Non-manual restraint of small animals for X-ray
Non-manual restraint of small animals for X-ray
复制标题
非人工约束小动物进行X光检查
DOI：
10.1136/inpract.9.5.186
复制
发表时间：
1987
期刊：
影响因子：
0.3
通讯作者：
J. Latham
中科院分区：
文献类型：
--
作者：
F. Barr;J. Latham
1985年《电离辐射条例》和相关的《业务守则》的出台，使得有必要更仔细地研究兽医实践中进行射线照相程序的方式。《工作守则》规定：“只有在特殊情况下，才可用手扶住或操纵病人或伤者接受诊断检查。”兽医现在有法律义务遵循这一建议。本文提出了一些方法，其中非手动约束的小动物可以采用不损害放射技术或危及病人。作者认为，某些放射学检查最好在全身麻醉下进行，因为准确定位至关重要。这些检查包括颅骨和咽部的大多数视图，颈椎，胸椎和腰椎的X光片，以及骨盆的X光片，这些X光片将根据BVA/KC髋关节发育不良计划提交评估。相反，有些放射学检查是禁止全身麻醉的，特别是食道、胃和小血管的钡剂检查。除此之外，是否使用全身麻醉取决于临床医生，并取决于许多因素，包括临床状况和动物的性情。然而，如果采用下述技术，并明智地使用镇静剂和安定剂，就有可能在动物清醒的情况下进行许多放射学检查。
THE introduction of the lonising Radiation Regulations 1985 and the associated Code of Practice has made it necessary to take a closer look at the way that radiographic procedures are carried out in veterinary practice. The Code of Practicestates that'only in exceptional circumstances should a patient or an-imal undergoing a diagnostic examination be supported or manipulated by hand'. The veterinary surgeon isnow obliged by law to follow this recommendation. This article suggests some ways in which non-manual restraint of small animals can be employed without compromising radiographic technique or endangering the patient. There are certain radiographic examinations which, in the view of the authors, are best carried out under general an-aesthesia as accurate positioning is critical. Such examinations include most views of the skull and pharynx, radiographs of the cervical, thoracic and lumbar spine, and radiographs of the pelvis which are to be submitted for evaluation under the BVA/KC hip dysplasia scheme. Conversely, there are certain radiographic examinations for which general anaesthesia is contraindicated-notably barium studies of the oesophagus, stomach and small intest-ine.With these exceptions, the choice of whether or not to use general anaesthesia rests with the clinician and will depend on many factorsincluding the clinical condition and temperament of the animal. However, it is possible to carry out many radiographic examinations with the animal conscious if the techniques described below are employed in conjunction with judicious use of sedatives and tranquillisers.