Monday, February 23, 2015

How to be productive and efficient in neutering a dog - injectable anaesthesia

Feb 24, 2015



SEEING IS BELIEVING

The textbooks have all their information but the hands-on practice, recording and observation of anaesthesia hones a vet's skill and expertise in anaesthesia and surgeries at least cost and provide a high level of safety for the pet.

I produce two videos to share my over 30 years of experiences on neutering a dog safely and efficiently with my Myanmar vet assistant with injectable anaesthesia. No isoflurane gas was used if the surgery is started and ended within 21 minutes from injection to final skin stitching



Sheltie, Male, 7 months, 5.6 kg. 38.7C

INJECTABLE ANAESTHESIA
For a young healthy dog, the formula is as follows:
10 kg, young    Dom = 0.4 ml   Ketamine =0.5ml in one syringe IV
Duration of analgesia (no pain, no movement) =  15 minutes 

This dog was given D=0.2 ml and Ketamine 0.25 ml IV. Very good analgesia and safety.


PRE-OP
Clip surgical area first. This dog was excitable and so this was done after the injection of anaesthetic.

A: Injection of Dom + Ketamine    10.47am
D: First skin incision                       10.56 am
E: Completion of skin stitching       11.08 am

E-D = 12 min  (neuter took 12 min).
E-A = 21 min

Each testicle from incision to the final cut = 3-4 min
lst testicle  10.56 am - 10.59 am
2nd testicle  10.59am - 11.03 am



Antisedan given at 11.30 am. Dog stands up at 11.35 am. All OK.

SURGERY
3-forceps method
Suture Caprosyn /0   absorbable nylon type.



CONCLUSION
No isoflurane gas top up is needed if the vet knows exactly the effects of domitor and ketamine for young dogs in neutering. Many pet owners ask how long it takes to neuter a dog. In this case, the whole process will be around 30 minutes. The surgery itself is around 12 minutes in this case.

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