Anestesia epidural na cirurgia descompressiva lombossacral de cães

Detalhes bibliográficos
Autor(a) principal: FERNANDES, Thaiza Helena Tavares
Data de Publicação: 2012
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFRPE
Texto Completo: http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5872
Resumo: The objective of this study was to evaluate the feasibility, effectiveness, advantages and disadvantages of lumbosacral epidural anesthesia associated with inhalation anesthesia in surgical decompression of cauda equina, seeing as this is a lengthy procedure with a painful recovery from anesthesia. Eleven adult dogs were selected from the Veterinary Hospital, without distinction of sex, which showed clinical signs of cauda equina syndrome, diagnosed by neurological examination and radiographs. The dogs were submitted to general inhalation anesthesia and left at a superficial stage, after which epidural anesthesia with bupivacaine 0.5% via spinal tap in L7-S1 was performed in six of 11 patients. To confirm epidural block, the patellar and flexor reflexes were tested, along with evalluation of muscle tone and skin dermatomes, with the animals in a superficial anesthetic plane. The approach to spinal column was then performed by the neurosurgery team. Physiological parameters (heart, vascular, respiratory and body temperature) were measured before the preanesthetic medication, 10 minutes after, 30 minutes after epidural block, after opening the spine and 60 minutes, 90 minutes, both in the animals with and without an epidural. The amount of isoflurane used and time to extubation were also noted. Animals that had epidurals showed a significant reduction in the consumption of isoflurane and time until extubation. There were no neurological deficits caused by the epidural anesthesia when compared with the group without epidural anesthesia. It was concluded that epidural anesthesia is effective in lumbosacral decompression surgeries, leading to a lower anesthetic risk for the animals.
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spelling TUDURY, Eduardo AlbertoTENÓRIO , Ana Paula MonteiroMENEZES, Flávia Ferreira deCAVALCANTI, Grazielle Anahy de Sousa Aleixohttp://lattes.cnpq.br/0400459122645013FERNANDES, Thaiza Helena Tavares2016-11-07T14:55:24Z2012-02-07FERNANDES, Thaiza Helena Tavares. Anestesia epidural na cirurgia descompressiva lombossacral de cães. 2012. 54 f. Dissertação (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5872The objective of this study was to evaluate the feasibility, effectiveness, advantages and disadvantages of lumbosacral epidural anesthesia associated with inhalation anesthesia in surgical decompression of cauda equina, seeing as this is a lengthy procedure with a painful recovery from anesthesia. Eleven adult dogs were selected from the Veterinary Hospital, without distinction of sex, which showed clinical signs of cauda equina syndrome, diagnosed by neurological examination and radiographs. The dogs were submitted to general inhalation anesthesia and left at a superficial stage, after which epidural anesthesia with bupivacaine 0.5% via spinal tap in L7-S1 was performed in six of 11 patients. To confirm epidural block, the patellar and flexor reflexes were tested, along with evalluation of muscle tone and skin dermatomes, with the animals in a superficial anesthetic plane. The approach to spinal column was then performed by the neurosurgery team. Physiological parameters (heart, vascular, respiratory and body temperature) were measured before the preanesthetic medication, 10 minutes after, 30 minutes after epidural block, after opening the spine and 60 minutes, 90 minutes, both in the animals with and without an epidural. The amount of isoflurane used and time to extubation were also noted. Animals that had epidurals showed a significant reduction in the consumption of isoflurane and time until extubation. There were no neurological deficits caused by the epidural anesthesia when compared with the group without epidural anesthesia. It was concluded that epidural anesthesia is effective in lumbosacral decompression surgeries, leading to a lower anesthetic risk for the animals.Objetivou-se neste trabalho avaliar a viabilidade, eficácia, vantagens e desvantagens da anestesia epidural lombossacral junto à anestesia geral inalatória em cirurgias de descompressão da cauda equina, tendo em vista que essa cirurgia é um procedimento longo e doloroso. Para isso, foram utilizados 11 cães adultos do atendimento de rotina do Hospital Veterinário, sem distinção de sexo, que apresentaram sinais clínicos de síndrome da cauda equina, diagnosticada através de exames neurológicos e radiográficos. Os cães foram submetidos à anestesia geral inalatória e deixados no estágio anestésico mais superficial. Depois, realizou-se a anestesia epidural em seis dos 11 pacientes, por punção espinhal em L7-S1, com o anestésico bupivacaína a 0,5%. Para a certificação do bloqueio foi realizado teste dos reflexos patelar e flexor, tônus muscular e dermátomos cutâneos, com os animais em plano anestésico superficial. Posteriormente, realizou-se a abordagem cirúrgica à coluna pela equipe de neurocirurgia. Os parâmetros fisiológicos (cardíacos, vasculares, respiratórios, temperatura corporal e glicemia) foram aferidos antes da medicação pré-anestésica (MPA), 10 minutos após a MPA, 30 minutos depois da epidural, depois da laminectomia, assim como após 60 minutos e 90 minutos, tanto no grupo com epidural quanto no sem epidural. Também se verificaram a quantidade de isofluorano consumido e o tempo de extubação. Os animais que possuíam bloqueio epidural apresentaram redução significativa no consumo de anestésico inalatório e no tempo de extubação. Não apresentaram déficits neurológicos causados pela anestesia epidural, quando comparados com o grupo sem anestesia epidural. Conclui-se que a técnica de anestesia epidural é eficiente e vantajosa na realização de cirurgias descompressivas lombossacrais, levando ao um menor risco anestésico para o animal.Submitted by (edna.saturno@ufrpe.br) on 2016-11-07T14:55:24Z No. of bitstreams: 1 Thaiza Helena Tavares Fernandes.pdf: 729066 bytes, checksum: 22b67a7383f19084065930ca918692e1 (MD5)Made available in DSpace on 2016-11-07T14:55:24Z (GMT). No. of bitstreams: 1 Thaiza Helena Tavares Fernandes.pdf: 729066 bytes, checksum: 22b67a7383f19084065930ca918692e1 (MD5) Previous issue date: 2012-02-07application/pdfporUniversidade Federal Rural de PernambucoPrograma de Pós-Graduação em Ciência VeterináriaUFRPEBrasilDepartamento de Medicina VeterináriaCãoCauda equinaAnalgesiaAnestesiaCirurgia veterináriaAnestesia epiduralCIENCIAS AGRARIAS::MEDICINA VETERINARIAAnestesia epidural na cirurgia descompressiva lombossacral de cãesEpidural anesthesia in the lumbosacral decompressive surgery in dogsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-3061482854177903105600600600-3020210563763616780453670264235017319info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFRPEinstname:Universidade Federal Rural de Pernambuco (UFRPE)instacron:UFRPELICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://www.tede2.ufrpe.br:8080/tede2/bitstream/tede2/5872/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51ORIGINALThaiza Helena Tavares Fernandes.pdfThaiza Helena Tavares Fernandes.pdfapplication/pdf729066http://www.tede2.ufrpe.br:8080/tede2/bitstream/tede2/5872/2/Thaiza+Helena+Tavares+Fernandes.pdf22b67a7383f19084065930ca918692e1MD52tede2/58722018-02-27 12:27:20.198oai:tede2: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.tede2.ufrpe.br:8080/tede/PUBhttp://www.tede2.ufrpe.br:8080/oai/requestbdtd@ufrpe.br ||bdtd@ufrpe.bropendoar:2024-05-28T12:33:38.552355Biblioteca Digital de Teses e Dissertações da UFRPE - Universidade Federal Rural de Pernambuco (UFRPE)false
dc.title.por.fl_str_mv Anestesia epidural na cirurgia descompressiva lombossacral de cães
dc.title.alternative.eng.fl_str_mv Epidural anesthesia in the lumbosacral decompressive surgery in dogs
title Anestesia epidural na cirurgia descompressiva lombossacral de cães
spellingShingle Anestesia epidural na cirurgia descompressiva lombossacral de cães
FERNANDES, Thaiza Helena Tavares
Cão
Cauda equina
Analgesia
Anestesia
Cirurgia veterinária
Anestesia epidural
CIENCIAS AGRARIAS::MEDICINA VETERINARIA
title_short Anestesia epidural na cirurgia descompressiva lombossacral de cães
title_full Anestesia epidural na cirurgia descompressiva lombossacral de cães
title_fullStr Anestesia epidural na cirurgia descompressiva lombossacral de cães
title_full_unstemmed Anestesia epidural na cirurgia descompressiva lombossacral de cães
title_sort Anestesia epidural na cirurgia descompressiva lombossacral de cães
author FERNANDES, Thaiza Helena Tavares
author_facet FERNANDES, Thaiza Helena Tavares
author_role author
dc.contributor.advisor1.fl_str_mv TUDURY, Eduardo Alberto
dc.contributor.advisor-co1.fl_str_mv TENÓRIO , Ana Paula Monteiro
dc.contributor.referee1.fl_str_mv MENEZES, Flávia Ferreira de
dc.contributor.referee2.fl_str_mv CAVALCANTI, Grazielle Anahy de Sousa Aleixo
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0400459122645013
dc.contributor.author.fl_str_mv FERNANDES, Thaiza Helena Tavares
contributor_str_mv TUDURY, Eduardo Alberto
TENÓRIO , Ana Paula Monteiro
MENEZES, Flávia Ferreira de
CAVALCANTI, Grazielle Anahy de Sousa Aleixo
dc.subject.por.fl_str_mv Cão
Cauda equina
Analgesia
Anestesia
Cirurgia veterinária
topic Cão
Cauda equina
Analgesia
Anestesia
Cirurgia veterinária
Anestesia epidural
CIENCIAS AGRARIAS::MEDICINA VETERINARIA
dc.subject.eng.fl_str_mv Anestesia epidural
dc.subject.cnpq.fl_str_mv CIENCIAS AGRARIAS::MEDICINA VETERINARIA
description The objective of this study was to evaluate the feasibility, effectiveness, advantages and disadvantages of lumbosacral epidural anesthesia associated with inhalation anesthesia in surgical decompression of cauda equina, seeing as this is a lengthy procedure with a painful recovery from anesthesia. Eleven adult dogs were selected from the Veterinary Hospital, without distinction of sex, which showed clinical signs of cauda equina syndrome, diagnosed by neurological examination and radiographs. The dogs were submitted to general inhalation anesthesia and left at a superficial stage, after which epidural anesthesia with bupivacaine 0.5% via spinal tap in L7-S1 was performed in six of 11 patients. To confirm epidural block, the patellar and flexor reflexes were tested, along with evalluation of muscle tone and skin dermatomes, with the animals in a superficial anesthetic plane. The approach to spinal column was then performed by the neurosurgery team. Physiological parameters (heart, vascular, respiratory and body temperature) were measured before the preanesthetic medication, 10 minutes after, 30 minutes after epidural block, after opening the spine and 60 minutes, 90 minutes, both in the animals with and without an epidural. The amount of isoflurane used and time to extubation were also noted. Animals that had epidurals showed a significant reduction in the consumption of isoflurane and time until extubation. There were no neurological deficits caused by the epidural anesthesia when compared with the group without epidural anesthesia. It was concluded that epidural anesthesia is effective in lumbosacral decompression surgeries, leading to a lower anesthetic risk for the animals.
publishDate 2012
dc.date.issued.fl_str_mv 2012-02-07
dc.date.accessioned.fl_str_mv 2016-11-07T14:55:24Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
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dc.identifier.citation.fl_str_mv FERNANDES, Thaiza Helena Tavares. Anestesia epidural na cirurgia descompressiva lombossacral de cães. 2012. 54 f. Dissertação (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.
dc.identifier.uri.fl_str_mv http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5872
identifier_str_mv FERNANDES, Thaiza Helena Tavares. Anestesia epidural na cirurgia descompressiva lombossacral de cães. 2012. 54 f. Dissertação (Programa de Pós-Graduação em Ciência Veterinária) - Universidade Federal Rural de Pernambuco, Recife.
url http://www.tede2.ufrpe.br:8080/tede2/handle/tede2/5872
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dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Ciência Veterinária
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dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Departamento de Medicina Veterinária
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