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Anaesthetic complications and management of a great dane presenting with acute respiratory distress
Author(s) -
Ferrero Camilla,
Borland Karla
Publication year - 2020
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2019-001048
Subject(s) - medicine , retching , anesthesia , general anaesthesia , respiratory distress , hiatal hernia , diaphragmatic hernia , surgery , acute respiratory distress , hernia , lung , vomiting , disease , reflux
Anaesthesia can be challenging in animals with acute respiratory distress. This report details the management of a seven‐year‐old female great dane who initially presented with acute onset tachypnoea and retching. Under general anaesthesia, the dog was initially tachycardic, hypotensive and developed hypoxaemia. CT revealed a hiatal hernia with complete gastric herniation, gastric dilatation and suspected volvulus. At surgery, a type IV hiatal hernia with splenic involvement was confirmed. Following correction of the hernia and repositioning of the stomach and the spleen, oxygen saturation improved, and volume‐controlled ventilation was initiated. The dog recovered from general anaesthesia but developed oliguria, anaemia and became oxygen dependent in the following 48 hours. The dog was subsequently euthanased owing to a grave prognosis.