Читать книгу Manual of Equine Anesthesia and Analgesia - Группа авторов - Страница 17

 In otherwise healthy horses, the risk of mortality (euthanasia) following fracture repair is highest from repair failure or from fracture of another bone.

 However, long periods of anesthesia typical of fracture repair have also been associated with increased mortality, and horses presented for fracture repair may be dehydrated and stressed.Emergency surgery (non‐colic) carries a 4.25 times higher risk of mortality compared with elective surgery, and for emergency abdominal surgery the risk of fatality is 11.7%.Colic surgery is associated with increased mortality because of a higher ASA physical status, emergency procedure with less time for stabilization, and use of dorsal recumbency possibly with episodes of hypotension.Eye surgery, in one institution, resulted in longer recovery times and risk of complications and were associated with long anesthesia time compared to non‐ophthalmic procedures. Fluconazole (microsomal P450 enzyme inhibitor) use was associated with increased risk of postoperative colic and longer recovery time. The use of the lowest effective volume of local anesthetic for a retrobulbar block was also recommended (10 ml/500 kg horse). Ophthalmic procedures have been associated with unsatisfactory recovery quality.

 Assisted recovery with ropes can decrease the risk of fracture and dislocation, although the benefit of assisted‐recovery is still debatable.