A carregar...
Publicação
Estudo retrospetivo de complicações perioperatórias em procedimentos orais em cães e gatos
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.84 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
O presente estudo teve como objetivo identificar a prevalência e caracterizar as complicações intraoperatórias e pós-operatórias imediatas, em cães e gatos, submetidos a anestesia geral para procedimentos orais, bem como avaliar possíveis fatores de risco associados. Para tal, foi realizado um estudo retrospetivo baseado na análise da base de dados do Hospital Escolar Veterinário da Faculdade de Medicina Veterinária, relativo ao ano de 2020, identificando todos os animais que foram submetidos a procedimentos terapêuticos orais sob anestesia geral. A amostra incluiu 259 animais, entre cães e gatos, dos quais 43 (43/259, 16,6%) animais apresentaram um total de 52 complicações. As complicações mais frequentes foram verificadas durante a anestesia (38/52, 73,07%), sendo elas a bradicardia (10/38, 26,31%), a apneia (6/38, 15,78%) e a hipotensão (6/38, 15,78%). No pós-operatório imediato (até 48 horas após o procedimento) as complicações mais observadas (14/52, 26,92%) foram a deiscência de sutura e a quebra de férula dentária, ambas com 21,42% cada, (3/14). De acordo com a Classificação Expandida do Sistema Accordion, o Sistema de Classificação Classic e o Sistema de Classificação de Complicações Cirúrgicas proposta por Cook et al. (2010), as complicações mais prevalentes foram classificadas como “Moderada” (grau 2), “Grau 2” e “Major 2”, respetivamente. A análise estatística realizada não identificou qualquer associação entre as variáveis espécie, sexo, idade, peso e a ocorrência de complicações. No entanto o tipo de cirurgia encontrava-se associado com a ocorrência de complicações no pós-operatório imediato. Os procedimentos que mostraram ter uma maior chance de apresentar complicações foram as cirurgias para exérese de tumores orais, cirurgias para correção de fraturas e extrações. Concluiu-se que, a prevalência de complicações em procedimentos orais em animais de companhia é relativamente baixa, no entanto algumas, sobretudo intra-anestésicas podem ter consequências graves, quando não são identificadas e tratadas corretamente. O estudo reforça a necessidade de uma monitorização criteriosa durante todo o período perioperatório e na fase inicial de recobro, contribuindo para a adoção de cuidados clínicos mais seguros e eficazes na medicina veterinária de animais de companhia
The present study aimed to identify the prevalence and characterize intraoperative and immediate post surgery complications in dogs and cats undergoing general anesthesia for oral procedures, as well as to evaluate possible associated risk factors. For this purpose, a retrospective study was conducted based on the analysis of the database of the Veterinay Teaching Hospital of the Veterinay Medicine School, referring to the year 2020. Identifying all animals that underwent oral therapeutic procedures under general anesthesia. The sample included 259 animals, both dogs and cats, which 43 (43/259, 16,6%) presented a total of 52 complications. The most frequent complications occurred during anesthesia (38/52, 73,07%), including bradycardia (10/38, 26,31%), apnea (6/38, 15,78%), and hypotension (6/38, 15,78%). In the immediate postoperative period (up to 48 hours after the procedure), the most observed complications (14/52, 26,92%) were suture dehiscence and dental splint fracture, each accounting for 21,42% (3/14). According to the Expanded Accordion Severity Grading System, the Classic Classification System, and the Surgical Complication Classification proposed by Cook et al. (2010), the most prevalent complications were classified as “Moderate” (grade 2), “Grade 2”, and “Major 2”, respectively. The statistical analysis did not identify any association between the variables species, sex, age, weight and the occurrence of complications. However, the type of surgery was associeted with the occurrence of complications in the immediate postoperative period. Procedures with a higher likelihood of complications included surgeries for excision of oral tumors, surgeries for fracture repair and extractions. It was concluded that, the prevalence of complications in oral procedures in companion animals is relatively low. However, some, especially intra-anesthesic complications can have serious consequences if not properly identified and managed. This study reinforces the need for careful monitoring throughout the entire perioperative period and the initial recovery phase, contribuing to the adoption of safer and more effective clinical practices in companion animal veterinary medicine
The present study aimed to identify the prevalence and characterize intraoperative and immediate post surgery complications in dogs and cats undergoing general anesthesia for oral procedures, as well as to evaluate possible associated risk factors. For this purpose, a retrospective study was conducted based on the analysis of the database of the Veterinay Teaching Hospital of the Veterinay Medicine School, referring to the year 2020. Identifying all animals that underwent oral therapeutic procedures under general anesthesia. The sample included 259 animals, both dogs and cats, which 43 (43/259, 16,6%) presented a total of 52 complications. The most frequent complications occurred during anesthesia (38/52, 73,07%), including bradycardia (10/38, 26,31%), apnea (6/38, 15,78%), and hypotension (6/38, 15,78%). In the immediate postoperative period (up to 48 hours after the procedure), the most observed complications (14/52, 26,92%) were suture dehiscence and dental splint fracture, each accounting for 21,42% (3/14). According to the Expanded Accordion Severity Grading System, the Classic Classification System, and the Surgical Complication Classification proposed by Cook et al. (2010), the most prevalent complications were classified as “Moderate” (grade 2), “Grade 2”, and “Major 2”, respectively. The statistical analysis did not identify any association between the variables species, sex, age, weight and the occurrence of complications. However, the type of surgery was associeted with the occurrence of complications in the immediate postoperative period. Procedures with a higher likelihood of complications included surgeries for excision of oral tumors, surgeries for fracture repair and extractions. It was concluded that, the prevalence of complications in oral procedures in companion animals is relatively low. However, some, especially intra-anesthesic complications can have serious consequences if not properly identified and managed. This study reinforces the need for careful monitoring throughout the entire perioperative period and the initial recovery phase, contribuing to the adoption of safer and more effective clinical practices in companion animal veterinary medicine
Descrição
Dissertação de Mestrado Integrado em Medicina Veterinária, área científica de Clínica
Palavras-chave
Cão Gato Cirurgia veterinária Odontologia veterinária Complicações perioperatórias Dogs Cats Veterinary surgery Veterinary dentistry Peroperative complications