PDF(Pubmed)
Abstract：
UNASSIGNED: Wound infusion catheters (WICs) have been used in humans and some veterinary species for post-operative local anesthetic administration following a variety of surgical procedures, aiming to reduce post-operative analgesia requirements and improve patient comfort. Benefit in reduction in pain, post-operative analgesia requirements and length of hospital stay are well documented in humans, but use of WICs may not have been widely adopted in veterinary species due to the concern of increased complications, such as dehiscence or surgical site infection (SSI), creating a barrier to their use. This study aimed to evaluate the use of WICs in horses undergoing standing partial ostectomy surgeries, document complications and investigate if the incidence of SSI was equivalent between those horses that did and did not have a WIC.
UNASSIGNED: Clinical records were searched between January 2010-December 2023 for horses undergoing standing partial ostectomy surgery of thoracolumbar vertebral spinous processes at one institution. Population variables (age, breed, bodyweight), placement of a WIC or not, post-operative complications, analgesia protocols and surgical time were recorded. Horses received up to 0.1 mg kg-1 bupivacaine (0.5 mg mL-1) every 6-8 h via the WIC where one was placed. To compare SSI complication incidence between using or not using a WIC, a proportional independent equivalence test was used.
UNASSIGNED: There were 64 horses included in the final analysis with a WIC placed in 29/64 horses (45.3%) and 35/64 (54.7%) having no WIC placed at surgery. Incidence of short-term SSI was 11.4% (no WIC used) and 13.8% (WIC used), respectively. The difference in proportion of SSI between the presence or absence of a WIC was not significant [-0.024 (90% CI -0.181; 0.133); p = 0.94].
UNASSIGNED: The incidence of SSIs was equivalent between groups whether a WIC was used or not. WICs should be considered as part of a multi-modal analgesic approach in the post-operative period. Further research into local anesthetic dosing and its impact on rescue analgesia requirements and pain-scores is warranted.
UNASSIGNED: Clinical records were searched between January 2010-December 2023 for horses undergoing standing partial ostectomy surgery of thoracolumbar vertebral spinous processes at one institution. Population variables (age, breed, bodyweight), placement of a WIC or not, post-operative complications, analgesia protocols and surgical time were recorded. Horses received up to 0.1 mg kg-1 bupivacaine (0.5 mg mL-1) every 6-8 h via the WIC where one was placed. To compare SSI complication incidence between using or not using a WIC, a proportional independent equivalence test was used.
UNASSIGNED: There were 64 horses included in the final analysis with a WIC placed in 29/64 horses (45.3%) and 35/64 (54.7%) having no WIC placed at surgery. Incidence of short-term SSI was 11.4% (no WIC used) and 13.8% (WIC used), respectively. The difference in proportion of SSI between the presence or absence of a WIC was not significant [-0.024 (90% CI -0.181; 0.133); p = 0.94].
UNASSIGNED: The incidence of SSIs was equivalent between groups whether a WIC was used or not. WICs should be considered as part of a multi-modal analgesic approach in the post-operative period. Further research into local anesthetic dosing and its impact on rescue analgesia requirements and pain-scores is warranted.
摘要：
伤口输注导管（WIC）已用于人类和某些兽类，用于各种外科手术后的术后局部麻醉药，旨在降低术后镇痛需求，提高患者舒适度。减少疼痛的好处，术后镇痛要求和住院时间在人类中有很好的记录，但是，由于并发症增加的担忧，WIC的使用可能尚未在兽医物种中广泛采用，如裂开或手术部位感染（SSI），为它们的使用制造障碍。这项研究旨在评估WIC在接受站立部分切除手术的马匹中的使用。记录并发症，并调查有和没有WIC的马匹的SSI发生率是否相等。
■在2010年1月至2023年12月之间搜索了在一个机构接受胸腰椎棘突站立部分切除手术的马的临床记录。人口变量(年龄，品种,体重)，是否放置WIC，术后并发症,记录镇痛方案和手术时间.马每6-8小时通过放置WIC接受高达0.1mgkg-1布比卡因（0.5mgmL-1）。为了比较使用或不使用WIC的SSI并发症发生率，采用比例独立等效试验.
■最终分析中包括64匹马，其中WIC放置在29/64马（45.3％）和35/64（54.7％）中，没有WIC放置在手术中。短期SSI的发生率为11.4%（未使用WIC）和13.8%（使用WIC），分别。存在或不存在WIC的SSI比例差异不显著[-0.024(90%CI-0.181;0.133);p=0.94]。
■无论是否使用WIC，SSIs的发生率在组间是相等的。WIC应被视为术后多模式镇痛方法的一部分。需要进一步研究局部麻醉药的剂量及其对抢救镇痛要求和疼痛评分的影响。
■在2010年1月至2023年12月之间搜索了在一个机构接受胸腰椎棘突站立部分切除手术的马的临床记录。人口变量(年龄，品种,体重)，是否放置WIC，术后并发症,记录镇痛方案和手术时间.马每6-8小时通过放置WIC接受高达0.1mgkg-1布比卡因（0.5mgmL-1）。为了比较使用或不使用WIC的SSI并发症发生率，采用比例独立等效试验.
■最终分析中包括64匹马，其中WIC放置在29/64马（45.3％）和35/64（54.7％）中，没有WIC放置在手术中。短期SSI的发生率为11.4%（未使用WIC）和13.8%（使用WIC），分别。存在或不存在WIC的SSI比例差异不显著[-0.024(90%CI-0.181;0.133);p=0.94]。
■无论是否使用WIC，SSIs的发生率在组间是相等的。WIC应被视为术后多模式镇痛方法的一部分。需要进一步研究局部麻醉药的剂量及其对抢救镇痛要求和疼痛评分的影响。
