Anesthetic Protocol for Tibetan Spaniels

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=110 BGCOLOR="#666699" TEXT="#080000" bgproperties="fixed" background="04b00840erlcjm.png"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Namtrah Tibetan Spaniels</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Namtrah Tibetan Spaniels"><U><B>home</B></U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="Philosophy"><U>Philosophy</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="The Namtrah Tibbies"><U>The Namtrah Tibbies</U></A>   |   <A HREF="id78.htm" TARGET="_top" TITLE="Show News"><U>Show News</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE="To Contact Us"><U>To Contact Us</U></A>   |   <A HREF="id47.htm" TARGET="_top" TITLE="Recent Ads"><U>Recent Ads</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Application for adoption"><U>Application for adoption</U></A>   |   <A HREF="id72.htm" TARGET="_top" TITLE="Available Tibbies"><U>Available Tibbies</U></A>   |   <A HREF="id138.htm" TARGET="_top" TITLE="New Homes"><U>New Homes</U></A>   |   <A HREF="id25.htm" TARGET="_top" TITLE="Where are they now"><U>Where are they now</U></A>   |   <A HREF="id57.htm" TARGET="_top" TITLE="Litter Basket"><U>Litter Basket</U></A>   |   <A HREF="id133.htm" TARGET="_top" TITLE="Namtrah History"><U>Namtrah History</U></A>   |   <A HREF="id158.htm" TARGET="_top" TITLE="RIP Beloved Ones"><U>RIP Beloved Ones</U></A>   |   <A HREF="id159.htm" TARGET="_top" TITLE="Christmas Greetings"><U>Christmas Greetings</U></A>   |   <A HREF="id61.htm" TARGET="_top" TITLE="Kindred Spirits Tibbies"><U>Kindred Spirits Tibbies</U></A>   |   <A HREF="id108.htm" TARGET="_top" TITLE="A Special Black Tan Litter"><U>A Special Black & Tan Litter</U></A>   |   <A HREF="id137.htm" TARGET="_top" TITLE="The Too Cute Litter"><U>The "Too Cute" Litter</U></A>   |   <A HREF="id60.htm" TARGET="_top" TITLE="Jewels 2002 pups"><U>Jewel's 2002 pups</U></A>   |   <A HREF="id52.htm" TARGET="_top" TITLE="Heidi 2002 pups"><U>Heidi 2002 pups</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="Class of 2001"><U>Class of 2001</U></A>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Sept 2000 Puppy Pics"><U>Sept 2000 Puppy Pics</U></A>   |   <A HREF="id162.htm" TARGET="_top" TITLE="2018 National Specialty"><U>2018 National Specialty</U></A>   |   <A HREF="id109.htm" TARGET="_top" TITLE="Guest Book"><U>Guest Book</U></A>   |   <B>Anesthetic Protocol for Tibetan Spaniels</B>   |   <A HREF="id26.htm" TARGET="_top" TITLE="More Tibbie Info"><U>More Tibbie Info</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" height=370 BGCOLOR="#FFFFFF" TEXT="#080000"> <div>                                                                     Anesthetic Protocol for Tibetan Spaniels</div> <bR> <bR> <div> <B><U>Anesthetic Protocol for Tibetan Spaniels</U></B></div> <div> By Lewis R. Hartman D.V.M.</div> <bR> <div> This protocol will be most helpful for first time Tibbie owners and their Veterinarians who have limited experience with the Breed.</div> <bR> <div> Many of you have “Tibbie experienced” Veterinarians, who have developed their own anesthetic protocols. I welcome their inputs. </div> <div> They can send their favorite protocols to me at LRHMDH@aol.com. </div> <bR> <div> Pre and Post Op pain management: Tramadal 2 mg/kg </div> <bR> <div> <B>1-2 Hours prior to surgery give:</B></div> <div> <B>Rimadyl 2mg/LB SQ</B> and the <B>Tramadol 2mg/kg</B></div> <bR> <div> <B>PRE-ANESTHESIA</B></div> <div> <B>BUPRENEX 0.02mg/kg</B></div> <div> <B>KETAMINE 2.0mg/kg</B></div> <div> <B>DEXDOMITOR 250mcg/m2</B></div> <div> All given in same syringe IM 15 - 20 minutes before mask induction                                         </div> <bR> <div> <B>Induction:</B></div> <bR> <div> Mask with 6% to 6.5% Sevoflurane concentration with 2 Liter OXYGEN flow until deep enough </div> <div> anesthetic plane to intubate.</div> <bR> <bR> <div> Maintenance Anesthesia:</div> <div>      </div> <div> After intubation maintain at 1.5 to 3.0% Sevo (Sevoflurane) concentration at 1.5 to 2 liter oxygen flow.</div> <div> Recovery starts within a few minutes after Sevo is discontinued.</div> <bR> <div> Anesthetic Monitoring:</div> <div> Pulse Oximeter mandatory with ECG monitoring preferred</div> <bR> <bR> <div> CAUTION:</div> <bR> <div> With extended anesthesia time a DECREASED PULMONARY TIDAL VOLUME is often seen. </div> <div> This occurs even when the Respiratory Rate is normal. This is why Pulse Oximeter monitoring is absolutely necessary. </div> <div> Assisted Ventilation by bagging two to three times per minute will prevent this from happening. </div> <div> Also maintain O<FONT SIZE="1" COLOR="#000000" FACE="Arial" >2</FONT> blood levels above 92% with Ventilation.</div> <bR> </td> </tr></table></body>