Анестезиологическое Пособие При Брахицефалическом Синдроме

BRACHYCEPHALIC BREEDS
5-04
1) RECOMMENDATIONS
a) General Approach
i) Manage airway compromise issues
(1) Often have:
(a) Hypoplastic trachea
( Elongated soft palate
© Decreased chest wall compliance and low tidal volumes
ii) Gain rapid control over airway
iii) Plan for smooth, rapid recovery
(1) Plan thorough patient monitoring during recovery phase
iv) Expect increased vagal tone in these patients
Pre-anesthetic Medications
i) Avoid heavy sedation
(1) Use reversible drugs
ii) Pre-oxygenate if not overly stressful
iii) Brachycephilcs may have generally higher vagal tone
(1) Many will premedicate with an anticholinergic especially if a mu opioid is used
c) Induction
i) Gain rapid control over airway
(1) Ket/val
(2) Etomidate
(3) Thiopental
(4) Propofol
ii) Consider Lidocaine bolus (1mg/lb Dog & Cat) post-induction agent to facilitate intubation, avoid vagal stimulation, and minimize induction agent requirement
d) Maintenance
i) Sevoflurane or Isoflurane for more rapid patient recovery
e) Support
i) Routine anesthetic support