Intraoperative anaesthetic complications in dogs undergoing general anaesthesia for thoracolumbar hemilaminectomy: a retrospective analysis.

Bruniges, Natalie ORCID: 0000-0003-2561-3930 and Rioja, Eva (2019) Intraoperative anaesthetic complications in dogs undergoing general anaesthesia for thoracolumbar hemilaminectomy: a retrospective analysis. Veterinary anaesthesia and analgesia, 46 (6). pp. 720-728.

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Abstract

<h4>Objective</h4>To establish the incidence of intraoperative anaesthetic complications in dogs undergoing general anaesthesia (GA) for thoracolumbar hemilaminectomy (TH), to determine whether GA duration affects incidence of intraoperative complications and to identify associations between intraoperative complications.<h4>Study design</h4>Retrospective observational study.<h4>Animals</h4>A total of 224 client-owned dogs of various breeds undergoing TH for intervertebral disc extrusion.<h4>Methods</h4>Anaesthetic records of dogs undergoing TH at a university teaching hospital between 2010 and 2016 were analysed. Data recorded included breed, sex, body weight, GA duration, magnetic resonance imaging (MRI) under the same GA, pharmacological intervention to increase heart rate (PIHR), hypotension (mean arterial blood pressure < 60 mmHg for ≥ 10 minutes), mechanical ventilation (MV) for inadequate ventilation, hypothermia (oesophageal temperature < 37 °C), oesophageal temperature ≥ 39 °C (T ≥ 39 °C), temperature trend, regurgitation and use of alpha-2 adrenoreceptor agonists, acepromazine, ketamine or lidocaine. Multivariate logistic regression models were fitted for hypothermia, T ≥ 39 °C, hypotension and PIHR with forced inclusion of GA duration.<h4>Results</h4>Hypothermia was the most common complication (63.8% incidence), followed by MV implementation (63.4%), hypotension (33.9%), PIHR (24.6%), T ≥ 39 °C (20.5%) and regurgitation (4.9%). Multivariate models revealed that MRI and hypotension were associated with an increased risk of hypothermia, whilst increasing body weight, alpha-2 adrenoreceptor agonists and MV were associated with a reduced risk. Alpha-2 adrenoreceptor agonists and GA duration were associated with an increased risk of T ≥ 39 °C, whilst hypotension was associated with a reduced risk. Hypothermia and PIHR were associated with an increased risk of hypotension, whereas increased body weight was associated with a reduced risk. MV and hypothermia were associated with an increased risk of PIHR, whereas increased body weight was associated with a reduced risk.<h4>Conclusions and clinical relevance</h4>Increasing GA duration was associated with increased risk of T ≥ 39 °C, but not any other intraoperative complications.

Item Type:	Article
Uncontrolled Keywords:	Animals, Dogs, Dog Diseases, Intraoperative Complications, Hypothermia, Anesthetics, Respiration, Artificial, Anesthesia, Laminectomy, Retrospective Studies, Female, Male
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User:	Symplectic Admin
Date Deposited:	07 Oct 2021 09:04
Last Modified:	22 Jan 2024 04:57
DOI:	10.1016/j.vaa.2019.05.013
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3139506