 249 (67.9%) respondents indicated using SSCs. Respondents generally agreed that SSCs were proven to reduce surgical complications (196/249 [78.7%]) and did not perceive any disadvantages to use (100/138 [75.2%]). Respondents not using SSCs were more likely to perceive them as a waste of time (p < .001). The most common reasons for noncompletion of SSCs were forgetfulness (21/52 [39.6%]) and time constraints (19/52 [36.5%]). Improved training (72/138 [52.2%]) and modifying the SSC based on staff feedback (69/138 [50%]) were suggested as methods to improve SSC uptake.

Conclusion: Respondents currently using SSCs were generally satisfied. Time constraints and memory related issues were common causes for noncompletion of SSCs.

Clinical significance: Efforts to expand the implementation of SSCs in veterinary surgery should focus on improved engagement of relevant stakeholders and modification of the SSC to suit local conditions.

目的:研究美国兽医外科学院(ACVS)文凭获得者对手术安全检查表(SSC)的态度,并确定实施的障碍:调查美国兽医外科学院(ACVS)毕业证书获得者对手术安全检查表(SSC)的态度,并确定实施的障碍:研究设计:定性在线研究调查:研究方法:匿名在线调查:匿名在线调查:通过电子邮件发送给 ACVS 的现任证书获得者。通过 ACVS 网站的公开数据确定 ACVS 文凭获得者。共发放了 1282 份电子调查问卷,受访者有 4 周时间进行回复。调查包括 34 个问题,分别涉及:(1)人口统计信息;(2)当前使用 SSC 的情况;(3)对 SSC 的认识和态度;(4)使用 SSC 的利弊;(5)实施策略;(6)未完成 SSC 的潜在原因:调查回复率为 20%(257/1282)。在 249 位受访者中,共有 169 位(67.9%)表示使用了小班教学。受访者普遍认为,事实证明 SSC 可以减少手术并发症(196/249 [8.7%]),并且不认为使用 SSC 有任何不利之处(100/138 [75.2%])。不使用 SSCs 的受访者更倾向于认为 SSCs 是浪费时间(P. 结论):目前使用 SSC 的受访者普遍感到满意。时间限制和与记忆有关的问题是未完成 SSCs 的常见原因:临床意义:在兽医外科扩大实施SSC的工作应侧重于提高相关利益方的参与度,并根据当地情况对SSC进行修改。
{"title":"Attitudes towards surgical safety checklists among American College of Veterinary Surgeons diplomates.","authors":"William T G Hawker, Ameet Singh, Teagan DeForge, Kelley Thieman Mankin, Michelle A Giuffrida, J Scott Weese","doi":"10.1111/vsu.14109","DOIUrl":"10.1111/vsu.14109","url":null,"abstract":"<p><strong>Objective: </strong>To examine attitudes towards surgical safety checklists (SSCs) among American College of Veterinary Surgeons (ACVS) diplomates and to identify barriers to implementation.</p><p><strong>Study design: </strong>Qualitative online research survey.</p><p><strong>Sample population: </strong>A total of 1282 current ACVS diplomates.</p><p><strong>Methods: </strong>An anonymous online survey was distributed to current ACVS diplomates via email. ACVS diplomates were identified using publicly available data through the ACVS website. A total of 1282 surveys were electronically distributed, and respondents were given 4 weeks to respond. The survey consisted of 34 questions examining (1) demographic information, (2) current use of SSCs, (3) knowledge and attitudes towards SSCs, (4) perceived advantages and disadvantages to use of SSCs, (5) implementation strategies, and (6) potential reasons for noncompletion of SSCs.</p><p><strong>Results: </strong>Survey response rate was 20% (257/1282). A total of 169 of 249 (67.9%) respondents indicated using SSCs. Respondents generally agreed that SSCs were proven to reduce surgical complications (196/249 [78.7%]) and did not perceive any disadvantages to use (100/138 [75.2%]). Respondents not using SSCs were more likely to perceive them as a waste of time (p < .001). The most common reasons for noncompletion of SSCs were forgetfulness (21/52 [39.6%]) and time constraints (19/52 [36.5%]). Improved training (72/138 [52.2%]) and modifying the SSC based on staff feedback (69/138 [50%]) were suggested as methods to improve SSC uptake.</p><p><strong>Conclusion: </strong>Respondents currently using SSCs were generally satisfied. Time constraints and memory related issues were common causes for noncompletion of SSCs.</p><p><strong>Clinical significance: </strong>Efforts to expand the implementation of SSCs in veterinary surgery should focus on improved engagement of relevant stakeholders and modification of the SSC to suit local conditions.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"816-823"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Outcome of tenoscopically guided palmar/plantar annular ligament desmotomy for the treatment of palmar/plantar annular ligament constriction without concurrent intrathecal soft-tissue injury in a UK horse population. 在英国马匹群体中,通过韧带镜引导的掌/跖环韧带切除术治疗掌/跖环韧带缩窄且未同时造成鞘内软组织损伤的效果。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-29 DOI: 10.1111/vsu.14120
Andrew Douglas Wood, Russell Alexander Parker, Marco Marcatili, Jonathan Anderson, Natalie Robinson, John David Stack

Objective: To determine the outcome of tenoscopically guided palmar/plantar annular ligament (PAL) desmotomy to treat PAL constriction without concurrent intrathecal soft-tissue injury, notably of the digital flexor tendons and manica flexoria.

Study design: Retrospective multicenter cohort study.

Animals: Sixty-five horses.

Methods: Horses from four UK equine hospitals, with digital flexor tendon sheath (DFTS) tenosynovitis, which underwent tenoscopically guided PAL desmotomy for treatment of PAL constriction between 2017 and 2022 were included. All horses had lameness isolated to the DFTS/PAL, and PAL constriction was diagnosed tenoscopically when there was difficulty maneuvering the endoscope into or through the fetlock canal. Horses with tearing of the digital flexor tendons and/or manica flexoria, or any other intrathecal pathology, were excluded. Follow up was via structured telephone questionnaire.

Results: Follow up (median 25 months) was available for 61 horses with cobs and ponies predominating. Forty-two returned to their previous level of work, or a higher level, postoperatively and 50 owners were satisfied with the outcome of surgery. Eleven horses returned to lower level exercise, and six were retired/euthanized as they did not regain soundness. Fifty-two horses achieved soundness (median 3 months postoperatively).

Conclusion: Tenoscopically guided PAL desmotomy for the treatment of PAL constriction in the absence of intrathecal soft tissue injury had a good prognosis for return to previous levels of exercise in a UK horse population.

Clinical significance: The prognosis for horses undergoing tenoscopically guided PAL desmotomy to treat PAL constriction in the absence of intrathecal injury is better than previously described. Cobs and ponies seem to be predisposed to PAL constriction in agreement with the previous literature.

目的确定在韧带镜引导下进行掌/跖环状韧带(PAL)切除术治疗PAL缩窄的效果,同时避免鞘内软组织损伤,尤其是屈肌腱和屈肌腱的损伤:研究设计:回顾性多中心队列研究:方法:纳入英国四家马医院的马匹,这些马匹患有数字屈肌腱鞘(DFTS)腱鞘炎,在 2017 年至 2022 年期间接受了腱鞘镜引导下的 PAL 去腱鞘切除术,以治疗 PAL 收缩。所有马匹的跛行均孤立于DFTS/PAL,当内窥镜难以进入或通过踠管时,即可通过腱鞘镜诊断为PAL收缩。数字屈肌腱撕裂和/或manica flexoria或任何其他椎管内病变的马匹均被排除在外。通过结构化电话问卷进行随访:对61匹马进行了随访(中位数为25个月),其中以小马和大马为主。42匹马术后恢复到以前的工作水平或更高水平,50匹马的主人对手术结果表示满意。有 11 匹马恢复了较低水平的运动,有 6 匹马由于没有恢复健康而被退役或安乐死。52匹马恢复了健康(术后3个月的中位数):结论:在英国的马匹群体中,在蛛网膜内软组织未受伤的情况下,通过蛛网膜引导的PAL脱模术治疗PAL收缩预后良好,可以恢复到以前的运动水平:临床意义:在没有鞘内软组织损伤的情况下,接受韧带镜引导的PAL脱模术治疗PAL收缩的马匹的预后比之前描述的要好。柯布和小马似乎易患PAL收缩症,这与之前的文献一致。
{"title":"Outcome of tenoscopically guided palmar/plantar annular ligament desmotomy for the treatment of palmar/plantar annular ligament constriction without concurrent intrathecal soft-tissue injury in a UK horse population.","authors":"Andrew Douglas Wood, Russell Alexander Parker, Marco Marcatili, Jonathan Anderson, Natalie Robinson, John David Stack","doi":"10.1111/vsu.14120","DOIUrl":"10.1111/vsu.14120","url":null,"abstract":"<p><strong>Objective: </strong>To determine the outcome of tenoscopically guided palmar/plantar annular ligament (PAL) desmotomy to treat PAL constriction without concurrent intrathecal soft-tissue injury, notably of the digital flexor tendons and manica flexoria.</p><p><strong>Study design: </strong>Retrospective multicenter cohort study.</p><p><strong>Animals: </strong>Sixty-five horses.</p><p><strong>Methods: </strong>Horses from four UK equine hospitals, with digital flexor tendon sheath (DFTS) tenosynovitis, which underwent tenoscopically guided PAL desmotomy for treatment of PAL constriction between 2017 and 2022 were included. All horses had lameness isolated to the DFTS/PAL, and PAL constriction was diagnosed tenoscopically when there was difficulty maneuvering the endoscope into or through the fetlock canal. Horses with tearing of the digital flexor tendons and/or manica flexoria, or any other intrathecal pathology, were excluded. Follow up was via structured telephone questionnaire.</p><p><strong>Results: </strong>Follow up (median 25 months) was available for 61 horses with cobs and ponies predominating. Forty-two returned to their previous level of work, or a higher level, postoperatively and 50 owners were satisfied with the outcome of surgery. Eleven horses returned to lower level exercise, and six were retired/euthanized as they did not regain soundness. Fifty-two horses achieved soundness (median 3 months postoperatively).</p><p><strong>Conclusion: </strong>Tenoscopically guided PAL desmotomy for the treatment of PAL constriction in the absence of intrathecal soft tissue injury had a good prognosis for return to previous levels of exercise in a UK horse population.</p><p><strong>Clinical significance: </strong>The prognosis for horses undergoing tenoscopically guided PAL desmotomy to treat PAL constriction in the absence of intrathecal injury is better than previously described. Cobs and ponies seem to be predisposed to PAL constriction in agreement with the previous literature.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"893-903"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141160393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal diplomate and resident veterinary surgeons. 小动物手术中的腹腔镜和胸腔镜:2020 年小动物文凭兽医和住院兽医调查。
IF 1.3 2区 农林科学 Q2 VETERINARY SCIENCES Pub Date : 2024-07-01 Epub Date: 2024-06-14 DOI: 10.1111/vsu.14123
Regan M Stoneburner, Michelle A Giuffrida, Jacqueline E Scott

Objective: To document the utilization and training of laparoscopic and thoracoscopic minimally invasive surgery (MIS) techniques within the American, European, Australian and New Zealand Colleges of Small Animal Veterinary Surgeons (ACVS, ECVS, and ANZCVS) in 2020.

Study design: Observational study.

Sample population: Diplomates and residents of the ACVS, ECVS, and FANZCVS.

Methods: An electronic survey was sent using veterinary list servers. Questions were organized into categories evaluating (1) the demographics of the study population and the caseload, (2) comfort level with specific procedures, (3) motivating factors and limitations, and (4) surgical training and the role of the governing bodies.

Results: Respondents included 111 practicing surgeons and 28 residents. Respondents' soft-tissue MIS caseloads had increased since they first started performing MIS; however, most respondents were only comfortable performing basic laparoscopy. Over half of the respondents agreed on the patient benefits and high standard of care provided by MIS. Perceived adequate soft-tissue training in MIS during residency was strongly associated with perceived proficiency at the time of survey response. Most respondents agreed that the specialty colleges should take a more active role in developing standards for soft-tissue MIS, with residents agreeing that a required standardized course would be beneficial.

Conclusion: Soft-tissue MIS is widely performed by diplomates and residents. Perceived adequate soft-tissue MIS training was strongly associated with perceived proficiency.

Clinical significance: There is substantial underutilization of advanced MIS techniques in veterinary specialty surgical practice, which might be improved by a stronger focus on MIS training during residency.

目的记录2020年美国、欧洲、澳大利亚和新西兰小动物兽医学院(ACVS、ECVS和ANZCVS)对腹腔镜和胸腔镜微创手术(MIS)技术的使用和培训情况:研究设计:观察性研究:抽样人群:ACVS、ECVS 和 FANZCVS 的认证医师和住院医师:使用兽医列表服务器发送电子调查问卷。调查问题分为以下几类:(1) 研究对象的人口统计学特征和工作量;(2) 特定手术的舒适度;(3) 动机因素和局限性;(4) 外科培训和管理机构的作用:受访者包括 111 名执业外科医生和 28 名住院医师。受访者自开始实施 MIS 以来,软组织 MIS 的工作量有所增加;然而,大多数受访者仅能胜任基本的腹腔镜手术。超过半数的受访者认同 MIS 为患者带来的益处和高标准的医疗服务。在住院医师培训期间是否接受过充分的 MIS 软组织培训与受访者回答调查时的熟练程度密切相关。大多数受访者认为,专科院校应在制定软组织 MIS 标准方面发挥更积极的作用,住院医师也认为开设必修的标准化课程将大有裨益:结论:软组织 MIS 广泛应用于专科医师和住院医师。临床意义:临床意义:在兽医专科手术实践中,先进的MIS技术利用率严重不足,在住院医师培训期间加强对MIS培训的关注可能会改善这一状况。
{"title":"Laparoscopy and thoracoscopy in small animal surgery: A 2020 survey of small animal diplomate and resident veterinary surgeons.","authors":"Regan M Stoneburner, Michelle A Giuffrida, Jacqueline E Scott","doi":"10.1111/vsu.14123","DOIUrl":"10.1111/vsu.14123","url":null,"abstract":"<p><strong>Objective: </strong>To document the utilization and training of laparoscopic and thoracoscopic minimally invasive surgery (MIS) techniques within the American, European, Australian and New Zealand Colleges of Small Animal Veterinary Surgeons (ACVS, ECVS, and ANZCVS) in 2020.</p><p><strong>Study design: </strong>Observational study.</p><p><strong>Sample population: </strong>Diplomates and residents of the ACVS, ECVS, and FANZCVS.</p><p><strong>Methods: </strong>An electronic survey was sent using veterinary list servers. Questions were organized into categories evaluating (1) the demographics of the study population and the caseload, (2) comfort level with specific procedures, (3) motivating factors and limitations, and (4) surgical training and the role of the governing bodies.</p><p><strong>Results: </strong>Respondents included 111 practicing surgeons and 28 residents. Respondents' soft-tissue MIS caseloads had increased since they first started performing MIS; however, most respondents were only comfortable performing basic laparoscopy. Over half of the respondents agreed on the patient benefits and high standard of care provided by MIS. Perceived adequate soft-tissue training in MIS during residency was strongly associated with perceived proficiency at the time of survey response. Most respondents agreed that the specialty colleges should take a more active role in developing standards for soft-tissue MIS, with residents agreeing that a required standardized course would be beneficial.</p><p><strong>Conclusion: </strong>Soft-tissue MIS is widely performed by diplomates and residents. Perceived adequate soft-tissue MIS training was strongly associated with perceived proficiency.</p><p><strong>Clinical significance: </strong>There is substantial underutilization of advanced MIS techniques in veterinary specialty surgical practice, which might be improved by a stronger focus on MIS training during residency.</p>","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":"824-833"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141321737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Veterinary Surgery
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