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Originally Posted by Ellie May  Amanda, does hubby want to become a member of YT??? 
We really need a vet here.
I thought masking was beter but then I read the articles I posted above and surgeons are saying no. Too high of a dose is required. Then you hear about the lower seizure rate (maybe not true) with Iso and think that that is better for the liver. In fact, I think Dr. Tobias uses Iso.
For Ellie, it is in the vet's hands. Whatever she wants to do because whatever it is is working and considered good by the "experts".
You wouldn't happen to know if dentals are ever done under sedation and local anes. rather than general, would you? I don't want to do anes. free because they just aren't as thorough but I wonder if a combination of sedation and nerve blocks could be used for a simple cleaning?
I do occasionally look at DVM Newsmagazine online. They give you whole articles for free.  |
LOL! Don't worry- hubby is an "honorary member."
Most of my info comes from him and if he doesn't know the answer he helps me research it so we both learn. I don't think he could handle YT if you know what I mean...
He would have a hard time with certain things here and I will just leave it at that.
We had a long talk about masking last night. He said it really depends on the particular animal. If you have a well-socialized, gentle and easy-going dog that isn't too worked up, you can mask them down with a dose of sevo that isn't too high. However, if the animal is incredibly anxious or ferral, unfortunately a higher dose is required but is still safer on the liver for liver-compromised pets. For an animal that is "normal" they will use a light tranq such as ace to get them sleepy. I prefer a bit of ace first so my boys wont have any serious anxiety. I also prefer sevo because I have seen dogs in surgery with both iso and sevo and they just pop awake after the mask w/ sevo is taken off, and it takes much longer with iso, although not as long as the other anesthetic familes.
I think that it is best for the vet to use whatever they are comfortable with. I am sure Dr. Tobias has been using iso for years and that is what works and what he's good with. They are so similar to each other that I really can't imagine it makes a tremendous difference. And considering he does all the liver surgeries I would feel absolutely comfortable with that as well, so long as he was doing the surgery.
Oh, and as far as the dentals, I know you can do them either way. I know my vet uses sevo for dentals. He also does them under sedation and block or local but he actually thinks the sevo is easier on them than sedating and blocking. I had Ryder's dental done at the end of his neuter and his teeth still look great so I guess we will cross that road when we get there. Now my horses on the other hand are done under light sedation with no local.