2025 – NR 1 RAID – 5 Ge din valp den bästa starten i sitt nya hem TRYGGHET när jag är orolig om natten MOD när jag blir rädd för höga ljud FOKUS när jag ska lära mig nya saker extubated is snoring. If the horse shows any signs of upper respiratory issues (indicated by an inspiratory snoring sound when extubated and the respiration once again is performed through the nostrils) a nasal tube is placed in one of the nostrils. In most cases, the issues are resolved by this approach. However, complications have been experienced when using nasal tubes, for example nasal bleeding, complicated placement of the tube, horses easily losing the tube early in the recovery phase, etc. Standardized protocols for extubation and management of a patient with respiratory complications are nowhere to be found at the hospital, which is another issue to handle. PROJECT METHODOLOGY The outcome was measured as; the number of horses that received a nasal tube during the recovery period after general anesthesia. The journals of the last 40 cases that were anesthetized on the hospital were reviewed, and the percentage share of the horses which received a nasal tube out of the 40 horses anesthetized, were calculated. From the anesthesia journals, the signalment (breed, weight and age) of the horse were retrieved, as well as the type of surgery that was performed. Further were the length of the anesthesia, the positioning of the horse in dorsal or lateral recumbency and the use of a nasal tube or not in the recovery, recorded. Both foals and adult horses were included. Horses which were euthanized before the recovery phase were excluded from the study. To complement the audit, a questionnaire was sent by email to all veterinary nurses and veterinarians who perform anesthesia at the hospital. The aim of the questionnaire was to get an insight of the recovery routine and what respiratory problems the personnel had experienced during the recovery period. The questions that were asked were: • How are your routines when a horse enters the recovery room and it is time for extubation? • Do you experience any issues with respect to respiration in the recovery? If yes, what kind of issues? RESULTS OF DATA COLLECTION Out of 40 anesthesia journals that were reviewed, two were excluded since both horses were euthanized on the table. Of the remaining 38 patients, 26 had some kind of respiratory complication following extubation and received a nasal tube. This represents an overall percentage of 68% of the anesthetized horses having a respiratory complication during their recovery. Data of all patients included in the audit is presented in the table below. As the second part of this audit, the questionnaire was responded by nine out of eleven respondents (82%).
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