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68° Congresso Nazionale SCIVAC: Le domande più frequenti in ...

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<strong>68°</strong> CONGRESSO NAZIONALE <strong>SCIVAC</strong> 11-13 Marzo 2011 - Milano<br />

LE DOMANDE PIÙ FREQUENTI IN RIPRODUZIONE CANINA E FELINA<br />

Tutto quello che i vostri clienti osano spesso chiedere e a cui voi non sapete rispondere<br />

14 th EVSSAR Congress - Advances <strong>in</strong> Fel<strong>in</strong>e Reproduction - March 11 th 2011<br />

They are very useful <strong>in</strong> this <strong>in</strong>dication, us<strong>in</strong>g very low dose and must be<br />

antagonize (atipamezole) as soon as possible on the bitch (after <strong>in</strong>duction) or<br />

on puppies (subl<strong>in</strong>gual drop). Opioids appear to be well tolerated by the pups,<br />

but few data are available.<br />

To limit the risk of regurgitation dur<strong>in</strong>g surgery, (major <strong>in</strong> late gestation),<br />

it is recommended to adm<strong>in</strong>ister an anti-emetic with prok<strong>in</strong>etic properties<br />

(metoclopramide) before <strong>in</strong>duction.<br />

4.2 ANESTHESIA: INDUCTION TO WAKE-UP<br />

Many anesthetic protocols (general, local, or partners) have been described,<br />

but the protocol currently recommended is an <strong>in</strong>duction with propofol<br />

followed by a ma<strong>in</strong>tenance with a volatile anesthesia (O2, isoflurane) on<br />

an <strong>in</strong>tubated bitch. Another <strong>in</strong>duction agent can be safetely used: alfaxalone<br />

(neurosteroid).<br />

Absence of premedication and physiological changes by gestation makes<br />

anesthesia ma<strong>in</strong>tenance often unstable. It is <strong>in</strong>terest<strong>in</strong>g to realize before <strong>in</strong>duction,<br />

a local anesthesia of subcutaneous tissue and abdom<strong>in</strong>al muscles<br />

layers us<strong>in</strong>g a dilute solution of lidoca<strong>in</strong>e at a dose of 2 to 5 mg/kg. This<br />

helps to ma<strong>in</strong>ta<strong>in</strong> a superficial anesthesia, thus avoid<strong>in</strong>g to anesthetize puppies<br />

to deeply.<br />

5. ANESTHESIA IN PAEDIATRICS<br />

Congenital abnormalities and <strong>in</strong>juries (sk<strong>in</strong> burn, ...) may be treated <strong>in</strong><br />

the first weeks of life by surgery procedures. Anesthesia of puppies is easy<br />

and safe if the management is tak<strong>in</strong>g <strong>in</strong>to account neonates and paediatrics<br />

specificity.<br />

5.1 PHYSIOLOGICAL REMINDS<br />

Dur<strong>in</strong>g 6 to 12 weeks of life, many functions are still immature with a<br />

great <strong>in</strong>fluence on tolerance to anesthesia and rapid recovery after surgery.<br />

- Cardiovascular system. At birth autonomic <strong>in</strong>nervation of the heart and<br />

vasculature is <strong>in</strong>complete. The ability to respond to circulatory distress is reduced.<br />

The newborn responds to hypoxia with bradycardia or no change. After<br />

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