Management of severe hypotension in a dog undergoing transvenous pacemaker implantation following acepromazine and subsequent terbutaline administration

Arenas Alvarez, Almudena and Bruniges, Natalie (2023) Management of severe hypotension in a dog undergoing transvenous pacemaker implantation following acepromazine and subsequent terbutaline administration. Veterinary Record Case Reports, 11 (4).

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Official URL: http://dx.doi.org/10.1002/vrc2.682

Abstract

<jats:title>Abstract</jats:title><jats:p>This case report describes events that occurred under general anaesthesia of a dog undergoing transvenous pacemaker implantation for third‐degree atrioventricular block. Following premedication with acepromazine and buprenorphine, general anaesthesia was induced with alfaxalone, and maintained with isoflurane in oxygen. The dog developed severe hypotension during the procedure with concurrent bradycardia before commencement of pacing. In order to increase the heart rate, terbutaline was administered intravenously. This was followed by a worsening of the hypotension, with only a small increase in heart rate. Blood pressure improved following noradrenaline infusion. The animal recovered uneventfully in intensive care, and was sedated due to its anxious temperament to avoid dislodgement of the pacemaker device in the postoperative period.</jats:p>

Item Type:	Article
Uncontrolled Keywords:	Cardiovascular, Cardiovascular
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User:	Symplectic Admin
Date Deposited:	28 Jul 2023 14:49
Last Modified:	17 Mar 2024 17:33
DOI:	10.1002/vrc2.682
Open Access URL:	https://doi.org/10.1002/vrc2.682
Related URLs:	Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3171985