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Peer-reviewed veterinary case report

Intravenous anesthesia for dogs having brain tumor surgery

By Raisis, Anthea L et al.·Published in Veterinary anaesthesia and analgesia·2007·Department of Veterinary and Biomedical Sciences, Australia·View original on PubMed

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Original publication title: Evaluation of an anaesthetic technique used in dogs undergoing craniectomy for tumour resection.

Species:
dog

Plain-English summary

Ten dogs undergoing surgery to remove brain tumors were given a special anesthesia technique using propofol and alfentanil. This method helped keep their blood pressure stable and allowed for a smooth recovery without excitement after waking up. Importantly, all dogs showed improvement in their neurological function within a week after the surgery, indicating that the anesthesia did not cause any harm to their brains. This approach seems to be effective and safe for dogs needing this type of surgery.

People also search for: dog brain tumor surgery · anesthesia for dogs · propofol use in dogs · dog recovery after surgery · brain surgery for dogs

Abstract

OBJECTIVE: To evaluate a total intravenous anaesthetic technique in dogs undergoing craniectomy. STUDY DESIGN: Prospective clinical study. ANIMALS: Ten dogs admitted for elective surgical resection of rostro-tentorial tumours. METHODS: All dogs were premedicated with methadone, 0.2 mg kg(-1) intramuscularly 30 minutes prior to induction of anaesthesia. Anaesthesia was induced with propofol administered intravenously (IV) to effect, following administration of lidocaine 1 mg kg(-1) IV and maintained with a continuous infusion of propofol at < or =0.4 mg kg(-1) minute(-1) during instrumentation and preparation and during movement of the animals to recovery. During surgery, anaesthesia was maintained using a continuous infusion of propofol at <or =0.4 mg kg(-1) minute(-1) and alfentanil < or =1 microg kg(-1) minute(-1). Lidocaine was administered at 1 mg kg(-1) IV immediately prior to extubation. Arterial blood pressure and heart rate (HR) were recorded prior to induction and every 5 minutes throughout preparation and surgery. Central venous pressure was recorded every 5 minutes throughout surgery. RESULTS: Administration of propofol and lidocaine prevented significant increases in mean arterial blood pressure (MAP) and HR during endotracheal intubation and extubation. Adequate MAP was maintained throughout anaesthesia. Recovery was smooth and excitement free. There was no association between duration of anaesthesia, total drugs administered, or severity of neurological disease and recovery times. Postoperatively there was no deterioration in neurological function in the immediate postoperative period with complete resolution of pre-existing neurological deficits within 7 days of surgery. CONCLUSION: This technique provided minimal response to intubation and extubation, adequate arterial blood pressure and a smooth predictable recovery. All animals were neurologically improved by the time of discharge, suggesting that this technique had not caused significant neuronal damage. CLINICAL RELEVANCE: Total intravenous anaesthesia with propofol and alfentanil appears to be a satisfactory anaesthetic technique for use in dogs undergoing surgery for debulking/removal of rostro-tentorial tumours.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/17444930/