Naslov
Anaesthesia protocol for laparoscopic ovariectomy in bitch diagnosed with immune- mediated meningoencephalitis

Autori
Marjanović, Katarina ; Bacan, Iva ; Karadjole, Tugomir ; Maćešić, Nino ; Folnožić, Ivan ; Šavorić, Juraj ; Butković, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Book of Abstracts 8th International Congress "Veterinary Science and Profession" / Brkljača Bottegaro, Nika ; Zdolec, Nevijo ; Vrbanac, Zoran - Zagreb : Veterinarski fakultet Sveučilišta u Zagrebu, 2019, 81-81

Skup
8. međunarodni kongres Veterinarska znanost i struka

Mjesto i datum
Zagreb, Hrvatska, 10.10.2019. - 12.10.2019

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
bitch ; TIVA protocol ; intracranial pressure

Sažetak
A Parson Jack Russell Terrier (Fila), a 4-year- old intact female, was referred to the Clinic for a clinical examination prior to laparoscopic ovariectomy. The patient had a history of suspected hormone-induced atopic dermatitis and immune-mediated meningoencephalitis. The bitch underwent the physical examination, which was unremarkable. Haematology and serum biochemistry profile showed no significant abnormalities. Other diagnostic procedures, X-ray and electrocardiography (ECG) were all normal as well. Total intravenous anaesthesia (TIVA) has been suggested as the preferred anaesthetic technique in patients with a risk of increased intracranial pressure. Inhalation anaesthetics affect intracranial pressure, which can be increased through a direct vasodilation of cerebral vasculature. Considering the mentioned, a laparoscopic ovariectomy and punch skin biopsy were performed following the propofol-based TIVA protocol. The bitch was premedicated with midazolam (0.3 mg/kg IM) and methadone (0.5 mg/ kg IM). General anaesthesia was induced with propofol (3 mg/kg IV), followed by endotracheal intubation. The patient was connected to the anaesthetic machine with a rebreathing circuit, with the oxygen flow of 2.0 L/min. General anaesthesia was maintained with propofol (0.2 mg /kg/min IV). During the procedure, analgesia was provided by using boluses of fentanyl (5 μg/kg IV) Possible complications during the surgery were hypoventilation, hypoxaemia, respiratory depression, bradycardia and hypotension. Patient monitoring included capnometry, pulse oximetry, oscillometric non-invasive arterial blood pressure measurement and ECG. The histopathology findings showed epidermal and follicular atrophy and orthokeratotic hyperkeratosis, which is indicative for endocrine- induced dermopathy. In conclusion, the propofol-based TIVA protocol for the presented case was shown to be a great choice due to advantages such as maintenance of oxygen delivery to the brain, and to avoid potential increases in intracranial pressure from inhalation agents.

Izvorni jezik
Engleski

Znanstvena područja
Veterinarska medicina

POVEZANOST RADA