Severe bradycardia after hypoxaemia and endotracheal intubation and cardiac arrest following glycopyrrolate in a dog

Scarabelli, Stefania, Rigotti, Clara and Alderson, Briony (2017) Severe bradycardia after hypoxaemia and endotracheal intubation and cardiac arrest following glycopyrrolate in a dog. Veterinary Record Case Reports, 5 (1). e000404-e000404. ISSN 2052-6121, 2052-6121

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Abstract

<jats:p>A nine‐year‐old neutered male Yorkshire terrier with history of chronic cough underwent bronchoscopy and bronchoalveolar lavage; general anaesthesia was maintained with a variable rate infusion of propofol, and oxygen was insufflated via a urinary catheter in the trachea. At the end of the procedure, desaturation occurred; endotracheal intubation was performed and was immediately followed by severe bradycardia and respiratory arrest. Glycopyrrolate (5 µg/kg) was administered leading to cardiac arrest. Apnoea and asystole were quickly treated with manual positive pressure ventilation, external chest compressions and intravenous administration of 0.04 mg/kg of atropine. This case describes vagally induced bradycardia after intubation, possible predisposing factors and its treatment/prevention with antimuscarinic drugs.</jats:p>

Item Type:	Article
Uncontrolled Keywords:	3009 Veterinary Sciences, 30 Agricultural, Veterinary and Food Sciences, Cardiovascular, Heart Disease, Lung
Depositing User:	Symplectic Admin
Date Deposited:	02 Aug 2018 06:29
Last Modified:	07 Dec 2024 18:00
DOI:	10.1136/vetreccr-2016-000404
Related URLs:	Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3024463