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POSTANESTHETIC HYPERTHERMIA IN CATS
Postanesthetic hypothermia is not too rare in cats but especially when hydromorphone and buprenorphine are used a postanesthetic hyperthermia [rectal temperature >40°C (104°F)] can occur. The prevalence of this complication and possible differences between both substances are evaluated in a large study.

125 cats with an age range of 2 months to 16.1 years, and weighing 3.9 ¡À 1.5 kg were included in this retrospective study.

Data were obtained from the medical records of 125 cats that underwent general anesthesia. Information on perioperative rectal temperatures, breed, sex, weight, surgical procedure, anesthetic time, surgery time, anesthetic and analgesic drugs were retrieved.

Statistical analyses: Five groups of cats were compared; group 1 (n = 15) received acepromazine and no opioids; group 2 (n = 17) received acepromazine and buprenorphine; group 3 (n = 19) received acepromazine, buprenorphine and ketoprofen; group 4 (n = 45) received acepromazine and hydromorphone and group 5 (n = 29) received acepromazine, hydromorphone and ketoprofen.

Data conformed to a split-plot repeated measures analysis of variance and was analyzed using SAS PROC MIXED. Post hoc tests were by means of Bonferroni t-test; ¡Ü 0.05 was considered significant.

Results: Rectal temperature was significantly decreased in all groups at the end of anesthesia. Rectal temperature was significantly elevated at 1, 1.5, 2, 3, 4 and 5 hours after the end of anesthesia in group 4, and at 2, 3 and 4 hours in group 5.

Sixty-four percent of cats in group 4 and 69% in group 5 had rectal temperatures >40 ¡ãC (104 ¡ãF) at one or more times in the postanesthetic period.

The highest temperature recorded was 42.5 ¡ãC (108.5 ¡ãF) in one cat in group 4.

Mean rectal temperature did not exceed the preoperative temperature at any time during the postanesthetic period in group 1, 2 and 3 animals.

Conclusions: This study indicates an association between hyperthermia and perioperative administration of hydromorphone in cats.
When hydromorphone is used in cats their body temperature should be closely monitored.



Source: Niedfeldt, Rebecca L & Robertson, Sheilah A (2006): Postanesthetic hyperthermia in cats: a retrospective comparison between hydromorphone and buprenorphine. In: Veterinary Anaesthesia and Analgesia 33 (6), 381-389.



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Panorama
Clean Hands Save Horses - adapted to the WHO´s Clean Hands Save Lives initiative Even before the discovery of germs, the practice of hand hygiene had revealed itself as a crucial element in the fight against infectious diseases. In fact, supported by the historical discoveries and more recent evidence based data, the World Health Organization considers hand hygiene as the pillar of infection control, particularly when related to nosocomial infections. Therefore, the World Health Organization has a strong focus on “Clean Hands Save Lives” campaigns, a principle that is easily translatable into “Clean Hands Save Horses”.

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