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C-section
Amanda Lian, Henry Fan
Case History/Signalment
A 6 year old 20kg heavily pregnant English Bulldog has been straining non-productively for 2 hours,
and requires anaesthesia for caesarean section.
Considerations
Physiological changes in a Clinical implications Preventative action
pregnant dog
Tend to have higher vagal tone Parasympathetic effects such as Prepare anticholinergic drugs should
bradycardia, bronchoconstriction, and these effects become severe
excessive saliva formation
1. In sternal recumbency: RSI with propofol (3 mg/kg) and immediate cuffed ET intubation
2. Maintain with isoflurane and oxygen
3. Quick reprep (or clip and prep if not done before)
4. Midline local block with 50:50 bupivacaine and lidocaine
5. Shift into dorsal recumbency → incise and remove pups
(Neonatal Resuscitation)
“Drugs are rarely indicated in resuscitation of newborns. Bradycardia is usually the result of
hypoxemia or hypothermia”. Neonatal Resuscitation Guidelines
Perioperative and post-op analgesic plan