Peer-reviewed veterinary case report
Effect of alcohol vs chlorhexidine rinse on female cats' surgery body
By Kreisler, Rachael E et al.·Published in Journal of feline medicine and surgery·2021·Department of Pathology and Population Medicine, United States·View original on PubMed →
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Original publication title: Comparison of the effect of isopropyl alcohol and chlorhexidine solution rinses on body temperature of female cats undergoing sterilization surgery.
- Species:
- cat
Plain-English summary
A group of female cats undergoing spay surgery were rinsed with either chlorhexidine solution or 70% isopropyl alcohol to see if it affected their body temperature during recovery. The study found that there were no significant differences in recovery temperatures or the need for heat support between the two rinse groups. However, lighter cats (weighing less than 2.3 kg) that were rinsed with alcohol had a slightly shorter recovery time. Overall, both rinses were deemed effective for preparing cats for surgery without causing temperature issues.
People also search for: cat spay surgery recovery · cat anesthesia temperature · isopropyl alcohol vs chlorhexidine for cats
Abstract
OBJECTIVES: Isopropyl alcohol 70% as a rinse agent for chlorhexidine scrub has been shown to decrease body temperature more quickly than chlorhexidine solution in mice prepared aseptically prior to surgery. For this reason, some high-quality, high-volume (HQHV) surgical sterilization clinics use chlorhexidine solution rather than alcohol. We sought to determine if temperature upon entry to recovery, heat loss per kg and rate of temperature decline during surgery were different between cats rinsed with chlorhexidine solution vs 70% isopropyl alcohol following surgical scrub, and if there were significant predictors of recovery temperature. METHODS: Female cats admitted for surgery to trap-neuter-return (TNR) clinics at a veterinary college were assigned chlorhexidine solution or alcohol rinse agents via block randomization. Veterinary students and veterinarians performed spay surgeries using HQHV techniques. In recovery, heat support and reversal agents were available for cats with a low body temperature or that were slow to recover. Baseline values, outcome variables and duration of each stage (preparation, surgery, recovery) were assessed using Wilcoxon rank-sum and-tests. Recovery temperature was evaluated using random effects multiple linear regression. RESULTS: The recovery temperature, heat loss per kg, heat loss per min, need for reversal and need for heat support in recovery were not significantly different between rinse groups. Weight <2.3 kg, body condition score <4, duration of surgery and postinduction temperature were predictors of recovery temperature. The rate of heat loss in the first 30 mins of surgery was slightly lower for cats in the alcohol rinse group and the recovery duration was shorter for cats weighing less <2.3 kg in the alcohol rinse group. CONCLUSIONS AND RELEVANCE: There were no clinically meaningful differences in body temperature between chlorhexidine and alcohol rinses. Both chlorhexidine solution and isopropyl alcohol 70% are appropriate rinse agents for aseptic preparation of feline spay surgeries.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33416431/