Use of ephedrine and dopamine in dogs for the management of hypotension in routine clinical cases under isoflurane anesthesia

Chen, Hui Cheng; Sinclair, Melissa; Dyson, Doris H.

doi:10.1111/j.1467-2995.2006.00327.x

Cited by 38 publications

(44 citation statements)

References 27 publications

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“…Given the transient nature of hypotension observed after epidural anesthesia, the authors have found that a single dose is adequate in most cases. Ephedrine significantly increased cardiac index and stroke volume index but not arterial blood pressure in 5 out 6 dogs that had been treated with an epidural with morphine–bupivacaine (55) but one has to consider that this was a small clinical study where different anesthetic protocols had been administered. If ephedrine is ineffective to treat post-epidural hypotension, dopamine can be administered as a constant rate infusion (5–10 μg kg min −1 ) as the rate can be adjusted according to individual blood pressure responses.…”

Section: Local Anestheticsmentioning

confidence: 99%

An Update on Drugs Used for Lumbosacral Epidural Anesthesia and Analgesia in Dogs

Steagall

2017

Front. Vet. Sci.

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This review aims to report an update on drugs administered into the epidural space for anesthesia and analgesia in dogs, describing their potential advantages and disadvantages in the clinical setting. Databases searched include Pubmed, Google scholar, and CAB abstracts. Benefits of administering local anesthetics, opioids, and alpha2 agonists into the epidural space include the use of lower doses of general anesthetics (anesthetic “sparing” effect), perioperative analgesia, and reduced side effects associated with systemic administration of drugs. However, the potential for cardiorespiratory compromise, neurotoxicity, and other adverse effects should be considered when using the epidural route of administration. When these variables are considered, the epidural technique is useful as a complementary method of anesthesia for preventive and postoperative analgesia and/or as part of a balanced anesthesia technique.

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Section: Local Anestheticsmentioning

confidence: 99%

An Update on Drugs Used for Lumbosacral Epidural Anesthesia and Analgesia in Dogs

Steagall

2017

Front. Vet. Sci.

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“…Ephedrine is the ideal drug for the correction of mild hypotension, where aggressive treatment is not necessary. 33 As norepinephrine stores are used, the effect of subsequent ephedrine boluses diminishes, although ephedrine also has some direct action on adrenoceptors. Ephedrine decreases renal and splanchnic perfusion, but the reduction in renal perfusion is not as great as that produced by directly acting a-1-adrenergic agonists.…”

Section: Mixed Inotropes and Vasopressorsmentioning

confidence: 99%

Perioperative Blood Pressure Control and Management

Duke‐Novakovski

Carr

2015

Veterinary Clinics of North America: Small Animal Practice

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“…A cuff that is too large or too tight will give falsely low readings and a cuff that is too small or to loose will give falsely high blood pressure readings. 11 The conclusion was that a dopamine infusion would be more clinically useful. In order to help control and prevent hypotension, prediuresis with crystalloid fluids prior to anesthesia can be administered.…”

Section: Figurementioning

confidence: 99%

“…It must be emphasized that human involvement is necessary for anesthesia monitoring. 2,11 Hypothermia can be a common complication in the veterinary dental patient since many patients are of small size, the duration of the anesthesia may be prolonged, and the use of water coolants for many ultrasonic scalers and high-speed dental handpieces. 8 The American College of Veterinary Anesthesiologists made suggestions for anesthesia monitoring in 1995.…”

mentioning

confidence: 99%