Incidence of and risk factors for poor recovery quality in dogs recovering from general anaesthesia-a prospective case control study.

Jones, Heather, Robson, Katherine, Maddox, Thomas and Alderson, Briony (2023) Incidence of and risk factors for poor recovery quality in dogs recovering from general anaesthesia-a prospective case control study. Veterinary anaesthesia and analgesia, 51 (3). S1467-2987(23)00366-5-.

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Abstract

<h4>Objective</h4>To investigate the incidence of and identify risk factors associated with poor quality of recovery in dogs recovering from general anaesthesia.<h4>Study design</h4>Case controlled study.<h4>Methods</h4>All dogs undergoing general anaesthesia at the University of Liverpool Small Animal Teaching Hospital between January 2020 and January 2021 were eligible for recruitment. Signalment, anaesthetic case management and a recovery score were recorded. Univariable and multivariable logistic and ordinal logistic regression analysis were used to identify factors which impact incidence of poor quality of recovery.<h4>Results</h4>A total of 247 dogs undergoing general anaesthesia were included. Overall, 72 [29.1%; 95% confidence interval (CI) 23.8%-35.1%] dogs experienced a poor quality recovery. Of these, 40 (55.5%) required sedation to manage behaviours associated with poor recovery. Multivariable logistic regression revealed American Society of Anesthesiologists (ASA) physical status classification of III or higher was associated with a decreased incidence of poor quality recovery [odds ratio (OR) = 0.34, 95% CI 0.12-0.93, p = 0.037] and the use of multiple inhalational anaesthetics during one procedure was associated with an increased incidence of poor quality of recovery (OR = 42.5, 95% CI 3.0-598.3, p = 0.005).<h4>Conclusions and clinical relevance</h4>Poor quality recovery is common in dogs recovering from general anaesthesia and sedation is often required for resolution. It is more likely to occur in healthy veterinary patients (ASA I and II). The use of multiple inhalational anaesthetic agents during one procedure should be discouraged as this may increase the likelihood of poor quality of recovery.

Item Type:	Article
Uncontrolled Keywords:	dog, incidence, recovery, recovery quality, risk factors
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:	21 Dec 2023 13:32
Last Modified:	29 Apr 2024 20:37
DOI:	10.1016/j.vaa.2023.12.002
Open Access URL:	https://doi.org/10.1016/j.vaa.2023.12.002
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3177583