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In this episode, host Alyssa Watson, DVM, welcomes Thomas K. Day, DVM, MS, DACVAA (Emeritus), DACVECC (Emeritus), CVA, Cert. IVUSS, to discuss his recent Clinician’s Brief article, “Anesthesia for Dental Surgery in a Dog With Myxomatous Mitral Valve Disease.” With his broad background in anesthesia and critical care, Dr. Day shares a wealth of useful information for handling these challenging anesthetic cases. You will want to keep your notebook close to take notes on everything from drug selection to dosing to even fluid dosing.
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Key Takeaways
Patients with stable or treated heart disease can be sedated and/or anesthetized, but active congestive heart failure is a complete contraindication.
Utilize pre-appointment medications like gabapentin and trazodone in both cats and dogs.
Dexmedetomidine and acepromazine should be minimized or avoided in heart disease patients due to their cardiovascular effects.
Butorphanol is very safe and reduces the amount of inhalant needed; and, have you tried it as a CRI?
Dental nerve blocks are vital, both for providing effective analgesia and for sparing the amount of system drugs required.
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The Team:
Alyssa Watson, DVM - Host
Alexis Ussery - Producer & Multimedia Specialist