Classification of physical status and anesthetic risk of dogs undergoing osteosynthesis
DOI:
https://doi.org/10.33448/rsd-v11i6.28682Keywords:
Fractures; Canines; ASA; Pre-surgical evaluation.Abstract
The majority of orthopedic events in small animals reported in routine clinical practice comprise traumatic fractures. In most cases, surgical treatment is indicated. All patients undergoing a surgical procedure need a careful preoperative evaluation to stablish a safe anesthetic protocol. This evaluation reduces the risk of complications The American Society of Anesthesiologists (ASA) classification is an important tool that links to the patient medical record and can potentially decrease anesthetic and surgical risks. The present study aimed to classify 33 canine patients referred for surgical osteosynthesis, according to their physical status and anesthetic risk corresponding to the American Society of Anesthesiologists classification. After clinical and laboratorial evaluation, the patients were classified by a single evaluator. There was no ASA I patient because this category includes only healthy animals. The ASA II category comprised 12 patients (12/33; 36.36%), considered as suffering from mild systemic diseases. Nineteen patients were classified as ASA III (19/33; 57.57%); these presented with complicated fractures. Only one patient with polytrauma was classified as ASA IV. There were no patients in ASA V or VI and there were no deaths. The results show that among dogs referred for surgical osteosynthesis in the analyzed service and period, the majority were classified as ASA III.
References
American Society of Anesthesiologists. (2019). Physical status classification system. https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system.
Batatinha, R., Baraúna Júnior, D., Santos, C. R., Costa, S. D., Correia, P., & Moreira, P. R. (2021). Prevalência de fraturas em cães e gatos atendidos em projeto de extensão da clínica cirúrgica na Cidade de Petrolina/PE – 2016 a 2018. Research, Society and Development, 10(6):e17910615480. https://doi.org/10.33448/rsd-v10i6.15480
Ben Ali, L.M. (2013). Incidence, occurrence, classification and outcome of small animal fractures: a retrospective study (2005-2010). International Journal of Animal and Veterinary Sciences, 7(3), 191-196. doi.org/10.5281/zenodo.1082359.
Bille, C., Auvigne, V., Libermann, S., Bomassi, E., Durieux, P. & Rattez, E. (2012). Risk of anaesthetic mortality in dogs and cats: an observational cohort study of 3546 cases. Veterinary Anaesthesia and Analgesia, 39(1), 59-68. 10.1111/j.1467-2995.2011.00686.x
Cruz-Pinto, C. E., Stopiglia, A. J., Matera, J. M., & Arnoni, F. I. (2015). Análise da casuística das afecções cirúrgicas observadas na Clínica Cirúrgica de Pequenos Animais da FMVZ-USP no período de 1988 a 2007. Brazilian Journal of Veterinary Researchand Animal Science, 52(1), 41-47. 10.11606/issn.1678-4456.v52i1p41-47.
Elzomor, S. T., Sheta, E. M. E., Farghali, H. A, & Ashour, A. E. (2014). Prevalence of femoral fractures in dogs and cats. Journal of the Egyptian Veterinary Medical Association, 74(2), 269-278. https://scholar.cu.edu.eg/?q=haithem_farghail/files/prevalence_of_femoral_fractures_in_dogs_and_cats.pdf
Fernandes, E. O., Guerra, E. E., Pitrez, F. A. B., Fernandes, F. M., Rosito, G. B. A., Gonzáles, H. E., Meyer, I., Silva Neto, L. B., Fernandes, M. S., Soibelman, M. & Carvalho, R. L. (2010). Avaliação pré-operatória e cuidados em cirurgia eletiva: recomendações baseadas em evidências. Revista da AMRIGS, 54(2), 240-258. https://edisciplinas.usp.br/pluginfile.php/4336871/mod_folder/content/0/Avaliacao%20pre-operatoria%20e%20cuidados%20em%20cirurgia%20eletiva.pdf?forcedownload=1.
Futema, F. (2002). Avaliação pré-anestésica. In: D. T. Fantoni & S. R. G. Cortopassi (Orgs.) Anestesia em cães e gatos (pp. 59-63). Roca.
Horta, R. S., & Rezende, C. M. F. (2014). Fraturas expostas em pequenos animais. Enciclopédia Biosfera, 10(18), 1800-1814. https://www.conhecer.org.br/enciclop/2014a/AGRARIAS/Fraturas.pdf
Itami, T., Aida, H., Asakawa, M., Fujii, Y., Iizuka, T., Imai, A., Iseri, T., Ishizuka, T., Kakishima, K., Kamata, M., Miyabe-Nishiwaki, T., Nagahama, S., Naganobu, K., Nishimura, R., Okano, S., Sano, T., Yamashita, K., Yamaya, Y., & Masashi, Y. (2017). Association between preoperative characteristics and risk of anaesthesia-related death in dogs in small-animal referral hospitals in Japan. Veterinary Anaesthesia and Analgesia, 14(3), 461- 472. 10.1016/j.vaa.2016.08.007
Kemper, B., & Diamante, G. A. C. (2015). Estudo retrospectivo das fraturas do esqueleto apendicular de cães atendidos no Hospital Veterinário da Universidade Norte do Paraná (Unopar) no Período de Janeiro de 2007 a Março de 2009. UNOPAR Científica, Ciências Biológicas e da Saúde, 12(2), 23-26. https://doi.org/10.17921/2447-8938.2010v12n2p%25p
Kumar, K., Mogha, I. V., Aithal, H. P., Kinjavdekar, P., Singh, G. R., Pawde, A. M. & Kushwaha, R. B. (2007). Occurrence and pattern of long bone fractures in growing dogs with normal and osteopenic bones. Journal of Veterinary Medicine Series A, 54(9), 484-490. 10.1111/j.1439-0442.2007.00969.x
Libardoni, R.N., Serafini, G.M.C., Oliveira, C., Schimites, P.I., Chaves, R.O., Feranti, J.P.S., Costa, C.A.S., Amaral, A.S., Raiser, A.G., & Soares, A.V. (2016). Appendicular fractures of traumatic etiology in dogs: 955 cases (2004-2013). Ciência Rural, 46(3), 542-546. 10.1590/0103-8478cr20150219
Luz, L. C., Muccillo, M. S., Fonini, A. L., Ledur, G. R., Kasper, P. N. & Contesini, E. A. (2012). Mortalidade em anestesia de cães e gatos: estudo retrospectivo de 5.366 procedimentos anestésicos. Archives of Veterinary Science, 17(suppl. 1), 13-15. http://dx.doi.org/10.5380/avs.v17i1
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_MetodologiaPesquisa-Cientifica.pdf?sequence=1.
Piermattei, D.L., Flo, G.L., & Decamp, C.E. (2006). Small animal orthopedics and fracture repair. (4.ed.) Saunders. 832 p.
Rodrigues, N. M., Moraes, A. C., Quessada, A. M., Carvalho, C. J. S., Dantas, S. S. B. & Ribeiro, R. C. L. (2018). Anesthetic classification of the physical status and surgical-anesthetic mortality in dogs. Arquivo Brasileiro de Medicina Veterinária e Zootecnia, 70(3), 704-712. https://doi.org/10.1590/1678-4162-9881
Rodrigues, N. M., Quessada, A. M., Moraes, A. C., Dantas, S. S. B. & Sales, K. K. S. (2017). Estado físico e risco anestésico em cães e gatos: revisão. PUBVET, 11(8), 781-788. 10.22256/PUBVET.V11N8.781 - 788
Rodrigues, N. M., Quessada, A. M., Silva, F. L., Silva, E. M. C., Costa Neto, J. M. & Lima, W. C. (2016). Epidemiologia e risco anestésico de cães portadores de otohematoma. Acta Scientiae Veterinariae, 44(1), 1-6. 10.22456/1679-9216.80930
Schwartzman, U. P., Batista, K., Duarte, L. T. D., Saraiva, R. A. & Fernandes, M. C. B. C. (2011). Complicações anestésicas em cirurgia plástica e a importância da consulta pré-anestésica como instrumento de segurança. Revista Brasileira de Cirurgia Plástica, 26(2), 221-227. 10.1590/S1983-51752011000200007
Shiju, S. M., Ganesh, R., Ayyappan, S., Rao, G. D., Kumar, R. S. Kundave, V. R. & Das, B. C. (2010). Incidences of pelvic limb fractures in dogs: a survey of 478 cases. Veterinary World, 3 (3), 120-121. https://www.researchgate.net/publication/49612292_Incidences_of_pelvic_limb_fractures_in_dogs_A_survey_of_478_cases.
Shmon, C. (2007). Avaliação e preparação do paciente e da equipe cirúrgica. In: D. Slatter (Org.). Manual de cirurgia de pequenos animais. (vol. 1, pp. 162-170). São Paulo: Manole.
Souza, M. M. D., Rahal, S. C., Padovani, C. R., Mamprim, M. J., & Cavini, J. H. (2011). Afecções ortopédicas dos membros pélvicos em cães: estudo retrospectivo. Ciência Rural, 41(5), 852-857. https://www.scielo.br/j/cr/a/77cNJryYWwVF8krPwBfTSNn/?format=pdf&lang=pt.
Uwagie-Erro, E. A., Abiaezute, C. N., Okorie-Kanu, O. J., Odigie, E. A., & Asemota, O. D. (2018). Retrospective evaluation of canine fractures in Southern Nigeria. Comparative Clinical Pathology, 17(5), 1127–1132. https://doi.org/10.1007/s00580-018-2708-3.
Vidane, A. S., Elias, M. Z. J., Cardoso, J. M. M., Come, J. A. S. S., Harun, M., & Ambrósio, C. E. (2014). Incidência de fraturas em cães e gatos da cidade de Maputo (Moçambique) no período de 1998-2008. Ciência Animal Brasileira, 15(4), 490-494. 10.1590/1089-6891v15i424279.
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Copyright (c) 2022 Nhirneyla Marques Rodrigues; Sávio Soares Barbosa Dantas; Arthur Venicius Sbaraini Leitzke; Mayara da Silva Trentim; Talita Bianchin Borges; Luan Tezzei Maia; Natalia Regina Alexandrino Broch; Salviano Tramontin Belettini; Natalie Bertelis Merlini; Ana Maria Quessada
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