Successful resuscitation in a bitch undergoing cesarean section and ovariohysterectomy
Alexander Trein, ThomasCurty Barbosa, BrenoGiacomini Ferrari, BárbaraGeralda Andrade, DéboraSérgio Patto dos Santos, PauloNobre Leal de Souza Oliva, ValériaAntonio de Miranda Bomfim, CarlosRegina Mogami Bomfim, Suely
Background: Cardiopulmonary arrest (CPA) is common in veterinary critical care and cardiopulmonary cerebral resuscitation (CPCR) aims to achieve survival and continued quality of life. However, reported survival rate to discharge is very low for veterinary patients. We present a case of successful CPCR after CPA in a bitch undergoing cesarean section and ovariohysterectomy.Case: A four-year old Pit Bull bitch undergoing labor for two days was referred to the veterinary hospital for a cesarean section and ovariohysterectomy. Laboratory exams revealed anemia, leucopenia, hypoglycemia and increased values of alkaline phosphatase and urea. Pre-anesthetic medication consisted of intramuscular (IM) morphine (0.3 mg kg-1) and midazolam (0.2 mg kg-1), and 2.5% glucose in Ringers lactated solution (10 mL kg-1 hour-1) was administered intravenously (IV). Following induction with propofol (2 mg kg-1) and midazolam (0.2mg kg-1) IV, the trachea was intubated and anesthesia was maintained with isofl urane in 100% oxygen. Fentanyl (3g kg-1) associated with 2% lidocaine (4 mg kg-1) was administered epidurally in the lumbo-sacral space. During anesthesia, heart rate (HR), respiratory rate (RR), peripheral oxygen saturation (SpO2), electrocardiogram (ECG) and systolic arterial pressure (SAP) were monitored. At the start of surgery, blood was transfused. During the procedure, hypotension (SAP 3
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