Sedating and Anesthetizing Patients That Have Organ System Dysfunction

Jacobson J.D.

Vet Med, 2005. 100(7): p.518-526.


What agents and monitoring devices might be better in these patients? This anesthesiologist tells you how to handle common situations, such as: “Based on the results of physical examination and routine screening tests, what constitutes dysfunction of such severity to warrant a change in routine sedation or anesthetic protocols?” “Is intravenous induction safer than mask induction in dogs or cats with cardiac or respiratory disease?” “What are the differences between the cardiovascular effects of isoflurane and sevoflurane?” “For patients with organ system dysfunction, I’ve heard that the best protocol is to induce anesthesia with propofol and maintain with isoflurane. Is there really anything better?” “What are your recommendations for sedating and anesthetizing dogs that are heartworm-positive?” “What are your protocol recommendations for sedating and anesthetizing cats that have hyperthyroidism?” “What special type of anesthetic monitoring should be done in patients with organ system dysfunction?” “What is the best way to proceed when electrocardiography is not practical?” “Are additional supportive measures needed in anesthetized patients with organ system dysfunction?” “What anesthetic protocol and supportive measures do you recommend for a dog with a portosystemic shunt?” “How do you manage the delicate balance of fluid therapy during anesthesia in an animal with both renal and cardiac disease?” “How should we manage diabetic patients before surgery?” “Should practitioners incorporate nitrous oxide more often in their anesthetic protocols?”