?Variaciones de niveles de glucosa s?rica en pacientes caninos sometidos a procedimientos quir?rgicos de ovariohisterectom?a.?

Abstract

El presente estudio tuvo como objetivo medir los niveles de glucosa pre y post quir?rgicas en perras sometidas a ovariohisterecm?a en la Sala de Cirug?a de Animales Menores de la Universidad Ricardo Palma y una cl?nica veterinaria privada. Se evaluaron 25 pacientes caninos de sexo hembra, que fueron sometidos a dicha cirug?a entre Agosto del 2017 y diciembre del 2017, a los cuales se les evalu? la glucemia en dos etapas de la cirug?a con un gluc?metro de uso humano, de acuerdo a los dos grupos de cirujanos. Los resultados fueron analizados mediante los programas SPSS y Microsoft Excel. Al evaluar las mediciones de glucosa tanto del m?dico veterinario privado como el alumno se observ? lo siguiente: en la Etapa I (pre quir?rgico) se presentaron normales un 94% e Hipergluc?mico un 6%, en la Etapa II (post quir?rgica) un 12% fue normal frente a un 88% que presentaron hiperglucemia. En los pacientes operados por los alumnos el 86% se present? normal y el 14% con hiperglucemia en la Etapa I (pre quir?rgica), mientras que en la Etapa II (post quir?rgica) el 100% presento hiperglucemia. En relaci?n al tiempo de cirug?a, tenemos en promedio 110minutos de cirug?a para los alumnos y 34,5minutos para el veterinario privado. Los resultados de acuerdo al ASA quir?rgico y los niveles de glucemia no mostraron significancia. Se comprob? la presencia de hiperglicemia postquir?rgica en la mayor?a de los pacientes en estudio, recomend?ndose realizar un monitoreo m?s exhaustivo de constantes vitales en los diferentes procedimientos quir?rgicos y clasificaciones ASA, empleando las diferentes fichas de monitoreo, adem?s se comprob? que es de suma importancia la experiencia del cirujano para acortar el tiempo de cirug?a y minimizar los riesgos de esta. The objective of this study was to measure pre and post-surgical glucose levels in bitches subjected to ovariohisterecmia in the Surgery Room of Small Animals of the Ricardo Palma University and a private veterinary clinic. Twenty-five canine female patients were evaluated, who underwent surgery between August 2017 and December 2017, at which glucose was evaluated in two stages of surgery with a glucometer for human use, according to the two groups of surgeons. The results were analyzed through the SPSS and Microsoft Excel programs. When evaluating the glucose measurements of both the private veterinarian and the student, the following was observed: in Stage I (pre-surgical), 94% were normal and 6% were hyperglycemic, in Stage II (after surgery) 12% it was normal compared to 88% who presented hyperglycemia. In the patients operated on by the students, 86% presented normal and 14% with hyperglycemia in Stage I (pre-surgical), while in Stage II (post-surgical) 100% presented hyperglycemia. In relation to the surgery time, we have an average of 110 minutes of surgery for the students and 34.5 minutes for the private veterinarian. The results according to the surgical ASA did not show significance. The presence of postsurgical hyperglycemia was confirmed in the majority of the patients under study, recommending a more thorough monitoring of vital signs in the different surgical procedures and ASA classifications, using the different monitoring records, in addition there was verified that it performs supreme importance the experience of the surgeon to shorten the time of surgery and to minimize the risks of this one.