A retrospective study of mortality associated with general anaesthesia in horses: emergency procedures.
Abstract: A retrospective study evaluated 995 emergency equine general anaesthetics. The total mortality for emergency procedures was 31.4 per cent. This figure was examined in more detail to determine if all emergency procedures carried a similar risk. Horses anaesthetised for surgical colic had an increased risk of death or euthanasia, with a total mortality of 35.5 per cent when compared to horses anaesthetised for non-colic related problems which had a total mortality of 15.3 per cent. The findings of this study illustrate the greatly increased risk of mortality in horses undergoing general anaesthesia for emergency procedures. Mortality is 4.25 times more likely for emergency procedures not associated with colic than for similar procedures carried out electively. Emergency general anaesthesia for colic carries an increased risk of mortality of 9.86 times that of elective cases.
Publication Date: 1998-05-07 PubMed ID: 9569498DOI: 10.1136/vr.142.12.307Google Scholar: Lookup
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research evaluates the mortality rate linked to emergency anaesthesia in horses, revealing that those anaesthetised for surgical colic carry a considerably higher risk of death. The increased risk is even greater when such procedures are emergency rather than elective.
Background of the Research
- The researchers conducted a retrospective study to determine the mortality rate associated with general anaesthesia in horses during emergency procedures.
- The study involved a total of 995 emergency equine general anaesthetics to ensure a substantial data set.
Mortality Rate in Emergency Procedures
- The study revealed that the total mortality rate for emergency procedures was 31.4 per cent – a significant percentage that warranted further analysis.
- The researchers examined this figure in more detail to ascertain whether all emergency procedures carried a similar risk.
Comparison of Mortality Rates Based on Surgery Type
- The investigators discovered that horses anaesthetised for surgical colic had an increased risk of death or euthanasia.
- The total mortality for this group of horses was 35.5 per cent. In comparison, horses anaesthetised for non-colic related problems had a total mortality rate of 15.3 per cent.
Risk of Mortality in Emergency versus Elective Procedures
- The study’s findings indicate a significantly increased risk of mortality in horses undergoing general anaesthesia for emergency procedures.
- The researchers found that mortality is 4.25 times more likely for emergency procedures not associated with colic than for similar procedures carried out electively.
- Furthermore, emergency general anaesthesia for colic carries an increased risk of mortality of 9.86 times that of elective cases – underlining the considerably higher danger involved.
Summary of Findings
- The research concluded that emergency procedures, especially those relating to surgical colic, exponentially increase the risk of mortality in equine patients subjected to general anaesthesia.
- Public health practitioners, veterinary surgeons, and horse owners should take these findings into account when scheduling and carrying out emergency procedures in horses.
- The high incidence of mortality in these cases underscores the importance of enhancing anaesthetic practices and optimizing veterinary care to improve survival chances.
Cite This Article
APA
Mee AM, Cripps PJ, Jones RS.
(1998).
A retrospective study of mortality associated with general anaesthesia in horses: emergency procedures.
Vet Rec, 142(12), 307-309.
https://doi.org/10.1136/vr.142.12.307 Publication
Researcher Affiliations
- Department of Anaesthesia, Royal Liverpool University Hospital, Merseyside.
MeSH Terms
- Anesthesia, General / mortality
- Anesthesia, General / veterinary
- Animals
- Colic / veterinary
- Emergency Medical Services
- Horses
- Intestinal Diseases / veterinary
- Retrospective Studies
- Risk Factors
- Veterinary Medicine
Citations
This article has been cited 9 times.- Straticò P, Varasano V, Palozzo A, Guerri G, Celani G, Revelant O, Petrizzi L. Retrospective Study on Risk Factors and Short-Term Outcome of Horses Referred for Colic from 2016 to 2022. Vet Sci 2022 Oct 3;9(10).
- Gozalo-Marcilla M, Bettschart-Wolfensberger R, Johnston M, Taylor PM, Redondo JI. Data Collection for the Fourth Multicentre Confidential Enquiry into Perioperative Equine Fatalities (CEPEF4) Study: New Technology and Preliminary Results. Animals (Basel) 2021 Aug 30;11(9).
- Vermedal H, Valverde A, Sears W. Effect of anesthesia duration on the quality of recovery in horses undergoing elective and emergency surgeries using the same anesthetic protocol. Can J Vet Res 2021 Jul;85(3):193-200.
- Laurenza C, Ansart L, Portier K. Risk Factors of Anesthesia-Related Mortality and Morbidity in One Equine Hospital: A Retrospective Study on 1,161 Cases Undergoing Elective or Emergency Surgeries. Front Vet Sci 2019;6:514.
- Ninu AR, Saxena AC, Sivanarayanan TB, Remya V, Binsila BK, Maiti SK, Zama MM. Caesarean in mare by Marcenac incision under local anaesthesia. Iran J Vet Res 2015 Winter;16(1):117-9.
- Rioja E, Cernicchiaro N, Costa MC, Valverde A. Perioperative risk factors for mortality and length of hospitalization in mares with dystocia undergoing general anesthesia: a retrospective study. Can Vet J 2012 May;53(5):502-10.
- Edner AH, Nyman GC, Essén-Gustavsson B. Metabolism before, during and after anaesthesia in colic and healthy horses. Acta Vet Scand 2007 Nov 15;49(1):34.
- Brumund L, Wittenberg-Voges L, Rohn K, Kästner SBR. Risk assessment in equine anesthesia: a first evaluation of the usability, utility and predictivity of the two-part CHARIOT. Front Vet Sci 2024;11:1384525.
- Straticò P, Guerri G, Bandera L, Celani G, Di Nunzio L, Petrizzi L, Varasano V. Comparison of Xylazine and Lidocaine Infusion versus Medetomidine Continuous Rate Infusion during General Anesthesia with Isoflurane in Horses Undergoing Emergency Laparotomy. Vet Sci 2024 Apr 29;11(5).
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