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04-07-2021, 12:54 PM | #1 |
Yorkie Yakker Join Date: Nov 2009 Location: Roswell, GA USA
Posts: 61
| 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 When I picked him up last night he was withdrawn, shaking, and unable to walk.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. Labs are attached. Thank you for reading this. |
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04-07-2021, 01:50 PM | #2 |
Donating YT 500 Club Member Join Date: Sep 2010 Location: USA
Posts: 4,285
| What were his lab values before the dental?
__________________ . Cali , and Cali's keeper and staff, Jay No, not a "mini" Yorkie - She loves to motor in her Mini Cooper car |
04-07-2021, 02:56 PM | #3 |
Yorkie Yakker Join Date: Nov 2009 Location: Roswell, GA USA
Posts: 61
| I have attached the before labs. His ALT and GGT spiked afterwards. That's why I wanted him on an IV - figured his liver needed the support. I picked him up from the vet about an hour ago. He is showing improvement. He is able to stand/walk for short periods of time before collapsing. He also peed outside for me. He ate his dinner in its entirety and he seems a lot less distressed. Napping in my lap now. |
04-08-2021, 02:16 PM | #5 |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,450
| I would not be alarmed with an elevation of ALT after an incident like that. ALT is very sensitive. Happy to hear your pup is ok. Anesthesia is generally safe, but things can and do happen. I almost lost one last year but thankfully he was revived and is still fine. He is a senior and that was his last anesthetic procedure...scary.
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04-09-2021, 05:46 PM | #6 |
Yorkie Yakker Join Date: Nov 2009 Location: Roswell, GA USA
Posts: 61
| Hi all, wanted to update you on this situation. On Wednesday I was able to obtain prednisolone and gave him a dose of .15mg/lb per the consulting vet's instructions. It worked. He had a rough night but was completely recovered on Thursday morning. I am hoping this info will help someone else in the future. That said, we still retested his biochem at the vet on Thursday. We also did a urinalysis and an SDMA test for kidney function. Everything was fine. GGT was normal and ALT was down to 217. The consulting vet suggested we start him on a low dose of prenisolone every other day. I gave him his first dose with dinner tonight. He has suddenly expressed interest in his squeaky ball and is running around stomping it to death. It's like we turned back time. So he may have Addison's even though his electrolytes are normal. Would need to do an ACTH test to confirm. Regardless, steroids are what he needed. Last edited by Parka; 04-09-2021 at 05:50 PM. Reason: typo |
04-09-2021, 07:55 PM | #7 | |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,450
| Quote:
I am happy to hear he is much better! Again, the ALT is not much of a good indicator in and of itself.
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