critical care; dogs; perioperative complications; surgery
Abstract :
[en] This study aimed to assess the efficacy of a veterinary enhanced recovery after surgery (Vet-ERAS) protocol in dogs undergoing emergency laparotomy (EL). The protocol, adapted from human medicine, encompassed a multidisciplinary approach and interventions such as early goal-directed fluid resuscitation, antibiotic prophylaxis, anti-emetic therapy, multimodal analgesia, and early enteral nutrition. A prospective observational study compared outcomes between dogs managed with the Vet-ERAS protocol (n = 59) and historical controls (n = 82). Implementation of the Vet-ERAS protocol resulted in a significant reduction in perioperative complication rates (p = 0.003) and 15-day mortality (5% vs. 20.7%). Intraoperative complications, including tachycardia and hypothermia, were significantly lower in the Vet-ERAS group. Compliance with the protocol improved over time (p = 0.01). These findings suggest that integrating the Vet-ERAS protocol into perioperative management can improve outcomes in dogs undergoing EL.
Disciplines :
Veterinary medicine & animal health
Author, co-author :
Carcéles, Aida Fages; Department of Veterinary Sciences, Veterinary Teaching Hospital "M. Modenato", University of Pisa, 56122 Pisa, Italy ; Doctoral School, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain
Degani, Massimiliano ; Université de Liège - ULiège > Département d'Enseignement et de Clinique des animaux de Compagnie (DCC) > Anesthésiologie et réanimation des animaux de compagnie ; Department of Veterinary Sciences, Veterinary Teaching Hospital "M. Modenato", University of Pisa, 56122 Pisa, Italy
Soler, Carme ; Doctoral School, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain ; Small Animal Medicine and Surgery Department, Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain
Serra, Claudio Iván ; Small Animal Medicine and Surgery Department, Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain
Fernández-Salesa, Nuria ; Small Animal Medicine and Surgery Department, Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain
García de Carellán Mateo, Alejandra; Small Animal Medicine and Surgery Department, Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain
Herrería-Bustillo, Vicente José; Small Animal Medicine and Surgery Department, Veterinary Teaching Hospital, Catholic University of Valencia "San Vicente Mártir", 46018 Valencia, Spain
Di Franco, Chiara ; Department of Veterinary Sciences, Veterinary Teaching Hospital "M. Modenato", University of Pisa, 56122 Pisa, Italy
Briganti, Angela ; Department of Veterinary Sciences, Veterinary Teaching Hospital "M. Modenato", University of Pisa, 56122 Pisa, Italy
Language :
English
Title :
Veterinary Enhanced Recovery After Surgery (Vet-ERAS) Program in Dogs Undergoing Emergency Laparotomy.
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