Although left- or right-sided pneumonectomy is tolerated by normal dogs, complications impacting the respiratory, cardiovascular, and gastrointestinal systems are not uncommon. Pneumonectomy in dogs results in secondary changes in the remaining lung, which include: decreased compliance and vital capacity; and increased pulmonary vascular resistance potentially leading to right ventricular hypertrophy. Such alterations make the anesthetic management of an animal with one lung particularly challenging. This report describes a dog with a history of left pneumonectomy due to Aspergillus fumigatus pneumonia 3 yr before presentation. The dog presented with a vaginal wall prolapse, and surgical resection of the protruding vaginal wall, ovariectomy, and prophylactic gastropexy were performed. Anesthesia was induced with midazolam, fentanyl, and propofol and was maintained with isoflurane using intermittent positive pressure ventilation and a constant rate infusion of fentanyl. Epidural anesthesia was also used. Recovery and postoperative management were uncomplicated. Intensive hemodynamic and respiratory monitoring and appropriate response and treatment of any detected abnormalities, taking into consideration the pathophysiologic alterations occurring in a pneumonectomized animal, are required for successful perianesthetic management.
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March/April 2012
Case Reports|
March 01 2012
Anesthesia and Perioperative Management of a Pneumonectomized Dog
Tilemahos L. Anagnostou, PhD, DVM;
Tilemahos L. Anagnostou, PhD, DVM
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Kiriaki Pavlidou, DVM;
Kiriaki Pavlidou, DVM
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Ioannis Savvas, PhD, DVM;
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Correspondence: [email protected] (I.S.)
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George M. Kazakos, PhD, DVM;
George M. Kazakos, PhD, DVM
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Lysimachos G. Papazoglou, PhD, DVM, MRCVS;
Lysimachos G. Papazoglou, PhD, DVM, MRCVS
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Haralabos N. Ververidis, PhD, DVM;
Haralabos N. Ververidis, PhD, DVM
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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Dimitris Raptopoulos, PhD, DVM, DVA, DECVAA
Dimitris Raptopoulos, PhD, DVM, DVA, DECVAA
Companion Animal Clinic, Department of Clinical Sciences, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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J Am Anim Hosp Assoc (2012) 48 (2): 145–149.
Citation
Tilemahos L. Anagnostou, Kiriaki Pavlidou, Ioannis Savvas, George M. Kazakos, Lysimachos G. Papazoglou, Haralabos N. Ververidis, Dimitris Raptopoulos; Anesthesia and Perioperative Management of a Pneumonectomized Dog. J Am Anim Hosp Assoc 1 March 2012; 48 (2): 145–149. doi: https://doi.org/10.5326/JAAHA-MS-5729
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