Occupational Hazards in veterinarians: an updating.

Background: The veterinarian is a complex and varied work: risks in veterinary activity show are more typical of manual work than medical profession. Many reviews analyzed occupational risks related to veterinarians, but compared to the past current risks are more different. This review analyzes veterinary profession considering main occupational risk factors, as defined by World Health Organization: physical, chemical, biological or other agents that may cause harm to an exposed person in the workplace and is potentially modifiable. Methods: Publications investigating physical, chemical, biological, cancer and stress risk as well as effects associated with these exposures through veterinary practice were searched in the PubMed and Web of Science database. Publications were judged to be covered in the review when the following inclusion criteria applied: Articles should be published in the English language; Articles published after 2000; Studies reporting some numerical data about exposures and subjects considered; Studies concerning health effects regarding only veterinarians associated with exposure to animals, not general population. Results: Compared to the past, when the main risk of occupational disease was represented by zoonosis (in particular mycotic infections, mange, swine erysipelas, anthrax and tuberculosis), current risks are also represented by new entities such as mental and physical stress. However injuries, radiations, chemicals, zoonosis and allergies continue to represent a considerable portion of professional risks. Conclusions: Zoonosis, injuries and trauma remain the main occupational risk for veterinarians today, but new emerging risks, such as psychological risks are becoming increasingly important for these workers

Constant-Rate Infusion of Dexmedetomidine to Manage Thiopental Anesthesia during Intracranial Surgery in Cynomolgus Macaques (Macaca fascicularis).

Macaques (Macaca spp.) are often used as animal models in biomedical research involving a neurosurgical approach. The development of new anesthetic techniques is pivotal for these studies. Studies in human anesthesia for intracranial surgery have shown that dexmedetomidine infusion reduces the incidence of cardiocirculatory complications in the perioperative period, reduces the need for supplemental analgesia, and provides an analgesic effect analogous to that of remifentanil. Data regarding the anesthetic effects of dexmedetomidine infusion in NHP including Macaca spp. are currently unavailable. The study population comprised 5 healthy cynomolgus macaques (Macaca fascicularis) that underwent intracranial surgery. On the day of surgery, the subjects were sedated with intramuscular ketamine (8 mg/kg) and dexmedetomidine (0.02 mg/kg). Anesthesia was induced with thiopental (3 mg/kg IV) and maintained by using constant-rate infusion of thiopental (3 mg/ kg/h); analgesia was provided by constant-rate infusion of dexmedetomidine (0.012 mg/kg/h). Atipamezole (0.1 mg/kg IM) was administered at the end of the surgical procedure. The median heart rate increased after sedation, reaching its highest level at 60 min (91.0 6.9 bpm); the highest systolic blood pressure (119.6 10.5 mm Hg) occurred at 75 min. No animal experienced respiratory arrest, and all recovered within 6 min after atipamezole administration. In cynomolgus macaques, dexmedetomidine constant-rate infusion provided adequate analgesia and stable hemodynamic control. Using dexmedetomidine as an adjunct to thiopental-maintained anesthesia may be advantageous in healthy NHP undergoing intracranial surgery

Cardiorespiratory effects of medetomidine and dexmedetomidine combined with tiletamine-zolazepam for the immobilization of Asiatic black bears (Ursus thibetanus) under isoflurane general anesthesia.

The aim of this paper was to compare the cardiorespiratory effects of the two combinations (medetomidine-tiletamine-zolazepam (MTZ) or dexmedetomidine-tiletamine-zolazepam (DTZ)) used for Asiatic black bear (Ursus thibetanus) immobilization. A retrospective analysis was carried out, reviewing the anesthetic records of captive bears. Sixty-six records were reviewed. The bears were immobilized, and general anesthesia was maintained with isoflurane vaporized in 100% oxygen. The mean sedation time and score were evaluated. The cardiorespiratory parameters were recorded every 10 minutes from intubation until extubation. Mean sedation time was 26.1 ± 14.5 minutes for the MTZ group and 25.6 ± 19.4 minutes for the DTZ group. The heart rate and the respiratory rate were higher in the bears immobilized with DTZ (66 ± 19 beats/min; 13 ± 5.2 breaths/min) as compared with the bears immobilized with MTZ (57 ± 14.5 beats/min; 10 ± 4.7 breaths/min) whereas the mean arterial pressure did not differ significantly between the groups. The body temperature was in the normal range throughout the procedures in all bears (MTZ 36.3 ± 0.9°C; DTZ 37 ± 1°C). In conclusion, the two protocols used in this study have been proven to be safe and reliable for the immobilization of Asiatic black bears, and the DTZ combination seemed to be associated with less cardiorespiratory depression than the MTZ one

Respiratory rate recorded at 10 minute intervals in 66 bears (<i>Ursus tibethanus</i>) under general anaesthesia.

<p>MTZ group (○) received medetomidine (0.0171 mg/kg) in association with tiletamine (0.17 mg/kg) and zolazepam (0.17 mg kg). DTZ group (■) received dexmedetomidine (0.0081 mg/kg) in association with tiletamine (0.17 mg/kg) and zolazepam (0.17 mg/kg).</p

Heart rate recorded at 10 minute intervals in 66 bears (<i>Ursus tibethanus</i>) under general anaesthesia.

<p>MTZ group (○) received medetomidine (0.0171 mg/kg) in association with tiletamine (0.17 mg/kg) and zolazepam (0.17 mg/kg). DTZ group (■) received dexmedetomidine (0.0081 mg/kg) in association with tiletamine (0.17 mg/kg) and zolazepam (0.17 mg/kg).</p

Cardiorespiratory and anesthetic parameters recorded under general anaesthesia in 66 bears (<i>Ursus tibethanus</i>).

<p>Cardiorespiratory and anesthetic parameters recorded under general anaesthesia in 66 bears (<i>Ursus tibethanus</i>).</p

Demographic data, anaesthesia time and type of procedures for 66 bears (<i>Ursus tibethanus</i>) undergoing general anaesthesia.

<p>Demographic data, anaesthesia time and type of procedures for 66 bears (<i>Ursus tibethanus</i>) undergoing general anaesthesia.</p

Sedation score.

<p>Sedation score.</p