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Assessment of the respiratory system during recovery from general anaesthesia in dogs using electrical impedance tomography
Thesis   Open access

Assessment of the respiratory system during recovery from general anaesthesia in dogs using electrical impedance tomography

Masters by Research, Murdoch University
2025
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Abstract

Veterinary anesthesia Cardiovascular system--Surgery--Complications Anesthesiology--Apparatus and instruments
Respiratory complications are a major cause of post-anaesthetic mortality in dogs. Its pathophysiology is poorly understood due to the limitations of traditional monitoring technologies. The thesis aimed to i) develop an electrode belt that accommodates dogs of different breeds and thoracic conformations, and ii) to quantify respiratory changes using electrical impedance tomography (EIT) via the constructed belt in the post-anaesthetic period in dogs. In the first study, a canine-specific 32-electrode belt was developed. Its performance was assessed in 18 dogs. In the second study, EIT data was collected via the constructed belt in 8 dogs in the post-anaesthetic period after neutering. The EIT data collected included global variables: tidal impedance variation (TIV), minute TIV (MTIV) and end-expiratory lung impedance (EELI), which describes lung volumes; and regional variables: centre of ventilation, region of interests and silent spaces, which describes ventilation distribution. These variables were statistically and descriptively compared at time points from the end of anaesthesia to 15 minutes post-extubation. In the first study, the constructed belt obtained optimal signals in 15/18 (83 %) of dogs of varying breeds and thoracic conformations. Reasons of failure included computer issue and failed signal acquisition from thick hair coat. The second study showed an overall improvement in respiratory function in 7/8 (87.5 %) of dogs based on an increase in MTIV and EELI at 15 minutes post-extubation. Inter-individual variations were observed, with many showed temporary improvement in respiratory function at the time of extubation with subsequent deterioration. The study was limited by the small sample size and lack of preanaesthetic baseline. It is unknown if respiratory function were normalised by 15 minutes post-extubation. The use of EIT via the constructed belt provided insight of the mechanisms and timings of post-anaesthetic pulmonary complications. The need for vigilant, individualised monitoring during recovery is highlighted.

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