Publication: Aplicación clínica de la anestesia total intravenosa en perros
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2021-03-16
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Universidad Complutense de Madrid
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Abstract
La anestesia total intravenosa (TIVA), consistente en la inducción y mantenimiento anestésicos mediante fármacos administrados por vía intravenosa (IV),ofrece ventajas respecto a la anestesia inhalatoria, tales como un mejor mantenimiento dela presión arterial (PA), una recuperación adecuada y una menor contaminación del ambiente de quirófano y de la atmósfera. Sin embargo, su utilización en medicina veterinaria es inferior a la anestesia inhalatoria, considerada como la técnica estándar de mantenimiento anestésico. Aunque existen diversos estudios que evalúan el impacto cardiorrespiratorio y la calidad de recuperación de la TIVA de propofol en comparación con la anestesia inhalatoria con isoflurano, o bien la utilización de la TIVA de alfaxalona en diversos procedimientos quirúrgicos, no se han comparado ambas técnicas al emplear una dosis reducida de estos fármacos, como puede lograrse al emplear técnicas de anestesia locorregional o mediante la adición de fármacos adyuvantes con efecto hipnótico o analgésico...
Total intravenous anaesthesia (TIVA) is an anaesthetic maintenance technique where induction and maintenance of anaesthesia are achieved solely by intravenous (IV) drugs. It offers advantages compared to inhalational anaesthesia, such as a better maintenance of arterial blood pressures, better recovery quality and reduced atmospheric and theatre pollution. Usage of TIVA in veterinary medicine is thought to be less common than inhalational anaesthesia, considered as the standard technique to provide general anaesthesia. There are several studies that evaluate the cardiorespiratory effects and recovery characteristics of propofol TIVA compared to inhalational anaesthesia in dogs, as well as the clinical use of alfaxalone TIVA. However, to the best of the authors’ knowledge there are no studies that evaluate both anaesthetic techniques when reduced doses of anaesthetic agents are used by adding locorregional analgesic techniques or adjuvant drugs infusions to enhance its hypnotic or analgesic effects...
Total intravenous anaesthesia (TIVA) is an anaesthetic maintenance technique where induction and maintenance of anaesthesia are achieved solely by intravenous (IV) drugs. It offers advantages compared to inhalational anaesthesia, such as a better maintenance of arterial blood pressures, better recovery quality and reduced atmospheric and theatre pollution. Usage of TIVA in veterinary medicine is thought to be less common than inhalational anaesthesia, considered as the standard technique to provide general anaesthesia. There are several studies that evaluate the cardiorespiratory effects and recovery characteristics of propofol TIVA compared to inhalational anaesthesia in dogs, as well as the clinical use of alfaxalone TIVA. However, to the best of the authors’ knowledge there are no studies that evaluate both anaesthetic techniques when reduced doses of anaesthetic agents are used by adding locorregional analgesic techniques or adjuvant drugs infusions to enhance its hypnotic or analgesic effects...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Veterinaria, leída el 27-07-2020