The
following information is provided as
warning information for new Shih Tzu owners. Be advised these are my
experinces and opinions. You have to do research and form yoru own
opinions for your baby. You would not just follow any advice blindly
with your child. You would research and find the best answers for him/
her. Your Shih Tzu is yoru child now and you are the parent. MAKE
EDUCATED CHOICES for them.
COMMON
PROCEDURES & ANESTHESIA
All
vets are not created equal. Just because they went to school does not
mean they know whats best for your baby. Shih Tzu puppies are have been
lost for normal spay/ neuter procedures. Every vet is different as far
as their procedures for anesthesia. Ask your vet for details of his or
her plan for your baby before the day of the appointment so you are
clear about how things will go in the operating room. Step by step. From
pre anesthesia to recovery. You have a right to know.
Here
is a brief article about anesthesia and brachycephalic breeds.
Because
in brachycephalic breeds additional airway contraction can occur with
stress (ie, increased respiratory effort, turbulent flow), clinicians
need to be prepared for possible upper airway obstruction. Further -
more, brachycephalic dogs must be monitored closely after premedication,
throughout anesthesia and the postoperative period, and after
extubation. An oxygen source and endotracheal tube should be readily
available.
Preoxygenation is recommended before brachycephalic dogs are induced.
2-4 Propofol or a similar shortacting drug should be used for induction
and intubation should be completed as rapidly as possible. Mask
inductions should be avoided, 3,4 and smaller endotracheal tubes should
be used.
Because brachycephalic breeds tend toward obesity, controlled or
mechanical ventilation is often necessary. Most problems associated with
mechanical ventilation occur during induction and recovery, so
monitoring is particularly important.
Not
only brachycephalic breeds present a challenge for anesthesia but toy
breeds do as well. So the Shih Tzu presents a doubly challenge.
Obtaining an accurate weight and using the appropriate dose of
anesthetic drug are essential. Monitoring during surgery likewise is
important. In small patients, Doppler blood pressure measurement has
been more accurate than oscillometric monitoring; in addition, it
provides an auditory sound to monitor heart rate and rhythm.
Toy breeds have a greater body surface area– to–body mass ratio and
higher metabolic rate, which can lead to lower body temperatures and
hypoglycemia.
My
vet uses Isoflurane and Propofol (considered a bit more
expensive)
One is an inhalant and
the other interventions. Both are short acting. She is top in
her field with surgeries, she constantly goes to school to improve and
learn about any new technique. I have read and heard if they use two
drugs they can use less of each minimizing side effects which can be
hard on the heart and major organs.
