Neurosurgeries have become more frequent in veterinary hospitals, however, there are some questions regarding anesthetics protocols and analgesic techniques. Thus, patient analgesia and hemodynamic stability play a key role in pre, post, and perioperative moments favoring an adequate recovery. This study aimed to evaluate the transanesthetic complications reported on anesthetic records of dogs submitted to hemilaminectomies in the university veterinary hospital of the Federal University of Santa Maria (UFSM) between January 2016 and August 2017, and compare three different analgesic protocols most commonly used in the routine for this surgery. In addition, transanesthetic parameters for each dog were equally recorded in five-minute intervals: cardiac frequency (FC), respiratory frequency (f) blood oxygen saturation (SpO2), mean artery pressure (PAM), temperature and end tidal CO2 (EtCO2). The patients were divided into three groups: Group M: animals receiving epidural analgesia with morphine 0.1mg/kg diluted in 0.26 ml/kg of saline solution 0.9%; Group FLK: bolus of fentanyl 2 μg/kg, lidocaine 1 mg/kg, and ketamine 1 mg/kg followed by infusion of fentanyl 0.1 μg/kg/min, lidocaine 50 μg/kg/min and ketamine 10 μg/ kg/min; and Group F: bolus of fentanyl 2 μg/kg followed by infusion of fentanyl 0.1 μg/kg/min. ANOVA was used to evaluate the anesthetic protocols complications, followed by Tukey’s post-hoc test with a significance level of 5% (p <0.05), comparing the mean of each parameter. Among the anesthetic complications that were found hypotension, bradycardia and hypercapnia were the most frequent. When 22.22% of the patients presented hypotension more evident on the first 10 minutes of anesthesia, 22.22% presented bradycardia, requiring the use of atropine (0.022 mg/kg) and 83.33% had hypercapnia on at least one of the times (EtCO2 > 45mmHg). With this study, it was observed that the use of continuous infusions of FLK, fentanyl, and epidural analgesia with morphine, in the used doses, were effective and safe in the dogs submitted to neurosurgeries, however, it was noticed that the use of morphine caused a greater reduction in temperature during the intraoperative period.
No Campus Itaperi, UECE há fluxo intenso de transeuntes, condições favoráveis ao desenvolvimento e manutenção do Aedes aegypti, grande quantidade de inservíveis, bem como lixo eliminado em áreas extensas. Por esse motivo, objetivou-se fazer um levantamento dos seus potenciais criadouros de Aedes aegypti encontrados no local e sugerir estratégias de controle, com o intuito de reduzir a incidência de novos casos de dengue, zika vírus e chikungunya. Os dados foram obtidos junto ao Distrito técnico de endemias da Regional IV, do município de Fortaleza-CE. Foi realizada também, uma inspeção rigorosa no Campus, com o intuito de observar a situação dos possíveis criadouros e a presença de outros geradores de focos. Foram verificados alguns reservatórios e caixas d’água sem vedação; lajes e caixas dos climatizadores dos blocos contendo água e folhas; poços abertos; escombros derivados de uma reforma, onde foram encontradas larvas de A. Aegypti; grande quantidade de inservíveis utilizados pelos comensais ou adaptados como bebedouros e comedouros, para cães e gatos, que vivem à solta no Campus. Diante desse cenário foram sugeridas medidas corretivas, com o intuito de reduzir a população do vetor. Nesse contexto, o Campus necessita de políticas públicas próprias para gerenciar a demanda dos resíduos sólidos, além de mobilizações educacionais, monitoramento periódico do lixo e reforço às ações das brigadas.
The objective of this study was to verify the clinical recovery of dogs that underwent ventral slot surgical decompression with lateralized compressions of the cervical spinal cord caused by intervertebral disc disease (IVDD). Twenty patients were selected in different degrees of neurological dysfunction with definitive diagnosis of lateralized compression by cervical IVDD. Postoperative clinical recovery was assessed in patients who had undergone at least two months of the surgical procedure. There was a satisfactory recovery in 19 dogs (95%) and unsatisfactory recovery in another (5%), showing a significant clinical improvement (p<0.05) in the use of this technique in lateralized compression cases. The ventral slot promotes satisfactory clinical recovery of dogs with lateralized compression of the spinal cord caused by cervical IVDD and may be indicated as a surgical alternative.
Patients who undergo excisional surgical procedures such as femoral head and neck ostectomy (FHO) require a postoperative rehabilitation plan which includes different physical therapy modalities. Therefore, this retrospective study was done to demonstrate the different physical therapy modalities utilized in 20 dogs who were subjected to FHO, and to provide data on the frequency of physical therapy modalities, the protocol duration and time interval from the commencement of physiotherapy and surgery and the patient’s functional recovery. All the protocols included the modalities of thermotherapy (heat), massage, passive stretching and passive joint movement. In the initial phase, electrotherapy and therapeutic ultrasound were most often used, while the water treadmill was continued until the treatment was completed. Physiotherapy sessions varied from 3 to 50 in number, and physiotherapy was commenced from day 5 until day 214 post the surgical procedure. The functional recovery of the limb was in the following range: 65% (13/20) satisfactory, 25% (5/20) partially satisfactory and 10% (2/20) unsatisfactory. Physical therapy treatment was thus concluded to be most influential in the functional recovery of the limb, even if was started late.
Resumo.A monitoração da função cardiorrespiratória é de extrema importância para o paciente anestesiado, atribuindo grande relevância a monitoração de pressão arterial. A pressão arterial média representa a condução da perfusão tecidual, sendo fundamental sua aferição para garantir uma anestesia segura. Pacientes neurológicos estão altamente suscetíveis a alterações hemodinâmicas durante procedimentos cirúrgicos como a hemilaminectomia e com isto, este trabalho levantou informações de fichas anestésicas de pacientes os quais realizaram esta cirurgia na Universidade Federal de Santa Maria no período de janeiro de 2016 a outubro de 2017. Objetivou-se com este trabalho avaliar retrospectivamente se há diferença nos valores entre pressão arterial média auricular e femoral, com o intuito de indicar qual melhor alternativa para monitoração arterial em pacientes submetidos a hemilaminectomia. Concluiu-se que existe diferença estatisticamente significativa entre valores de pressão arterial femoral e auricular.
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