Peer-reviewed veterinary case report
Anesthesia with propofol and remifentanil in dog with heart defect
By Musk, Gabrielle C & Flaherty, Derek A·Published in Veterinary anaesthesia and analgesia·2007·Institute of Comparative Medicine, United Kingdom·View original on PubMed →
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Original publication title: Target-controlled infusion of propofol combined with variable rate infusion of remifentanil for anaesthesia of a dog with patent ductus arteriosus.
- Species:
- dog
Plain-English summary
An 18-month-old Lurcher was brought in for surgery to close a heart defect called patent ductus arteriosus, which had caused heart failure. Before the surgery, the vet found that the dog had serious heart issues and started treatment with medications like ramipril and furosemide. During the procedure, the dog was given a combination of propofol and remifentanil for anesthesia, along with pain relief from morphine and bupivacaine. The surgery went well, and the dog received careful monitoring and support throughout the process.
People also search for: dog heart surgery · patent ductus arteriosus treatment · anesthesia for dog surgery · Lurcher heart problems · post-operative care for dogs
Abstract
An 18-month-old Lurcher was anaesthetized for surgical ligation of a patent ductus arteriosus using a target-controlled infusion (TCI) of propofol and a variable rate infusion of remifentanil. Before anaesthesia, radiographic and echocardiographic examination indicated that the dog had left-sided congestive heart failure and impaired left ventricular systolic function. Ramipril and furosemide were administered pre-operatively. Following pre-anaesthetic medication with morphine, 0.5 mg kg(-1), by intramuscular injection, and pre-oxygenation, remifentanil was infused for 5 minutes at 0.2 microg kg(-1) minute(-1), followed by induction of anaesthesia using intravenous propofol administered by TCI, set at a target concentration of 3.5 microg mL(-1) of propofol in blood. Tracheal intubation was performed and 100% oxygen delivered through a non-rebreathing (Bain) system and then a circle system in the operating theatre. Anaesthesia was maintained with propofol and remifentanil, adjusted according to clinical requirements. Peri-operative analgesia consisted of intercostal bupivacaine nerve block, with meloxicam, morphine and remifentanil.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/17686120/