Person: Canfrán Arrabe, Susana
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First Name
Susana
Last Name
Canfrán Arrabe
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Veterinaria
Department
Medicina y Cirugía Animal
Area
Medicina y Cirugía Animal
Identifiers
8 results
Search Results
Now showing 1 - 8 of 8
- Project number: 297
Item Gamificación en anestesiología clínica veterinaria(2019) Canfrán Arrabe, Susana; Álvarez Gómez De Segura, Ignacio; Cediel Algovia, Rafael; Aguado Domínguez, Delia; Bustamante Domínguez, Rocío; García Sanz, Virginia; García Gómez, Andrea; Grijota Chousa, Óscar José; Morcuende Rodríguez, ÁfricaEn el presente proyecto se propuso el desarrollo de un juego de mesa que permitiese el aprendizaje de conceptos teóricos relacionados con la anestesia en un entorno de gamificación. La gamificación se define como el empleo de mecánicas de juego en entornos y aplicaciones no lúdicas con el fin de potenciar la motivación, la concentración y el esfuerzo. Con ello se pretendía complementar la docencia teórica de la asignatura de Cirugía General y Anestesia de cuarto curso de Grado en Veterinaria. Este recurso y la metodología planteada han pretendido facilitar y mejorar el aprendizaje de diversos conceptos de anestesiología clínica en el ámbito de la docencia del Grado en Veterinaria. Con ello, se pretendía mejorar la adquisición de una serie de competencias necesarias para los graduados en Veterinaria, de cara a poder desempeñar adecuadamente su actividad práctica clínica. - Project number: 211
Item Implementación del uso de códigos QR como apoyo a la docencia clínica de la anestesiología veterinaria.(2016) Canfrán Arrabe, Susana; Aguado Domínguez, Delia; Cediel Algovia, Rafael; Álvarez Gómez De Segura, Ignacio; Re, Michela TatianaLos Graduados en Veterinaria deben haber adquirido a lo largo de su formación una serie de competencias, entre las que cobran especial importancia todas aquellas relacionadas con la práctica clínica. Con el presente proyecto se pretende generar recursos de formación educativos en el ámbito de la docencia del Grado en Veterinaria, facilitando, en concreto, el aprendizaje de la anestesiología práctica. Una forma eficaz de apoyo al aprendizaje es el empleo de medios audiovisuales en los que el alumno pueda observar vídeos, imágenes o esquemas de la técnica a realizar para posteriormente desarrollarla él mismo. En un contexto hospitalario sería muy deseable la posibilidad de acceso directo del alumno a este tipo de material audiovisual de soporte in situ y de forma directa mediante dispositivos electrónicos de uso común (por ejemplo, teléfonos móviles), de forma que tenga acceso al contenido que necesite repasar en cada momento. Para lograr este objetivo, este proyecto propone la incorporación de códigos QR al área hospitalaria de Anestesiología del HCVC. El empleo de códigos QR en el entorno hospitalario permitiría al alumno enlazar de forma rápida a contenidos seleccionados específicamente para apoyar diferentes aspectos de la docencia práctica. Los materiales codificados mediante sistema QR son complementarios a otros métodos docentes, pero la ampliación del conocimiento que puede derivarse de ellos redundará en una mejor comprensión de los conceptos tratados y en un aumento significativo del aprendizaje. Item Intraoperative effect of low doses of ketamine or dexmedetomidine continuous rate infusions in healthy dogs receiving propofol total intravenous anaesthesia and epidural anaesthesia: A prospective, randomised clinical study(Research in Veterinary Science, 2022) Bustamante Domínguez, Rocío; Canfrán Arrabe, Susana; Álvarez Gómez De Segura, Ignacio; Aguado Domínguez, DeliaThe present study aimed to determine the effect of either ketamine or dexmedetomidine constant rate infusion (CRI) on intraoperative propofol anaesthetic requirements during total intravenous anaesthesia (TIVA) in healthy dogs undergoing hindlimbs orthopaedic procedures receiving epidural anaesthesia. In this randomised, blinded clinical study, thirty-nine healthy client-owned dogs were premedicated intramuscularly (dexmedetomidine 4 μg/kg and methadone 0.3 mg/kg). General anaesthesia was induced to effect with propofol administered as intravenous bolus, and maintained with propofol TIVA (18 mg/kg/h), adjusted to meet the suitable clinical anaesthetic depth (indicatively±20%) based on clinical judgement. Lumbosacral epidural anaesthesia was performed using bupivacaine (1 mg/kg) and morphine preservative free (0.1 mg/kg). Dogs randomly received either saline (SP; loading dose 1 mL/kg, CRI 1 mL/kg/h), or ketamine (KP; loading dose 1.5 mg/kg, CRI 1.5 mg/kg/h), or dexmedetomidine (DP; loading dose 1 μg/kg/, CRI 1 μg/kg/h). Physiological variables were recorded intraoperatively at 5-min intervals using standard-of-care monitoring. Recovery quality and duration were recorded. Treatment groups were compared with parametric and non-parametric tests as appropriate, p < 0.05. Propofol rates and recovery scores were similar between groups. Overall mean and diastolic blood pressures were higher in group DP compared to group KP (12–14 mmHg, p = 0.016 and p = 0.015, respectively). More dogs required mechanical ventilation in group KP (12 dogs) than in either group SP or DP (7 dogs per group, p = 0.037). Ketamine or dexmedetomidine CRIs, at the studied rates, did not reduce propofol TIVA requirements in dogs undergoing orthopaedic surgery with epidural anaesthesia.- Project number: 162
Item Desarrollo de vídeos doodle como apoyo a la docencia en anestesiología veterinaria(2018) Aguado Domínguez, Delia; Álvarez Gómez De Segura, Ignacio; Cediel Algovia, Rafael; Canfrán Arrabe, Susana; Bustamante Domínguez, Rocío; García Sanz, Virginia; Romana Muñoz, Sara - Project number: 172
Item Gamificación en Anestesiología Clínica Veterinaria: Ampliación(2020) Aguado Domínguez, Delia; Álvarez Gómez De Segura, Ignacio; Cediel Algovia, Rafael; Bustamante Domínguez, Rocío; Canfrán Arrabe, Susana; Arenillas Baquero, Mario; López Ramis, Víctor; García Sanz, Virginia; Grijota Chousa, Óscar José; Gámez Maidanskaia, Ekaterina; Romero Marco, Patricia; García Gómez, Andrea; González Lendínez, AndreaDesarrollo de un juego de mesa que permitan el aprendizaje de conceptos teóricos relacionados con la anestesia en un entorno de gamificación. Item Clinical comparison of the effects of isoflurane or propofol anaesthesia on mean arterial blood pressure and ventilation in dogs undergoing orthopaedic surgery receiving epidural anaesthesia(Veterinary Journal, 2018) Canfrán Arrabe, Susana; Álvarez Gómez De Segura, Ignacio; Cediel Algovia, Rafael; Bustamante Domínguez, Rocío; Aguado Domínguez, DeliaThe aim of this study was to compare the effects on mean arterial pressure (MAP) and ventilation of propofol total IV anaesthesia (TIVA) and isoflurane as anaesthetic maintenance in healthy dogs undergoing orthopaedic surgery, with epidural anaesthesia. Dogs were premedicated IM with dexmedetomidine (4 μg/kg) and methadone (0.3 mg/kg), induced with IV propofol (0.65–5 mg/kg) and randomly assigned to be maintained with isoflurane (group I) or propofol (group P). Isoflurane end-tidal concentration (EtISO) and propofol infusion rate were adjusted during the surgery to maintain a suitable anaesthetic depth. All dogs received bupivacaine (1 mg/kg) and morphine (0.1 mg/kg) in the lumbosacral epidural space (total volume 0.2 mL/kg). MAP was recorded every 5 min during the procedure. Statistical analysis was performed using parametric (Student's t test) and nonparametric (Mann–Whitney U-test, chi-square) tests, as appropriate. Anaesthetic maintenance in groups I and P was accomplished by providing a mean EtISO of 1.12 ± 0.15% and a mean propofol infusion rate of 15.0 ± 4.7 mg/kg/h, respectively. MAP was significantly higher in group P than in group I (92 ± 17 mmHg versus 78 ± 10 mmHg; P = 0.021). Eleven dogs in group P and two dogs in group I reached an EtCO2 > 7.3 kPa, requiring mechanical ventilation (P = 0.001). In combination with epidural anaesthesia, propofol TIVA improved MAP and is a suitable alternative to isoflurane in orthopaedic surgery of the hind limb in healthy dogs. Nevertheless, since it was associated with increased respiratory depression, mechanical ventilation should be available.Item Effect of recumbency and body condition score on open-lung positive end-expiratory pressure and respiratory system compliance following a stepwise lung recruitment manoeuvre in healthy dogs during general anaesthesia(Research in Veterinary Science, 2020) García Sanz, Virginia; Canfrán Arrabe, Susana; Álvarez Gómez De Segura, Ignacio; Aguado Domínguez, DeliaThe aim was to assess the effects of recumbency and body condition score (BCS) on open-lung positive end-expiratory pressure (OL-PEEP) and quasistatic respiratory system compliance (Crs) following stepwise lung recruitment manoeuvre (RM) in healthy dogs under general anaesthesia. Thirty-four dogs were anaesthetised and mechanically ventilated (tidal volume of 10 mL/kg) without PEEP for 1 min (baseline). A stepwise RM was then performed and the individual OL-PEEP was subsequently applied. The Crs was registered at baseline and every 10-min for 50 min after RM. Dogs were classified into either dorsal or lateral recumbency groups, and as normal (score 4–5/9) or high (≥6/9) BCS groups. The OL-PEEP was higher in lateral than in dorsal recumbency (P = .002), but differences were not observed between normal and high BCS (P = .865). The Crs was increased from baseline at all time points after RM in all groups. The Crs did not differ between dorsally and laterally recumbent dogs at any time point. However, the baseline Crs was significantly lower in dogs with a high BCS than in those with a normal BCS (P < .001); therefore, the absolute change from baseline was considered when comparing Crs after the RM and it was similar in both BCS groups. In conclusion, in anaesthetised healthy dogs the OL-PEEP following RM was lower when dogs were positioned in dorsal than in lateral recumbency. The Crs after RM remained unchanged regardless of the dogs' recumbency. A stepwise RM followed by OL-PEEP could compensate for the potential negative impact of moderately increased BCS on Crs.Item Comparative effects of open-lung positive end-expiratory pressure (PEEP) and fixed PEEP on respiratory system compliance in the isoflurane anaesthetised healthy dog(Research in Veterinary Science, 2019) García Sanz, Virginia; Aguado Domínguez, Delia; Álvarez Gómez De Segura, Ignacio; Canfrán Arrabe, SusanaThis study was performed to assess the effects of open-lung positive end-expiratory pressure (OL-PEEP) following stepwise recruitment manoeuvre (RM) and those of a fixed PEEP of 5 cm H2O without previous RM on respiratory system compliance (Crs) and selected cardiovascular variables in healthy dogs under general anaesthesia. Forty-five healthy client-owned dogs undergoing surgery were anaesthetised and mechanically ventilated (tidal volume, VT = 10–12 mL/kg; PEEP = 0 cm H2O) for 1 min (baseline) and randomly allocated into zero positive end-expiratory pressure (ZEEP), PEEP (5 cm H2O) and OL-PEEP treatment groups. In the OL-PEEP group, a stepwise RM was performed and the individual OL-PEEP was subsequently applied. The Crs, heart rate (HR) and non-invasive mean arterial pressure (NIMAP) were registered at baseline and then every 10 min during 60 min. In the ZEEP group, Crs decreased from baseline. In the PEEP group, Crs was not different from either baseline or ZEEP group values. In the OL-PEEP group, Crs was higher than both baseline and ZEEP group values at all time points as well as of those in the PEEP group during at least 20 min after RM. There were no differences for HR and NIMAP between groups. A clinically relevant hypotension following RM was observed in 40% of dogs. Therefore, an individually set OL-PEEP following stepwise RM improved Crs in anaesthetised healthy dogs, although transient but clinically relevant hypotension was observed during RM in some dogs. Fixed PEEP of 5 cm H2O without previous RM did not improve Crs, although it prevented it from decreasing.