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Benjamin M. Brainard VMD Amy J. Alwood DVM Lynne I. Kushner DVM DACVA Kenneth J. Drobatz DVM MSCE DACVIM DACVECC Lesley G. King MVB DACVIM DACVECC 《Journal of Veterinary Emergency and Critical Care》2006,16(3):184-191
Objective: To define the peri‐anesthetic risk factors that are associated with the development of postoperative pulmonary complications (PPCs) in dogs following laparotomy. Study design: Retrospective study. Animals: One hundred and sixty‐two dogs that underwent laparotomy at a veterinary teaching hospital. Methods: Cases were evaluated for factors including signalment, American Society of Anesthesiologists (ASA) physical status (PS) score, duration of fast, duration of anesthesia, anesthetic and analgesic protocols, fluid and blood product therapy, animal positioning, and postoperative temperature. Results: Statistically significant differences between dogs that developed PPCs and those that did not (nPPCs) were identified in the following categories: ASA PS score≥III (P=0.041), emergent surgery (P=0.038), longer duration of anesthesia (P=0.0462), and use of butorphanol or oxymorphone instead of hydromorphone for postoperative medication (P=0.04 and 0.015, respectively). Dogs that received transfusions of stored blood products (fresh frozen plasma or packed red blood cells) during their hospital stay were also more likely to develop PPCs (P=0.035 and 0.005, respectively). Dogs that developed PPCs were also more likely to have received antagonists for potent opiates or benzodiazepines postoperatively and to have recovered in the intensive care unit (ICU) (P=0.03 and 0.009, respectively). Conclusions: Dogs with ASA PS scores≥III, or those requiring longer or emergency anesthesia are at a higher risk of developing PPCs. Additionally, dogs receiving stored blood products in the perioperative period may be at risk for pulmonary complications. Dogs fitting criteria for the above risk factors should be monitored closely postoperatively for development of pulmonary complications. 相似文献
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Knot Security of 5 Metric (USP 2) Sutures: Influence of Knotting Technique,Suture Material,and Incubation Time for 14 and 28 Days in Phosphate Buffered Saline and Inflamed Equine Peritoneal Fluid 
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Effect of Presurgical Iodine‐Based Disinfection on Bacterial Colonization of the Equine Peripodal Region 下载免费PDF全文
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Epidemiology of Cranial Cruciate Ligament Disease Diagnosis in Dogs Attending Primary‐Care Veterinary Practices in England 下载免费PDF全文
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Marco Demaria DVM Bryden J. Stanley BVMS MVetSc Diplomate ACVS Joe G. Hauptman DVM MS Diplomate ACVS Barbara A. Steficek DVM PhD Diplomate ACVP Michele C. Fritz BSc LVT John M. Ryan MVB MRCVS Nathaniel A. Lam DVM Trevor W. Moore DVM Heather S. Hadley DVM 《Veterinary surgery : VS》2011,40(6):658-669
Objective: To compare the effect of negative pressure wound therapy (NPWT) with standard‐of‐care management on healing of acute open wounds in dogs. Study Design: Prospective, controlled, experimental study. Animals: Adult dogs (n=10). Methods: Full‐thickness 4 cm × 2 cm wounds were surgically created on each antebrachium and in each dog were randomized to receive either NPWT or standard wound dressings (CON) for 21 days. Dressing changes and wound evaluations were made at 8 time points. First appearance of granulation tissue, smoothness of granulation tissue, exuberance, percent epithelialization, and percent contraction were compared. Biopsies for histopathology were taken, and histologic scores determined, at 5 time points, and aerobic bacterial wound cultures performed at 2 time points. Results: Granulation tissue appeared significantly earlier, and was smoother and less exuberant in NPWT wounds compared with CON wounds. Percent contraction in NPWT wounds was less than CON wounds after Day 7. Percent epithelialization in NPWT wounds was less than CON wounds on Days 11, 16, 18, and 21. Histologic scores for acute inflammation were higher in NPWT on Day 3, and lower on Day 7, than CON wounds. Bacterial load was higher in NPWT on Day 7. Conclusion: NPWT accelerated appearance of smooth, nonexuberant granulation tissue; however, prolonged use of NPWT impaired wound contraction and epithelialization. 相似文献
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