Anaesthesia management of a pug (in late stage pregnancy) with lung lobe torsion

Harðardóttir, H., Thierry, F. and Murison, P. J. (2019) Anaesthesia management of a pug (in late stage pregnancy) with lung lobe torsion. Veterinary Record Case Reports, 7(2), e000765. (doi: 10.1136/vetreccr-2018-000765)

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Abstract

Anaesthetic management can be challenging when patients have multiple comorbidities. This report presents one such case: a pug with brachycephalic airway syndrome, in late gestation, presented with a lung lobe torsion. Under general anaesthesia the dog initially had low PaO2, with severe ventilation perfusion mismatch and pulmonary shunt; this was mildly improved with the patient positioned on a head-up tilted table in right lateral recumbency. Tension pneumothorax developed after initiation of positive pressure ventilation and was resolved with rapid entry into the thoracic cavity. Ventilation was adjusted with the aid of spirometry, blood gases, capnography and direct visualisation of the lung tissue. The dog made a full recovery and was discharged from hospital five days postoperatively.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Murison, Professor Pamela
Authors: Harðardóttir, H., Thierry, F., and Murison, P. J.
College/School:College of Medical Veterinary and Life Sciences > School of Biodiversity, One Health & Veterinary Medicine
Journal Name:Veterinary Record Case Reports
Publisher:Wiley
ISSN:2052-6121
ISSN (Online):2052-6121
Published Online:15 April 2019
Copyright Holders:Copyright © 2019 British Veterinary Association
First Published:First published in Veterinary Record Case Reports 7(2):e000765
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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