Wednesday, January 20, 2016

2924. INTERN. Breeder's perception of heavy anaesthetic dose - respiratory distress of puppies

Jan 20, 2016

HOOK (Video)
Breeder:  "The puppies were overdosed with anaesthesia. That is why the puppies are not crying after delivery."

What is the answer to this question?


MEDICAL HISTORY
On the 6lst day, the Dachshund, female, 3 years was not active as on the day before. She stopped walking although she ate. The breeder decided on Caesarean section at 8 pm.

C-section. 3 large pups. 2/3 distressed as they were not crying till more than 10 minutes after delivery.  61st day (average 59-63 days)


PHYSICAL EXAMINATION
Alert, no fever. Uterine inertia
No uterine contraction




SURGERY






SURGERY





Education of the breeder is very important. This was his 6th Caesarean section in the last 3 months. He had various vets in the past 30 years performing C-sections for him and had acquired knowledge of anaesthesia and outcomes from the vets.  

Isoflurane gas
1. A very safe anaesthesia for caesarean section compared to other injectable anesthetics.  Puppies would cry on delivery provided there is no delay in getting the Caesarean done and the dam is healthy. 

Evidence: I had done over 100 caesarean section for various dog breeders in Pasir Ris. There was no complaint about puppy deaths attributed to isoflurane anaesthesia.

2. No pre-op sedation injections were given and so the puppies could not be sedated on delivery. 
3. Others

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