Rabbogliatti/Di Giancamillo

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PhD Student: Vanessa Rabbogliatti

Vanessa Rabbogliatti, graduated in Veterinary Medicine in May 2014 at the University of Milan with a master thesis entitled “The Celiac plexus block in equine ileus treatment: preliminary results”. After a few months of post-degree practical training period in the UK, she started a six months period of attendance at the Veterinary Teaching Hospital of the Università degli Studi of Milan as a member of the Anaesthesiology O.U. She worked as a private practitioner focusing in equine emergency medicine and intensive care in collaboration with the Clinica Veterinaria Spirano in Bergamo (Italy). She then won, in 2015/2016 two professional collaborations for animal model anaesthesia in the field of robotic surgery and experimental interventional radiology; and large animal anaesthesia at the Centro Clinico-Veterinario e Zootecnico-Sperimentale in Lodi where she has now started a PhD program. During the same years she participated at national and international congress, as presenting author. Her interests are mainly focused on equine diagnostic imaging and anaesthesia and moreover on their close correlations. At the present her studies are focused on different standing sedation protocols applied in diagnostic imaging techniques.

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Tutor: Prof. Mauro Di Giancamillo

Mauro Di Giancamillo is Full Professor and currently Head of the Department of Veterinary Medicine - Università degli Studi of Milan (I). He graduated in Veterinary Medicine at University of Milan in 1988. In 1989 he won a grant of the School of Specialization in “Small Animals Diseases” at Faculty of Veterinary Medicine of Milan. He became researcher in 1993 and from 2015 onwards he has been Full Professor of Veterinary Radiology and Nuclear Medicine. His research interest is diagnostic imaging in small and in large animal, including Computed Radiology (CR) Computed Tomography (CT) Magnetic Resonance Imaging (MRI) and Nuclear Medicine (NM). 

 

PROJECT DESCRIPTION:

In the last decades diagnostic modalities such Magnetic Resonance (MR), Computed Tomography (CT) and Bone Scintigraphy (BS) together with sedative protocols have evolved allowing to perform these procedures in standing sedation. These improvements in instruments and sedative protocols not only allow the radiologist to acquire diagnostic images without aneasthesiological risk associated to general anaesthesia, but also permit II level diagnostic investigation to become more accessible to equine owners. During standing sedations the main cause of artefact that compromise the image quality are the patient movements. It is then mandatory a correct and balanced sedation protocol to avoid voluntary movements and meanwhile do not induce excessive ataxia. Despite this, no studies have been published establishing a standard protocol focused on the patient immobility. The decision of which protocol use is still based on anaesthetist/radiologist preferences and not on evidence-based medicine. The aims of the study are: A) Evaluate diagnostic image quality and immobility of equine patients that will undergo BS or CT and to standardize sedative protocols. Forty equine patients referred for BS will be equally and randomly divided in two groups. Each group will receive different sedation protocol that will be chosen on the basis of literature review. During the procedure to evaluate horse sedation a simple descriptive scale will be used (Taylor P. et al. 2014). This data will be correlated to the number of retakes necessary to obtain an image with excellent diagnostic quality. The quality of the acquired image will be evaluated by the same radiologist blind to the protocol administer. B) Acupuncture and loco-regional anaesthesia, as part of a balanced anaesthetic protocol will be evaluated in patients undergoing MR examination and surgery.  

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