Peer-reviewed veterinary case report
Injectable anesthesia used for dog and cat sterilization in remote
By Posner, Lysa Pam et al.·Published in BMC veterinary research·2020·North Carolina State University, United States·View original on PubMed →
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Original publication title: Total injectable anesthesia of dogs and cats for remote location veterinary sterilization clinic.
- Species:
- dog
Plain-English summary
A group of 100 dogs and cats were successfully sterilized using total injectable anesthesia at a remote clinic where traditional anesthesia equipment was unavailable. The animals received a combination of medications to ensure they were safely anesthetized during the procedure. While most pets recovered well, a few required additional anesthesia or assistance with breathing. All pets survived the surgery and were discharged, although one cat experienced some agitation and a high fever during recovery. Overall, this method proved effective for sterilization in challenging locations.
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Abstract
BACKGROUND: Sterilization clinics often occur in remote places where anesthesia machines and compressed oxygen are unavailable. This study describes the use of total injectable anesthesia in dogs and cats presented for sterilization in a remote location. RESULTS: A total of 100 animals were sterilized; 26 female cats (CF), 22 male cats (CM), 28 female dogs (DF), and 24 male dogs (DM). CF were anesthetized with dexmedetomidine (20 mcg/kg), ketamine (8 mg/kg) and hydromorphone (0.1 mg/kg) IM. CM were anesthetized with dexmedetomidine (15 mcg/kg), ketamine (5 mg/kg) and hydromorphone (0.1 mg/kg) IM. Insufficient anesthesia in cats was treated with alfaxalone (1 mg/kg) IM. All cats were administered meloxicam at 0.3 mg/kg SQ. DF were anesthetized with dexmedetomidine (15 mcg/kg), ketamine (7-10 mg/kg) and hydromorphone (0.1 mg/kg) IM. DM were anesthetized with dexmedetomidine (15 mcg/kg), ketamine (5 mg/kg) and hydromorphone (0.1 mg/kg) IM. All dogs had IV catheter and endotracheal tube placed. If SpO < 91%, ventilation was assisted with an Ambu bag. Insufficient anesthesia in dogs was treated with alfaxalone (1 mg/kg) IV. All dogs were administered meloxicam at 0.2 mg/kg SQ. Following surgery, atipamezole (0.05-0.1 mg/kg) IM was administered to any patient that did not have voluntary movement. All patients survived and were discharged. Less than 25% of cats and male dogs required supplemental anesthesia. Fifty seven percent of female dogs required supplemental anesthesia. More than 89% of patients (in any group) required atipamezole administration. One cat recovered with agitation and hyperthermia (41.1C/ 106F). Some dogs required ventilatory assistance to remain normoxemic while anesthetized. CONCLUSION: Total injectable anesthesia can be accomplished for remote location sterilization clinics with minimal morbidity.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32831087/