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Redondo JI, Martínez-Taboada F, Viscasillas J, Doménech L, Marti-Scharfhausen R, Hernández-Magaña EZ, Otero PE. Anaesthetic mortality in cats: A worldwide analysis and risk assessment. Vet Rec 2024; 195:e4147. [PMID: 38959210 DOI: 10.1002/vetr.4147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 03/21/2024] [Accepted: 03/27/2024] [Indexed: 07/05/2024]
Abstract
BACKGROUND Patient safety is essential in small animal anaesthesia. This study aimed to assess anaesthesia-related deaths in cats worldwide, identify risk and protective factors and provide insights for clinical practice. METHODS A prospective multicentre cohort study of 14,962 cats from 198 veterinary centres across different countries was conducted. Data on anaesthesia-related deaths, from premedication up to 48 hours postextubation, were collected. Logistic regression was used to analyse patient demographics, American Society of Anesthesiologists (ASA) classification, procedure type and anaesthetic drugs. RESULTS The anaesthesia-related mortality was 0.63%, with 74.5% of deaths occurring postoperatively. Cats with cachexia, a higher ASA status or who underwent abdominal, orthopaedic/neurosurgical or thoracic procedures exhibited elevated mortality. Mechanical ventilation use was associated with increased mortality. Mortality odds were reduced by the use of alpha2-agonist sedatives, pure opioids in premedication and locoregional techniques. LIMITATIONS Limitations include non-randomised sampling, potential biases, unquantified response rates, subjective death cause classification and limited variable analysis. CONCLUSIONS Anaesthetic mortality in cats is significant, predominantly postoperative. Risk factors include cachexia, higher ASA status, specific procedures and mechanical ventilation. Protective factors include alpha2-agonist sedatives, pure opioids and locoregional techniques. These findings can help improve anaesthesia safety and outcomes. However, further research is required to improve protocols, enhance data quality and minimise risks.
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Affiliation(s)
- José I Redondo
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, Valencia, Spain
| | - Fernando Martínez-Taboada
- Sydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, Australia
- 3A Animal Anaesthesia and Analgesia, Victoria, Australia
| | | | - Luis Doménech
- Departamento de Matemáticas, Física y Ciencias Tecnológicas, Escuela Superior de Enseñanzas Técnicas, Universidad Cardenal Herrera-CEU, Valencia, Spain
| | | | - Eva Z Hernández-Magaña
- Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, Valencia, Spain
| | - Pablo E Otero
- Department of Anaesthesiology and Pain Management, Facultad de Ciencias Veterinarias, Universidad de Buenos Aires, Buenos Aires, Argentina
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Canever JB, Fontanela LC, Hendler KG, Vieceli A, Barbosa RI, Kuriki HU, Aguiar Júnior AS, das Neves LMS, de Cássia Registro Fonseca M, Marcolino AM. Viability of transverse rectus abdominis musculocutaneous flap treated with photobiomodulation and therapeutic ultrasound: an experimental model. Lasers Med Sci 2021; 37:461-470. [PMID: 33725203 DOI: 10.1007/s10103-021-03283-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 03/02/2021] [Indexed: 11/26/2022]
Abstract
Report the effects of photobiomodulation (PBM) and therapeutic ultrasound (TUS) on the viability of TRAM in mice. MATERIALS AND METHODS Fifty-five mice Swiss were subjected to treatment for 5 days. Group 1, treatment was performed with the agents switched off. Groups 2 to 5 were treated with different wavelengths 660 and 830 nanometers (nm) and groups 6 to 11 with TUS of 1 and 3 MHz frequency. Macrometric analyses were performed using a specific camera and analyzed by the ImageJ® software. Thermographic analyses were performed with the Flir C2 and analyzed using the FLIR Tools software. RESULTS Group 9 obtained 95% of viable area on the 3rd day and 85% on the 5th day, showing the effectiveness of the TUS in the flap viability. Regarding skin temperature, there was a difference only in the immediate postoperative period in group 1, which had a lower temperature than the other groups. CONCLUSIONS TUS demonstrated greater efficiency in maintaining the viability of TRAM. PBM 830 nm also demonstrated good results in the viability of TRAM.
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Affiliation(s)
- Jaquelini Betta Canever
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil
| | - Laís Coan Fontanela
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil
| | - Ketlyn Germann Hendler
- Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina, Ararangua, SC, Brazil
| | - Aline Vieceli
- Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina, Ararangua, SC, Brazil
| | - Rafael Inácio Barbosa
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil
- Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina, Ararangua, SC, Brazil
| | - Heloyse Uliam Kuriki
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil
- Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina, Ararangua, SC, Brazil
| | - Aderbal Silva Aguiar Júnior
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil
- Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina, Ararangua, SC, Brazil
| | - Laís Mara Siqueira das Neves
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil
| | - Marisa de Cássia Registro Fonseca
- Postgraduate Program in Rehabilitation and Functional Performance of the Department of Health Sciences, Ribeirão Preto School of Medicine, University of São Paulo, Ribeirao Preto, SP, Brazil
| | - Alexandre Marcio Marcolino
- Laboratory of Assessment and Rehabilitation of the Locomotor Apparatus, Department of Health Sciences, Center Araranguá, Federal University of Santa Catarina, Campus Jardim das Avenidas, Rod. Gov. Jorge Lacerda, 3201, Ararangua, SC, 88906-072, Brazil.
- Postgraduate Program in Rehabilitation Sciences, Federal University of Santa Catarina, Ararangua, SC, Brazil.
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