Home|Journals|Articles by Year|Audio Abstracts
 

Case Report

Open Vet J. 2019; 9(2): 157-163


Anaesthetic management of a dog with severe subaortic stenosis and mitral valve disease complicated with atrial fibrillation undergoing ovariohysterectomy

Mario Arenillas,Alicia Caro Vadillo,Ignacio A. Gomez de Segura.




Abstract
Cited by 6 Articles

A 5.5 year old, 32 kg Boxer, suffering a severe heart disease due to a final stage subaortic stenosis and mitral insufficiency, was anaesthetized for an ovariohysterectomy to remove an ovarian tumour that was producing high volume ascites. Methadone (0.3 mg kg-1) was given for premedication, etomidate (1.3 mg kg-1) and midazolam (0.2 mg kg-1) were used for anaesthetic induction and after endotracheal intubation, anaesthesia was maintained with sevoflurane vaporized in oxygen and air. Fentanyl (5-10 μg kg-1 h-1) and paracetamol (15 mg kg-1) were given to improve analgesia. Previous persistent atrial fibrillation was refractory to medication (digoxin, diltiazem and pimobendan) and maintained during the anaesthetic procedure. Dobutamine (1.5-5 µg kg-1 min-1) helped to maintain mean arterial blood pressure above 60 mmHg. Epidural morphine (0.1 mg kg-1) and incisional bupivacaine (2 mg kg-1) were administered at the end of surgery to provide postoperative analgesia. Otherwise, anaesthesia was uneventful, and recovery was considered excellent.

Key words: anaesthesia, atrial fibrillation, dog, mitral, subaortic stenosis






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.