Sedated cesarean sections are associated with increased kid survival compared to general anesthesia in goats: retrospective cohort of 45 cases (2011–2021)

George L. Elane Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL

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 DVM, MS
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Diego A. Portela Department of Comparative, Diagnostic, and Population Medicine, College of Veterinary Medicine, University of Florida, Gainesville, FL

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Kallie J. Hobbs Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL

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 DVM, MS
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Anje G. Bauck Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL

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Adam H. Biedrzycki Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL

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 DVM, PhD

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Abstract

OBJECTIVE

To determine whether anesthesia type (sedation or general anesthesia) affects kid survival to discharge in caprine cesarean sections (C-sections).

ANIMALS

Retrospective cohort of 99 caprine C-sections (2011–2021).

PROCEDURES

All surgeries were performed via left flank laparotomy in right lateral recumbency. The number of kids alive at presentation, surgery, and discharge was recorded. Kids that were dead on presentation or euthanized intraoperatively were excluded. Goats were classified as “healthy” (American Society of Anesthesiologists status ≤ 2) or “sick” (≥ 3).

RESULTS

Kid survival was significantly higher for C-sections performed under sedation (47/52 [90%]) than for C-sections performed under general anesthesia (16/24 [66%]; P = .004). Relative risk was 1.4 and odds ratio was 4.7.

CLINICAL RELEVANCE

Performing C-sections in sedated goats may improve kid survival rates over those under general anesthesia.

Abstract

OBJECTIVE

To determine whether anesthesia type (sedation or general anesthesia) affects kid survival to discharge in caprine cesarean sections (C-sections).

ANIMALS

Retrospective cohort of 99 caprine C-sections (2011–2021).

PROCEDURES

All surgeries were performed via left flank laparotomy in right lateral recumbency. The number of kids alive at presentation, surgery, and discharge was recorded. Kids that were dead on presentation or euthanized intraoperatively were excluded. Goats were classified as “healthy” (American Society of Anesthesiologists status ≤ 2) or “sick” (≥ 3).

RESULTS

Kid survival was significantly higher for C-sections performed under sedation (47/52 [90%]) than for C-sections performed under general anesthesia (16/24 [66%]; P = .004). Relative risk was 1.4 and odds ratio was 4.7.

CLINICAL RELEVANCE

Performing C-sections in sedated goats may improve kid survival rates over those under general anesthesia.

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