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Tierärztliche Hochschule Hannover Vergleichende Studie zur

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Publikation 2<br />

can definitely be regarded as a disadvantage of INH anaesthesia. In a study on<br />

calves (Olson et al. 1983) found that cold-stressed calves show a linear decrease in<br />

leucocytes and may thus compromise natural host defence capabilities. In man,<br />

hypothermia adversely affects antibody- and cell-mediated immune defences, as well<br />

as the oxygen availability in the peripheral wound tissues. Consequentially,<br />

postoperative hypothermia is known to increase the incidence in surgical wound<br />

infections and is furthermore associated with delayed post-anaesthetic recovery<br />

(Doufas 2003; Polderman 2009).<br />

Increased economic pressures have caused selection against general anaesthesia<br />

and the need for practical, cheap and safe alternatives within the legal framework of<br />

food animal practice is apparent. The inhalation anaesthesia will certainly remain the<br />

gold standard in calf anaesthesia, but from a practical point of view, repeated<br />

ketamine injections are difficult to accomplish when unassisted. However, qualified<br />

assistance definitely becomes a prerequisite when anaesthetic machines are utilised.<br />

Personnel expenditures, acquisition costs and regular maintenance of anaesthetical<br />

machines will, even in the future, limit inhalation anaesthesia subject to use within<br />

large animal clinics. In contrast, high volume caudal epidural anaesthesia requires a<br />

single application and no sophisticated or expensive equipment.<br />

In summary, high volume caudal epidural application of xylazine and procaine in<br />

combination with local rhomboid infiltration of local anaesthetic around the umbilicus<br />

and pre-emptive application of flunixine-meglumine provided a practical, inexpensive<br />

and safe anaesthetic protocol for calves undergoing umbilical surgery, as it has little<br />

40

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