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Prevalence and risk factors for postanesthetic aspiration pneumonia (1999--2009): A multicenter study.

机译：麻醉后吸入性肺炎的患病率和危险因素（1999--2009年）：一项多中心研究。

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摘要

To date no multicenter assessment of incidence or risk factors for post anesthetic aspiration in the canine population has been performed. The goal of this study was to estimate incidence and identify risk factors for post anesthetic aspiration pneumonia in the canine patient. Medical record databases from six institutions were searched to identify all cases of pneumonia in dogs that had general anesthesia from 1999 to 2009. After record review, dogs were included in the study if a radiographic diagnosis of aspiration pneumonia was made within 4 days following anesthesia. Each affected dog was compared with two unaffected control dogs. Control dogs were randomly selected from the remaining canine patients coded for one hour of anesthesia in each database. The overall incidence was 1.7 in 1000. Factors associated with increased risk for aspiration pneumonia included: age, weight, ASA status, history of neurological disease or respiratory disease, abdominal exploratory surgery, upper airway surgery, use of continuous rate infusion, megaesophagus, endoscopy, hydromorphone at induction and vomiting or regurgitation anytime during the anesthetic or recovery period. The combined data from the previously described retrospective study and a future prospective study of post anesthetic aspiration risk factors have the potential to create a scale for aspiration pneumonia risk.
机译：迄今为止，尚未进行犬中心麻醉后误吸发生率或危险因素的多中心评估。这项研究的目的是估计犬患者麻醉后吸入性肺炎的发病率并确定危险因素。检索了来自六个机构的病历数据库，以鉴定1999年至2009年接受全身麻醉的狗的所有肺炎病例。经过记录审查后，如果在麻醉后4天内进行放射学诊断为吸入性肺炎，则将狗纳入研究。将每只患病犬与两只未患病的对照犬进行比较。从每个数据库中编码为麻醉一小时的其余犬类患者中随机选择对照犬。总发生率为1000的1.7。与吸入性肺炎风险增加相关的因素包括：年龄，体重，ASA状况，神经系统疾病或呼吸系统疾病史，腹部探查手术，上呼吸道手术，连续输注量使用，食管，内镜检查，在麻醉或恢复期间的任何时候诱导，呕吐或反流时使用氢吗啡酮。先前描述的回顾性研究和麻醉后吸入性危险因素的未来前瞻性研究的合并数据有可能为吸入性肺炎危险性创建量表。

著录项

  • 作者

    Ovbey, Dianna.;

  • 作者单位

    Michigan State University.;

  • 授予单位 Michigan State University.;
  • 学科 Veterinary science.
  • 学位 M.S.
  • 年度 2011
  • 页码 68 p.
  • 总页数 68
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
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