Instauración de un protocolo de recuperación acelerada en caninos sometidos a una Ooforo-salpingo-histerectomía lateral y sus implicaciones en el metabolismo energético postoperatorio

Abstract

The primary objective of this research was to establish a protocol for accelerated recovery in canines undergoing lateral Oophoro-salpingohysterectomy (OFH) and to evaluate its effects on postoperative energy metabolism, glucose levels, and recovery time. A clinical trial was conducted at the VetCirujano veterinary clinic with 32 patients, divided into two groups: a control group (T0) and an experimental group (T1). Both groups underwent a fasting period of 8 hours for solids and 4 hours for liquids, but T1 received an oral bolus of 150 ml of 12.5% maltodextrin three hours before surgery. Glucose levels were measured at four points: 3 hours before surgery, perioperative, intraoperative, and 2 hours postoperative. Recovery time was evaluated by two intervals: from the last bolus of anesthetic to the rejection of the tracheal tube, and until the patient’s return to sternal recumbency. The results showed that T1 had lower and more stable glucose levels, with postoperative normoglycemia (109.13 mg/dL) compared to T0’s hyperglycemia (131 mg/dL), with a significant difference (p=0.02). Additionally, T1 exhibited a significantly shorter postoperative recovery time, with times from the last bolus of Propofol to extubation (p=0.003) and from the end of anesthesia to sternal recumbency (p=0.0005) being shorter than T0. These findings suggest that the administration of maltodextrin before surgery stabilizes glucose levels and improves postoperative recovery time in canines undergoing OFH.