Ovaryohisterektomi sırasında monitörizasyon parametrelerinin köpeklerin ağrılıklarına göre değerlendirilmesi

Öz

Bu çalışmada, köpeklerde ovaryohisterektomi (OHE) sırasında monitörizasyon parametrelerindeki değişiklerin belirlenmesi amaçlanmıştır. Kısırlaştırma isteğiyle getirilen farklı ırk ve yaşlardaki 30 köpek, vücut ağırlıklarına göre gruplandırıldı. Grup 1’e (G1; n=10) vücut ağırlığı <15 kg olanlar, grup 2’ye (G2; n=10) vücut ağırlığı 15-29 kg olanlar ve grup 3’e (G3; n=10) vücut ağırlığı ≥ 30 kg olanlar alındı. OHE öncesi kalp oranı (HFr), solunum oranı (RFr), kapillar dolum zamanı (CRT) ve vücut ısısı (T) not edildi. Operasyon sırasında HFr, kan basıncı (S/D ve ortalama), RFr, SPO2 ile T kayıt edildi. Anılan parametreler belirli kritik noktalara (ensizyon, sol ovaryuma ulaşma, sol ovaryumu uzaklaştırma, sağ ovaryuma ulaşma, sağ ovaryumu uzaklaştırma, servikse ulaşma, transfikse dikiş uygulaması, uterusun uzaklaştırılması ve kasların/derinin kapatılması) ulaşıldığında ve ayrıca 10 dakika aralıklarla kayıt edildi. Grupların vücut ağırlıkları arasındaki fark önemli bulundu (P=0,0001). Grupların operasyon öncesi değerlendirilen HFr, RFr, CRT ve T değerleri arasında fark ise önemli bulunmadı. Kritik noktalara en hızlı G1’de ulaşıldığı belirlendi. HFr kritik noktalar arasındaki ovaryumlara ulaşma/uzaklaştırma aşamalarında G1’de diğer gruplara göre önemli düzeyde yüksek belirlendi. RFr, SPO2 ve T paremetlerinin gruplar arasında fark göstermediği belirlendi. On dakika aralıklarla alınan ölçümlerde sadece kan basınçları arasında önem belirlendi. Kritik noktalara ulaşıldığında veya 10 dakika aralıklarla yapılan kayıtlarda HFr ve kan basıncı değerlerinde değişiklikler olduğu, diğer parametrelerin önemli düzeyde etkilenmediği belirlendi.

Anahtar Kelimeler

• köpek
• monitörizasyon
• ovaryohisterektomi

Evaluation of monitoring parameters according to the body weight of dogs during ovariohysterectomy

Abstract

The presented study was designed to determine changes in monitorization parameters during ovariohysterectomy (OHE). In the study, dogs were divided into three groups according to their body weight: group 1 (G1; n=10) included dogs weighing less than 15 kg, group 2 (G2; n=10) between 15 to 29 kg and group 3 (G3; n=10) included dogs weighing 30 kg and more. Each patient’s heart rate (HFr), respiratory rate (RFr), capillary refill time (CRT) and body temperature (T) were recorded prior to and after anesthetic induction. During surgery, HFr, blood pressure (S/D and mean), RFr, peripheral oxygen saturation (SPO2) and T were recorded every 10 minutes and at certain critical points during the operation (incision, reaching the left ovary, removing the left ovary, reaching the right ovary, removing the right ovary, reaching the cervix, placing the transfixation ligature, removal of the uterus and muscle/skin closure). There were no differences between the pre-operative HFr, RFr, CRT and T values of the groups. The shortest time to reach critical points was at G1. HFr was found significantly higher in G1 than the other groups when reaching/removing ovaries critical point. RFr, SPO2 and T parameters did not show any significant difference. There was significances MAP parameter in the 10 minutes interval recordings (P= 0.007). As a result, it was determined that HFr values in smaller dog breeds and MAP values in large and giant dog breeds were higher during OHE. It was concluded that all parameters should be interpreted carefully and in conjunction with each other and no vital parameter should be examined by itself.

Keywords

• Body weight
• dog
• monitorization
• ovariohysterectomy

References

1. 1. Küçükaslan İ, Kaya D. (2015). Östrojen ve Zayıf Östrojenler. Türkiye Klinikleri J Vet Sci Obstet Gynecol-Special Topics.1: 87-92.
2. 2. Öcal H, Doğan H, Saat N, Aydin M. (2015). Progesteron, Progestinler ve Antiprogestinler. Türkiye Klinikleri J Vet Sci Obstet Gynecol-Special Topics. 1: 60-86.
3. 3. Kürüm B, Pekcan Z, Kalender H, Kumandaş A, Can Mutan O, Elma E. (2013). Comparison of Propofol-Remifentanil and Propofol-Fentanyl Anesthesia During Ovariohysterectomy in Dogs. Kafkas Üniversitesi Vet Fak Derg. 19 (Suppl A): A33-A40.
4. 4. Hall LW, Clarke KW, Trim CM. (2001). Patient monitoring and clinical measurement. In.: Veterinary Anaesthesia, p 29-57. 10th edition., Saunders, London, England.
5. 5. Benson GJ, Grubb TL, Neff-Davis C et al. (2000). Perioperative Stress Response in the Dog: Effect of Pre-emptive Administration of Medetomidine. Vet Surg. 29: 85-91.
6. 6. Vaisanen M, Raekallio M, Kuusela E et al. (2002). Evaluation of The Perioperative Stress Response in Dogs Administered Medetomidine or Acepromazine as Part of The Preanesthetic Medication. Am J Vet Res. 63: 969-975.
7. 7. Van Goethem B, van Nimwegen SA, Akkerdaas, Murrell JC, Jolle K. (2012). The Effect of Neuromuscular Blockade on Canine Laparoscopic Ovariectomy: A Double-Blinded, Prospective Clinical Trial. Vet Surg. 41: 374-380.
8. 8. Bubalo V, Moens YP, Holzmann A, Coppens P. (2008). Anaesthetic Sparing Effect of Local Anaesthesia of Ovarian Pedicle During Ovariohysterectomy in Dogs. Vet Anaesth Analg. 35: 537-542.

9. 9. Höglund OV, Olson K, Hagman R, Öhlund M, Olsson U, Lagerstedt AS. (2011). Comparison of Haemodynamic Changes During Two Surgical Methods for Neutering Female Dog. Res Vet Sc.91: 159-163.
10. 10. Boscan P, Monnet E, Mama K et al. (2011) A Dog Model to Study Ovary, Ovarian Ligament and Visceral Pain. Vet Anaesth Analg. 38: 260-266.
11. 11. Berzon JL.( 1979). Complications of Elective Ovariohysterectomies in the Dog and Cat at A Teaching Institution: Clinical Review of 853 Cases, Vet Surg. 8: 9-91.
12. 12. Davidson E, Moll HD, Payton ME. (2004). Comparison of Laparoscopic Ovariohysterectomy and Ovariohysterectomy in Dog. Vet Surg. 33: 62-69.
13. 13. Pearson H. (1973) The Complications of Ovariectomy in Bitch. Small Anim Pract. 14; 973: 257-266.
14. 14. Dorn AS, Swist RA. (1977). Complications Of Canine Ovariohysterectomy. Journal of the American Anim Hos Assoc.13: 720-724.
15. 15. Burrow R, Batchelor D, Cripps P. (2005) Complications Observed During And After Ovariohysterectomy of 142 Bitches at A Veterinary Teaching Hospital. Vet Record. 157: 829-833.
16. 16. Höglund V, Hagman R, Olsson K, Olsson U, Lagerstedt AS. (2014). Intraoperative Changes in Blood Pressure, Heart Rate, Plasma Vasopressin and Urinary Noradrenalin During Elective Ovariohysterectomy in Dogs: Repeatability at Removal of the 1st and 2nd ovary. Vet Surg. 43: 852-859.
17. 17. Höglund V, Lövebrant J, Olsson U, Höglund K. (2016). Blood Pressure and Heart Rate During Ovariohysterectomy in Pyometra and Control Dogs: A Preliminary İnvestigation. Acta Vet Scand. 58: 80.
18. 18. Campbell V, Drobatz K, Perkowski S. (2003). Postoperative Hypoxemia and Hypercarbia in Healthy Dogs Undergoing Routine Ovariohysterectomy or Castration and Receiving Butorphanol or Hydromorphone for Analgesia. J Am Vet Med Assoc. 222: 330-336.
19. 19. Anonim. Monitoring the anesthetized patient. Erişim: http://www.ruralareavet.org/PDF/Anesthesia-Patient_Monitoring.pdf. Erişim tarihi: 26.06.2017.
20. 20. Höglund K, Hanas S, Carnabuci C et al. (2012) Blood Pressure, Heart rate, and Urinary Catecholamines in Healthy Dogs Subjected to Different Clinical Settings. Vet Intern Med. 26: 1300-1308.
21. 21. Carlson DG, Griffin JM. (2007). Normal physiological data. In: Dog owner’s home veterinary handbook. Debra ME, Liisa DC, Carlson DG, Giffin JM, Adelman B, (eds). 4th ed.p.573. Howel Book House, New Jersey, USA
22. 22. Pottie RG, Dart CM, Perkins NR, Hodgson DR. (2007). Effect Hypothermia On Recovery From General Anaesthesia in Dog. Aust Vet J. 85:158-162.
23. 23. Armstrong SR, Roberts BK, Aronsohn, M. (2005). Perioperative Hypothermia. J Vet Emerg Crit Care. 15: 32–37.
24. 24. Redondo JI, Suesta P, Serra I et al. (2012). Retrospective Study of The Prevalence of Postanaesthetic Hypothermia in Dogs. Vet Rec. 171: 374.
25. 25. Piccione G, Giudice E, Fazio F, Refinetti R. (2011). Association Between Obesity and Reduced Body Temperature in Dogs. Int J Obesity. 35: 1011–1018.