https://www.vetsurgeon.org/f/clinical-questions/10953/good-anaesthetic-sedation-choice-for-liver-disease Hi All , any ideas for this ? Many thanks , its a 10 year old cross bred dog with hepatitis and pancreatitis en-USTelligent Community 10https://www.vetsurgeon.org/thread/57414?ContentTypeID=1Tue, 06 Mar 2012 19:21:44 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:c527d93a-64d2-4664-9d4d-f79d4dbc31a3Mark Hedberg<p>[quote user=&quot;Vet2Vet&quot;]</p> <p>Well <img src="https://www.vetsurgeon.org/emoticons/v2/Ashamed_smiley.png" alt="Embarrassed" /></p> <p>Here it is </p> <p>ACP , vetergesic , torbugesic , diazepam , medetomidine , propofol and iso <img src="https://www.vetsurgeon.org/emoticons/v2/Eye_rolling_smiley.gif" alt="Exasperated" /></p> <div style="clear:both;"></div> <p>[/quote]</p> <p>What&#39;s the problem? I know some clinics in the Middle East who&#39;d sell their own mother for those meds! (Not a lot of veterinary meds available in some countries...) <img src="https://www.vetsurgeon.org/emoticons/v2/Very_happy_smiley.png" alt="Very happy" /> (Count your blessings, good drugs those!)</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57400?ContentTypeID=1Tue, 06 Mar 2012 17:06:21 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:17792bb7-efab-4688-8477-3bcfe9bb88bbDavid Mills<p>Liver disease is rarely worsened by anaesthetic drug admin directly but it simply takes longer either to have effect or to wear off - can&#39;t see the problem tbh.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57390?ContentTypeID=1Tue, 06 Mar 2012 16:46:15 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f168f284-558a-4f4a-aa31-29e2114121f9Vet2Vet<p>Thanks everyone for all your suggestions ! </p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57387?ContentTypeID=1Tue, 06 Mar 2012 16:41:54 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:c4312394-0c35-409c-bc58-1e247de6670bBob Russell<p>Normal Torbugesic (or equiv) dose and half Domitor (or equiv) dose i/v. This is usually enough but you can top up or give some iso if nec. Reverse if required! &nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57357?ContentTypeID=1Tue, 06 Mar 2012 13:46:33 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:8b0d366e-897f-4138-87a5-51a70376320dJames Laidlaw<p>I&#39;d just give enough vetergesic to get the X-ray - quiet clinic, dark lighting to avoid stimulation as much as possible. We had a staff dog have a ga and dental and an anaesthetist suggest we just use methadone, no NSAID, no acp. Went fine and his liver is pretty shot! Don&#39;t you need a lateral as well - might as well while he is there.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57355?ContentTypeID=1Tue, 06 Mar 2012 13:34:33 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:9767ae49-0050-4276-bc4f-433272af8345Michael Woodhouse<p>[quote user=&quot;Vet2Vet&quot;]</p> <p>want vd xray abdo </p> <div style="clear:both;"></div> <p>[/quote]</p> <p>Then you don&#39;t even need a GA. IV medetomidine/butorphanol and then reverse as soon as you are done. </p> <p>If you insist on a GA then crack on with your usual protocol - the safest regimen is the one you are familiar with.</p> <p>&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57261?ContentTypeID=1Tue, 06 Mar 2012 08:12:07 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:b9bddeb4-322e-4c65-b0ad-0e0dafaa3f60Kate Richardson<p>Would ultrasound get you the info you need? As unless the dog is a nightmare, can usually be done conscious? </p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57254?ContentTypeID=1Tue, 06 Mar 2012 00:33:12 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:3780be82-9d56-4cfd-a526-2e1009105d87Gillian Mostyn<p>size and temperament?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57248?ContentTypeID=1Mon, 05 Mar 2012 21:58:33 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:0e5fe705-cd90-41ab-b36d-5aedb38c6df3Vet2Vet<p>want vd xray abdo </p> <p>&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57247?ContentTypeID=1Mon, 05 Mar 2012 21:53:44 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:95535ae7-9a48-4932-bb4b-7d4535b62185Andrew Kent<p>What do you need to do with the dog?</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57246?ContentTypeID=1Mon, 05 Mar 2012 21:36:19 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:28f1132b-cf82-4d1c-8622-b00eb0852aaaVet2Vet<p>vetergesic alone plus tiniest propofol plus iso ? </p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57245?ContentTypeID=1Mon, 05 Mar 2012 21:35:16 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:62f939ca-21bf-461a-9169-c5e1d1a6be65Vet2Vet<p>Well <img src="https://www.vetsurgeon.org/emoticons/v2/Ashamed_smiley.png" alt="Embarrassed" /></p> <p>Here it is </p> <p>ACP , vetergesic , torbugesic , diazepam , medetomidine , propofol and iso <img src="https://www.vetsurgeon.org/emoticons/v2/Eye_rolling_smiley.gif" alt="Exasperated" /></p> <p>&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57244?ContentTypeID=1Mon, 05 Mar 2012 21:33:14 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:d67495db-ccb1-49ac-a3ca-ca400b346b7cMark Rowland<p>So whats in the cupboard? <img src="https://www.vetsurgeon.org/emoticons/v2/Happy_smiley.png" alt="Happy" /></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57243?ContentTypeID=1Mon, 05 Mar 2012 21:31:37 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:b63f683e-4c95-4dfd-81e0-4c1cd5facef5Vet2Vet<p>Sounds really good , thanks Mark , I have the iv line and the opioid covered , but the rest I don&#39;t have available <img src="https://www.vetsurgeon.org/emoticons/v2/Happy_smiley.png" alt="Happy" /></p> <p>&nbsp;</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57242?ContentTypeID=1Mon, 05 Mar 2012 21:24:56 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f2510d97-f0f5-447b-bbba-02f314ac9682Mark Rowland<p>If it were me I would go with IVFT, Opiod + Alfaxalone + Sevo</p> <p><img src="https://www.vetsurgeon.org/emoticons/v2/Angel_smiley.png" alt="Innocent" /></p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/57241?ContentTypeID=1Mon, 05 Mar 2012 21:20:26 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:f4477c75-4167-433c-8285-4b5f3775b56bVet2Vet<p>&nbsp;</p> <p><img src="https://www.vetsurgeon.org/emoticons/v2/Shocked_smiley.png" alt="Shocked" />Any offers ? </p><div style="clear:both;"></div>