Peer-reviewed veterinary case report
Nebulised adrenaline after airway surgery in brachycephalic dogs
By Fenner, Jvh et al.·Published in New Zealand veterinary journal·2023·Dick White Referrals, United Kingdom·View original on PubMed →
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Original publication title: Nebulised adrenaline in the post-operative management of brachycephalic obstructive airway syndrome in dogs: short-term outcomes in 90 cases (2014-2020).
- Species:
- dog
Plain-English summary
Ninety brachycephalic dogs (like Bulldogs and Pugs) who had surgery to fix breathing problems were treated with nebulized adrenaline afterward. Most dogs remained calm after the treatment, and the overall recovery was considered satisfactory for the majority. While some dogs had mild complications like regurgitation or increased breathing effort, the adrenaline treatment itself did not significantly raise their heart or breathing rates. This suggests that nebulized adrenaline is a safe option for helping these dogs recover after surgery.
People also search for: brachycephalic dog surgery recovery · nebulized adrenaline for dogs · post-operative care for Bulldogs
Abstract
CASE HISTORIES: Medical records from a single UK-based referral hospital were retrospectively reviewed to identify brachycephalic dogs who had undergone corrective airway surgery and were nebulised with adrenaline in the post-operative period. Ninety dogs were identified between August 2014 and March 2020. CLINICAL FINDINGS: Agitation following nebulisation with adrenaline was uncommon, with 86/90 (96%) dogs remaining calm, and overall outcome was reported as satisfactory in 68 of 73 (89%) dogs for which this information was available. Median respiratory rate at T0 (prior to first nebulisation) and T60 (1 hour following nebulisation) were both 20 breaths/minute with a median difference of 0 (95% CI = 0-0) breaths/minute (p = 0.657). Median heart rate at T0 and T60 were both 80 beats/minute with a median difference of 3 (95% CI = -10 to 7) beats/minute (p = 0.948). Two dogs experienced tachycardia, but this was not associated with the timing of administration of adrenaline. Complications reported in the 24 hours following surgery included regurgitation (n = 36), increased respiratory noise and effort (n = 10), aspiration pneumonia (n = 4), and inappetence (n = 3). A temporary tracheostomy tube was placed in 13 (14.4%) dogs. CLINICAL RELEVANCE: Nebulisation with adrenaline is feasible, results in minimal increases in respiratory rate and heart rate and is associated with agitation in only a small number of dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37599560/