Seizures during medetomindine sedation and local anaesthesia in two dogs undergoing skin biopsy

Each of two dogs presented for multiple skin biopsies were sedated with intravenous medetomidine and lignocaine was injected subcutaneously to provide local anaesthesia for skin biopsy. One dog had a seizure during skin biopsy and again immediately following reversal of medetomidine with atipamezole...

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Veröffentlicht in:Australian veterinary journal 2009-05, Vol.87 (5), p.188-192
Hauptverfasser: Rainger, J.E, Baxter, C.G, Vogelnest, L.J, Dart, C.M
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container_title Australian veterinary journal
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creator Rainger, J.E
Baxter, C.G
Vogelnest, L.J
Dart, C.M
description Each of two dogs presented for multiple skin biopsies were sedated with intravenous medetomidine and lignocaine was injected subcutaneously to provide local anaesthesia for skin biopsy. One dog had a seizure during skin biopsy and again immediately following reversal of medetomidine with atipamezole. The other dog developed seizures 2 h following skin biopsy at which time the medetomidine was reversed with atipamezole. Both dogs were neurologically normal with no history of seizures prior to the procedure and remained neurologically normal for 14 weeks and 9 months, respectively, following the procedure. A drug interaction between the α2‐adrenergic agonist medetomidine and lignocaine is suspected and highlights the potential for seizures following the subcutaneous administration of relatively large doses of lignocaine under medetomidine sedation.
doi_str_mv 10.1111/j.1751-0813.2009.00419.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects adverse effects
anesthesia
anesthetics
Anesthetics, Local - adverse effects
Animals
atipamezole
biopsy
Biopsy - veterinary
case studies
Dermatitis, Atopic - pathology
Dermatitis, Atopic - veterinary
dog diseases
Dog Diseases - chemically induced
Dog Diseases - pathology
DOGS
Drug Interactions
Fatal Outcome
Female
Hypnotics and Sedatives - adverse effects
Immunosuppressive Agents - therapeutic use
intravenous injection
Lidocaine - adverse effects
lignocaine
medetomidine
Medetomidine - adverse effects
Pemphigus - drug therapy
Pemphigus - pathology
Pemphigus - veterinary
postoperative complications
sedation
seizures
Seizures - chemically induced
Seizures - veterinary
subcutaneous injection
Treatment Outcome
title Seizures during medetomindine sedation and local anaesthesia in two dogs undergoing skin biopsy
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