Isoflurane maintenance of neuroanaesthesia in two dogs with hydrocephalus and syringohydromyelia undergoing ventriculoperitoneal shunt surgery
A two-year-old spayed female great dane crossbreed dog and a three-year-old spayed female Yorkshire terrier were presented for surgical correction of hydrocephalus and syringohydromyelia. Obstruction of cerebrospinal fluid flow and associated increase in cerebrospinal fluid volume commonly result in...
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| Veröffentlicht in: | Veterinary record case reports 2020-11, Vol.8 (4), p.n/a |
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| creator | Pohlin, Friederike Boustead, Keagan John Grace, Justin Frederick Zeiler, Gareth |
| description | A two-year-old spayed female great dane crossbreed dog and a three-year-old spayed female Yorkshire terrier were presented for surgical correction of hydrocephalus and syringohydromyelia. Obstruction of cerebrospinal fluid flow and associated increase in cerebrospinal fluid volume commonly result in an elevated intracranial pressure. During anaesthesia, maintaining an optimal balance between intracranial pressure and cerebral perfusion is crucial to avoid neuronal damage. Volatile anaesthetics are the most commonly used drugs for maintaining anaesthesia in veterinary practice but have the potential to cause an increase in intracranial pressure through vasodilation. This case series describes inhalational maintenance of neuroanaesthesia for ventriculoperitoneal shunt surgery with isoflurane. Interventions applied to manipulate the anaesthetic drug’s effects on intracranial pressure to maintain optimal cerebral perfusion are described. |
| doi_str_mv | 10.1136/vetreccr-2020-001235 |
| format | Article |
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Obstruction of cerebrospinal fluid flow and associated increase in cerebrospinal fluid volume commonly result in an elevated intracranial pressure. During anaesthesia, maintaining an optimal balance between intracranial pressure and cerebral perfusion is crucial to avoid neuronal damage. Volatile anaesthetics are the most commonly used drugs for maintaining anaesthesia in veterinary practice but have the potential to cause an increase in intracranial pressure through vasodilation. This case series describes inhalational maintenance of neuroanaesthesia for ventriculoperitoneal shunt surgery with isoflurane. Interventions applied to manipulate the anaesthetic drug’s effects on intracranial pressure to maintain optimal cerebral perfusion are described.</description><identifier>ISSN: 2052-6121</identifier><identifier>EISSN: 2052-6121</identifier><identifier>DOI: 10.1136/vetreccr-2020-001235</identifier><language>eng</language><publisher>London: British Veterinary Association</publisher><subject>Abdomen ; anaesthesia ; Ataxia ; Carbon dioxide ; Case reports ; Catheters ; central nervous system (CNS) ; dogs ; Fentanyl ; General anesthesia ; Hydrocephalus ; neuropathology ; neurosurgery ; Surgery ; Surgical outcomes ; Ventilation</subject><ispartof>Veterinary record case reports, 2020-11, Vol.8 (4), p.n/a</ispartof><rights>British Veterinary Association 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>British Veterinary Association 2020</rights><rights>2020 British Veterinary Association 2020. No commercial re-use. See rights and permissions. 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Interventions applied to manipulate the anaesthetic drug’s effects on intracranial pressure to maintain optimal cerebral perfusion are described.</description><subject>Abdomen</subject><subject>anaesthesia</subject><subject>Ataxia</subject><subject>Carbon dioxide</subject><subject>Case reports</subject><subject>Catheters</subject><subject>central nervous system (CNS)</subject><subject>dogs</subject><subject>Fentanyl</subject><subject>General anesthesia</subject><subject>Hydrocephalus</subject><subject>neuropathology</subject><subject>neurosurgery</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Ventilation</subject><issn>2052-6121</issn><issn>2052-6121</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc9uFDEMxkeISlSlb8AhEueh-bOTzR44wIrSSpWQEOUaeTKenaxmk8WZdDUvwTOT7YDEsSdb9vez5c9V9U7wD0IoffOEE6FzVEsuec25kKp5VV1K3shaCyle_5e_qa5T2vMiUsaoRl5Wv-9T7MdMEJAdwIcJAwSHLPYsYKYIATBNAyYPzAc2nSLr4i6xk58GNswdRYfHAcacGISOpZl82MXnxmHGsVA5dEi7WMrsCcNE3uUxHpH8FAPCyNKQw8RSph3S_La66GFMeP03XlWPt19-bO_qh29f77efHupWSWnqBtfKgISNVu1GaOWckrjeuK5fbUwrAJ0QrXZqrdrOaNCuQwEgzdr0shOlfFW9X-YeKf7K5UK7j5lCWWnlSkulmkafVatF5SimRNjbI_kD0GwFt2fz7T_z7dl8u5hfsI8LdvIjzi9i7M_vW_n5lpdHmcLfLHx72L9s4x-51aFA</recordid><startdate>20201119</startdate><enddate>20201119</enddate><creator>Pohlin, Friederike</creator><creator>Boustead, Keagan John</creator><creator>Grace, Justin Frederick</creator><creator>Zeiler, Gareth</creator><general>British Veterinary Association</general><general>Blackwell Publishing Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><orcidid>https://orcid.org/0000-0002-4236-5847</orcidid></search><sort><creationdate>20201119</creationdate><title>Isoflurane maintenance of neuroanaesthesia in two dogs with hydrocephalus and syringohydromyelia undergoing ventriculoperitoneal shunt surgery</title><author>Pohlin, Friederike ; 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Obstruction of cerebrospinal fluid flow and associated increase in cerebrospinal fluid volume commonly result in an elevated intracranial pressure. During anaesthesia, maintaining an optimal balance between intracranial pressure and cerebral perfusion is crucial to avoid neuronal damage. Volatile anaesthetics are the most commonly used drugs for maintaining anaesthesia in veterinary practice but have the potential to cause an increase in intracranial pressure through vasodilation. This case series describes inhalational maintenance of neuroanaesthesia for ventriculoperitoneal shunt surgery with isoflurane. Interventions applied to manipulate the anaesthetic drug’s effects on intracranial pressure to maintain optimal cerebral perfusion are described.</abstract><cop>London</cop><pub>British Veterinary Association</pub><doi>10.1136/vetreccr-2020-001235</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4236-5847</orcidid></addata></record> |
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| ispartof | Veterinary record case reports, 2020-11, Vol.8 (4), p.n/a |
| issn | 2052-6121 2052-6121 |
| language | eng |
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| subjects | Abdomen anaesthesia Ataxia Carbon dioxide Case reports Catheters central nervous system (CNS) dogs Fentanyl General anesthesia Hydrocephalus neuropathology neurosurgery Surgery Surgical outcomes Ventilation |
| title | Isoflurane maintenance of neuroanaesthesia in two dogs with hydrocephalus and syringohydromyelia undergoing ventriculoperitoneal shunt surgery |
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