Anesthesia mishap - dog having trouble recovering I need some out of the box thinking on this one. Kirby is 13 years old and has a history of epilepsy, IVDD, and gastrointestinal issues.
We recently switched vets because his original vet was cutting corners on his care. The new vet put him under anesthesia yesterday to do some dental work. He was totally fine when I dropped him off, but during the procedure he went into cardiac arrest and they revived him. They claim he was only out for 30 seconds or so but I have reason to doubt that. I questioned them on the drugs they used, and the dosages, and how long he was out. They said the problem was Kirby not them. He had anesthesia recently for something else and this didn't happen.
When I picked him up last night he was withdrawn, shaking, and unable to walk. Over the course of the evening he progressed to heavy panting, uncontrollable shaking, and unresponsive to stimuli. I took him to the vet ER and they did blood work (attached) and an xray to see if he aspirated anything. He didn't. They said they did not want to admit him and sent him home with me.
This morning he was attempting to stand/walk but unable to, and he was very irritated about it. He is acting normal from the neck up. His legs are warm, functional, and responsive to touch. He also has not urinated or defecated since the procedure.
Since the ER wouldn't take him, and the new vet wouldn't see him either, I took him back to his old vet and asked them to put him on an IV. He has been on one all day today but is still not standing or urinating.
We have several theories so far:
1. He has cerebral edema from his cardiac arrest issue
2. He has liver and/or kidney damage from arresting for an extended period, his ALT is high but his CREA is not but kidney issues usually don't show up in blood panels for a couple days
3. He is having an addisonian crisis due to extreme stress, a combination of his cardiac arrest and other things. His electrolyte values are not high but that doesn't necessarily rule it out
4. He has brain damage from his cardiac arrest, he is reacting normally to stimuli but this is a possibility
I have called around to a ton of vets today and I found one who is consulting on this. He suggested I give him a small dose of prednisalone and see if that resolves the issues. The vet he is currently hospitalized with will not give him steroids (I asked) so I'm not sure how to make that happen. If I take him for a neurology consult, they will want to do scans, and since he can't have anesthesia he can't have any scans.
He is at the vet still. As of right now the plan is to bring him back tomorrow for more fluids, a biochem panel, and a urinalysis. I am unsure what else to do or where to go. Many of the vets I spoke with were very dismissive due to his age, but he was a happy boy prior to whatever happened yesterday.
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