Open AccessInfluence of Isoflurane General Anesthesia or Anesthesia and Surgery on Thyroid Function Tests in Dogs
Author(s) -
Wood M.A.,
Panciera D.L.,
Berry S.H.,
Monroe W.E.,
Refsal K.R.
Publication year - 2009
Publication title -
journal of veterinary internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.356
H-Index - 103
eISSN - 1939-1676
pISSN - 0891-6640
DOI - 10.1111/j.1939-1676.2008.0216.x
Subject(s) - medicine , isoflurane , anesthesia , anesthetic , acepromazine , propofol , premedication , euthyroid , abdominal surgery , surgery , halothane , thyroid , blood pressure , heart rate
Background: Anesthesia and surgery affect thyroid function tests in humans but have not been studied in dogs. Hypothesis: Anesthesia and anesthesia with surgery will affect thyroid function tests in dogs. Animals: Fifteen euthyroid dogs. Methods: Prospective, controlled, interventional study. Dogs were assigned to one of 3 groups: control, general anesthesia, and general anesthesia plus abdominal exploratory surgery. Dogs in the anesthesia and surgery groups were premedicated with acepromazine and morphine, induced with propofol, and maintained on isoflurane. Samples for measurement of serum thyroxine (T 4 ), free T 4 (fT 4 ) by equilibrium dialysis, triiodothyronine (T 3 ), reverse T 3 (rT 3 ), and thyroid‐stimulating hormone concentrations were collected from each dog immediately before premedication, at multiple times during anesthesia, surgery, 4, 8, 12, 24, 36, and 48 hours after anesthesia, once daily for an additional 5 days, and once 14 days after anesthesia. Sampling was performed at identical times in the control group. Results: Serum T 4 decreased significantly from baseline in the surgery and anesthesia groups compared with the control group at 0.33 ( P = 0.043) and 1 hour ( P = 0.018), and 2 ( P = 0.031) and 4 hours ( P = 0.037), respectively, then increased significantly in the surgery group compared with the control group at 24 hours ( P = 0.005). Serum T 3 decreased significantly from baseline in the anesthesia group compared with the control group at 1 hour ( P = 0.034). Serum rT 3 increased significantly from baseline in the surgery group compared with the control and anesthesia groups at 8 ( P = 0.026) and 24 hours ( P = 0.0001) and anesthesia group at 8, 12, 24, and 36 hours ( P = 0.004, P = 0.016, P = 0.004, and P = 0.014, respectively). Serum fT 4 increased significantly from baseline in the surgery group compared to the control at 24 hours ( P = 0.006) and at day 7 ( P = 0.037) and anesthesia group at 48 hours ( P = 0.023). Conclusions and Clinical Importance: Surgery and anesthesia have a significant effect on thyroid function tests in dogs.