| A comparison of anesthetic complications between diabetic and nondiabetic dogs undergoing phacoemulsification cataract surgery: a retrospective study. | |
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MedLine Citation:
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PMID: 20618803 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To compare the incidence of anesthetic complications in diabetic and nondiabetic dogs undergoing general anesthesia and phacoemulsification cataract surgery. PROCEDURE: The medical and anesthetic records of all dogs undergoing phacoemulsification cataract surgery at Davies Veterinary Specialists between 2005 and 2008 were reviewed. Anesthetic records were evaluated by an ECVAA Diplomate. Dogs for which records were incomplete were excluded. The anesthetic technique, including all drugs administered in the perioperative period, was recorded. The anesthetic complications investigated included hypotension (MAP (mmHg): >or=55 none/mild; <or=54 moderate/severe), bradycardia (<60 bpm associated with hypotension) and hypothermia (esophageal temperature <36.7 degrees C). Where hypotension was present, the method of and response to treatment was recorded. The incidence of severe hyperglycemia (blood glucose >13.75 mmol/L (250 mg/dL)) in the diabetic group was also assessed. RESULTS: 66 diabetic and 64 nondiabetic dogs were included in the study. Diabetic dogs were more likely to develop moderate and severe intraoperative hypotension than nondiabetic dogs. Forty-four percent of diabetic dogs had at least one episode of severe hyperglycemia whilst anesthetized. CONCLUSIONS: Diabetic dogs undergoing phacoemulsification are more likely to suffer the anesthetic complications of moderate and severe hypotension than nondiabetic dogs. The increased incidence and severity of hypotension in diabetic dogs may be explained by hypovolemia secondary to hyperglycemia and resultant osmotic diuresis. |
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Authors:
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James A C Oliver; Louise Clark; Federico Corletto; David J Gould |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Veterinary ophthalmology Volume: 13 ISSN: 1463-5224 ISO Abbreviation: Vet Ophthalmol Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-12 Completed Date: 2010-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100887377 Medline TA: Vet Ophthalmol Country: England |
Other Details:
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Languages: eng Pagination: 244-50 Citation Subset: IM |
Affiliation:
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Davies Veterinary Specialists, Manor Farm Business Park, Higham Gobion, Hertfordshire, SG5 3HR, UK. jaco@vetspecialists.co.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acepromazine
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adverse effects Anesthesia, Intravenous / adverse effects, veterinary* Animals Bradycardia / chemically induced, veterinary Cataract / complications, veterinary Diabetes Mellitus / veterinary* Dog Diseases / surgery* Dogs Female Hyperglycemia / chemically induced, veterinary Hypnotics and Sedatives / adverse effects Hypotension / chemically induced, veterinary Hypothermia / chemically induced, veterinary Male Methadone / adverse effects Phacoemulsification / adverse effects, veterinary* Preanesthetic Medication / adverse effects, veterinary Propofol / adverse effects Retrospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Hypnotics and Sedatives; 2078-54-8/Propofol; 61-00-7/Acepromazine; 76-99-3/Methadone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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