Development of the Auburn Induction Scale for evaluating induction quality in dogs.

Autor: Wolfe KL; College of Veterinary Medicine, Auburn University, Auburn, AL, USA., Hofmeister EH; Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, USA. Electronic address: kaastel@gmail.com., Clark-Price SC; Department of Clinical Sciences, College of Veterinary Medicine, Auburn University, Auburn, AL, USA., Reed R; Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA., Quandt J; Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, USA.
Jazyk: angličtina
Zdroj: Veterinary anaesthesia and analgesia [Vet Anaesth Analg] 2022 Nov; Vol. 49 (6), pp. 608-614. Date of Electronic Publication: 2022 Sep 08.
DOI: 10.1016/j.vaa.2022.08.010
Abstrakt: Objective: To develop and begin establishing evidence for validity of an instrument to assess the quality of induction in dogs.
Study Design: Cross-sectional survey and video scoring.
Animals and Population: A total of 51 veterinary anesthesia personnel, four board-certified anesthesiologists and videos of induction of anesthesia in 18 dogs.
Methods: In Part 1, an online survey was sent to veterinary anesthesia personnel to solicit expressions and words that they associate with induction of anesthesia. These expressions were evaluated by four anesthesiologists to create a composite scale (Auburn Induction Scale). In Part 2, 18 videos were reviewed by the same four anesthesiologists on two separate occasions. The videos were scored using the Auburn Induction Scale, a simple descriptive scale (SDS) and a visual analog scale (VAS). Intra-rater and inter-rater reliability was measured using an intraclass correlation coefficient (ICC). Significance was set at p < 0.05.
Results: The survey yielded 51 responses that were condensed into 133 expressions. The four anesthesiologists created 18 items incorporating the 133 expressions. The mean ± standard deviation intra-rater reliability ICC was 0.81 ± 0.08 for the Auburn Induction Scale, 0.71 ± 0.02 for the SDS and 0.71 ± 0.08 for the VAS for all raters. The mean ± standard deviation inter-rater reliability ICC was 0.69 ± 0.04 for the Auburn Induction Scale, 0.61 ± 0.05 for the SDS and 0.60 ± 0.06 for the VAS.
Conclusions and Clinical Relevance: In a research setting, widespread use of this scale may be helpful in increasing the accuracy of data and improving agreement between studies assessing induction of anesthesia in dogs. The results of this study have yielded a composite scale that is more reliable between and among raters than a unidimensional scale.
(Copyright © 2022 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE