Full mu opioids can be used but may cause excessive respiratory depression so a reversal agent should be available.
Working off-campus? It is often enough just to prop up the head of the patient maintaining a patent airway while they are still groggy. WHEN TO REFER.

Email Us, 350 South Huntington Avenue, Boston, MA 02130 [5], Recovery from Aesculight CO2 laser surgery is most often quicker and more comfortable than that of scalpel surgery. The increased frequency of regurgitation after surgical treatment of BOAS, especially in younger dogs, provides justification for counseling owners regarding this postoperative complication. Brachycephalic dogs have anatomic considerations that may affect anesthetic outcome (1).

Owners of brachycephalic cat and dog breeds are often unknowingly putting their pets’ health at risk and not seeking life-changing treatment because they consider their pets’ breathing difficulties to be ‘normal’ for the breed.

It is important when anesthetizing a brachycephalic dog to be prepared at all times for upper airway obstruction. For every 1‐year increase in age, the odds of experiencing postoperative regurgitation were reduced by 28.8%. View all of our rewards-based training classes available.

Dexmedetomidine, an alpha-2 agonist, may be used in these dogs if no cardiovascular disease exists but due to the presence of high vagal tone the dose used should be reduced.

Butorphanol, a kappa agonist and mu antagonist opioid, can be used and provides reliable sedation but short acting analgesia.

Joy Fenner, Station Farm, London Road, Six Mile Bottom, Cambridgeshire CB8 0UH, United Kingdom. BOAS surgery aims to improve air flow through a fundamentally compromised upper airway. They may think that these symptoms are normal or even cute and desirable. Preoxygenation is always recommended before induction of dogs with BAS (3, 4, 5). To determine the incidence of and risk factors for regurgitation in dogs within 24 hours of surgical management of brachycephalic obstructive airway syndrome (BOAS).

(978) 687-7453 The induction agent should also allow for rapid loss of consciousness and rapid return of consciousness. [2] Upper airway abnormalities correlated with BOAS include stenotic nares, an elongated soft palate, laryngeal collapse, extended nasopharyngeal turbinates, and others.

Dog and cat brachycephalic breeds may have difficulty breathing through their nose. In fact, French bulldogs are often highly stressed and excited when presenting for anesthesia and can actually benefit from the addition of acepromazine to the protocol.
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The Aesculight CO2 Laser is used to excise tissue covering or obstructing the nostrils to allow for increased airflow, thereby reducing the effort needed to breathe.[5].

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Typical clinical signs of BAS are listed in Table 2; dogs with these signs benefit from early surgical correction of existing primary abnormalities before secondary changes occur.For example, in puppies with stenotic nares it is recommended to perform rhinoplasty at 3 to 4 months of age, and at the same time perform a preliminary evaluation of the soft palate. These animals are dependent on their owners to provide surgical solutions to improve their quality of life.

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