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1)
RECOMMENDATIONS
a)
General Approach
i)
Avoid agents that depend on redistribution to body fat for recovery
b)
Pre-anesthetic Medications
i)
Opioids combined with benzodiazepines are effective preanesthetic
agents
ii)
If acepromazine is used it should be limited to the low end of the
dose range
c)
Induction
i)
Propofol is a very effective induction agent associated with smooth
recoveries
ii)
Ketamine/Valium is a good option
iii)
Opioid/benzodiazepine induction is another option
(1)
Recovery may be prolonged – reversal agents can be employed if
needed to facilitate recovery
iv)
Methohexital is the only recommended thiobarbiturate for sighthound
induction
(1)
It does not require redistribution for recovery
(2)
Recovery is through agent metabolism which sighthounds handle
adequately
(3)
Thiopental can be used in sighthounds but its use is not
recommended as the therapeutic index is uncomfortably narrow
d)
Maintenance
i)
Isoflurane or sevoflurane
e)
Support
i)
N/A
2)
PRECAUTIONS
a)
Pre-anesthetic Medications
i)
Use acepromazine with caution
b)
Induction
i)
Avoid thiobarbiturates other than methohexital
c)
Maintenance
i)
N/A
d)
Support
i)
Monitor body temperature – sighthounds may be more prone to
malignant hyperthermia than other dogs |