Questionnaire on the process of recovering horses from general anesthesia and associated personnel injury in equine practice.
Abstract: To collect data about the current practice of recovering horses from general anesthesia and recovery personnel safety. Methods: Online survey. Methods: An online questionnaire, including questions on general demographic data, recovery drugs, modality and characteristics of equine recovery and morbidity and mortality, was designed and distributed via e-mail to equine practitioners worldwide. Results: Practitioners from 22 countries completed 373 questionnaires; 53% of the participants were board-certified equine surgeons, and the remainder were board-certified anesthesiologists (18%), large animal residents (8%), general practitioners (7%), large animal interns (6%), anesthesia residents (4.5%) and veterinary technicians (1.6%). Respondents were employed by academia (58%) or private practice (42%). Of the respondents employed at a university, 93% had a board-certified anesthesiologist on staff compared with 7% of respondents employed at a private practice. Most of the respondents assist horses during recovery, with 23% assisting every recovery and 44% assisting recovery in the majority of cases. Reasons for choosing to assist horses during recovery were: orthopedic procedures (57%), neurological deficits (49%), bad health (47%), history of poor recovery (44%), foals (42%), draft breeds (30%), magnetic resonance imaging (17%) and computed tomography (16%). Unacceptable recoveries were reported by 77% of participants. Commonly reported complications during recovery with any method were: orthopedic injury (66%), myopathy (54%), skin abrasion (53%) and airway obstruction (37%). The incidences of unacceptable quality of recovery (p = 0.09) or personnel injury (p = 0.56) were not different between assisted and nonassisted recoveries; however, more equine fatalities were reported for assisted recoveries (p < 0.006). Practitioners in academia reported more unacceptable recoveries (p < 0.0007) and personnel injuries (p < 0.002) compared with those in private practice. Conclusions: The method of recovery differs among hospitals. Recovery personnel injuries associated with assisting horses during recovery are an important and previously unreported finding.
Copyright © 2021 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.
Publication Date: 2021-01-12 PubMed ID: 33536139DOI: 10.1016/j.vaa.2020.12.005Google Scholar: Lookup
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- Journal Article
Summary
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This research evaluates the practices and safety measures employed in reviving horses post-general anesthesia and the possible hazards associated with the personnel involved in this process. The study conducted an online questionnaire answered by veterinary practitioners from around the world and discovered that the recovery method varied across hospitals, and there was a substantial rate of unfavorable recurrences and injuries to the recovery personnel.
Methodology
- An online questionnaire was the principal tool used in this study. It included questions on general demographic data, drugs used for recovery, methodology and specifics of equine recovery, and morbidity and mortality.
- The questionnaire was distributed via email to equine practitioners all over the world and generated 373 responses from participants in 22 countries.
- The participants comprised of board-certified equine surgeons (53%), anesthesiologists (18%), large animal residents (8%), general practitioners (7%), large animal interns (6%), anesthesia residents (4.5%), and veterinary technicians (1.6%).
- 58% of the respondents were from academia, while 42% represented private practice.
Findings
- Most participants reported helping horses during their recovery. About 23% helped with every recovery, whereas 44% only assisted in the majority of cases.
- The reasons for assisting varied and included orthopedic processes (57%), neurological deficits (49%), bad health (47%), history of poor recovery (44%), foals (42%), draft breeds (30%), magnetic resonance imaging (17%), and computed tomography (16%).
- A significant number (77%) reported unacceptable recoveries. Reported complications included orthopedic injury (66%), myopathy (54%), skin abrasion (53%), and airway obstruction (37%).
- The statistics showed that the quality of recovery or personnel injury was not affected by whether the recovery was assisted or nonassisted. However, more horse fatalities were reported for assisted recoveries.
- Academic practitioners reported more unacceptable recoveries and personnel injuries compared to those in private practice.
Conclusion
- The study determined that the method of recovery from general anesthesia in horses varies among hospitals.
- Personnel injuries related to assisting horses during recovery are significant and necessitate further attention and study. This aspect was previously unreported, marking its importance.
Cite This Article
APA
de Miguel Garcia C, Campoy L, Parry S, Miller JE, Martin-Flores M, Gleed RD.
(2021).
Questionnaire on the process of recovering horses from general anesthesia and associated personnel injury in equine practice.
Vet Anaesth Analg, 48(2), 223-229.
https://doi.org/10.1016/j.vaa.2020.12.005 Publication
Researcher Affiliations
- Section of Anesthesiology and Pain Management, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
- Section of Anesthesiology and Pain Management, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA. Electronic address: lc268@cornell.edu.
- Cornell Statistical Consulting Unit, Cornell University, Ithaca, NY, USA.
- Section of Dermatology, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
- Section of Anesthesiology and Pain Management, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
- Section of Anesthesiology and Pain Management, Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
MeSH Terms
- Anesthesia Recovery Period
- Anesthesia, General / veterinary
- Animals
- Horse Diseases
- Horses
- Surveys and Questionnaires
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