Colette R. Elmas, DVM, Antonio M. Cruz, DVM, Dr Med Vet, Diplomate ACVS & ECVS, MSc, and Carolyn L. Kerr, DVM, DVSc, PhD, Diplomate AVCA

Veterinary Surgery Volume 36 Issue 3 Page 252-258, April 2007

Objective - To describe an assisted anesthetic recovery technique using a tilt table for horses after high-risk orthopedic-related procedures and to evaluate outcome.

Study Design - Retrospective study.

Sample Population - Anesthetic recoveries (n=54) for 36 horses.

Methods - Medical records (April 1994–October 2005) for horses that had high-risk orthopedic surgery and recovery from general anesthesia on a tilt table were reviewed. Information about the surgical procedure, anesthetic and recovery period was analyzed.

Results - Of 54 anesthetic recoveries, 1 horse (1.9%) had complete failure of internal fixation during recovery and was euthanatized. Six (11% recoveries) horses failed to adapt to the tilt table system, which necessitated transfer to a conventional recovery room. Complications without important consequences for clinical outcome (skin abrasions, myositis, cast breakage, partial implant failure) occurred during 8 (15%) recoveries.

Conclusions - A tilt table recovery system was associated with minimal incidence of serious complications. Potential disadvantages of the system are the number of personnel required, longer recovery time, and the need for a specialized table.

Clinical Relevance - A tilt table is a useful system for recovering horses believed to be at increased risk of injury during anesthetic recovery after high-risk orthopedic-related procedures.