https://www.vetsurgeon.org/f/clinical-questions/30439/anaesthetic-incident-audit Hi, We have had 3 anaesthetic incidents in the last week in the dental room and we wish to make sure that we are not missing anything. 2 cats from the local cat rescue and a privately owned Tibetan spaniel . Both Cats received 50 Mg gabapentin caen-USTelligent Community 10https://www.vetsurgeon.org/thread/239600?ContentTypeID=1Tue, 18 Oct 2022 20:29:22 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:1a2d5bde-e125-40a3-8d19-3ecbba0aff0cMark Welsh<p>Hi Tristan,&nbsp;</p> <p>thank you for taking the time to reply.&nbsp;</p> <p>Apologies for leaving out the details, I was trying to keep the message as brief as possible.&nbsp;</p> <p>But to answer your questions;</p> <p></p> <p>1. the cats were given medetomidine 80ug/kg , Ketamine 2.5 mg/kg and &nbsp;methadone 0,025mg/kg ie&nbsp;</p> <p>Dogs medetomide 0,02mg/Kg, methadone 0,2mg /Kg</p> <p>2. all cats and &nbsp;received regional dental blocks with bupvicaine</p> <p>3. When they appeared light , the &nbsp;Isoflurane was increased , and dental regional blocks were reapplied in the area we were working on at the time.</p> <p>4. last recorded&nbsp;Body temp for each patient were, 36,9C, 37,9C and 38,5 C</p> <p>5. The bradycardia was recorded but not acted upon until the call was made and anaesthesia was reversed. Isoflurane turned off and antipamezole given and &nbsp;iv.. epinephrine&nbsp;was administer iv to the cat that died.</p> <p>6. last recorded blood pressures were. 70/40, 70/ 30 and 140/100 (however the last one &nbsp;was 15 minutes before the incident)</p> <p>I hope I have written it in a manner that is clear?</p> <p>kind regards</p> <p>Mark</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/239585?ContentTypeID=1Tue, 18 Oct 2022 10:58:10 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:31a24067-9179-4163-b24f-517c5e555879Tristan Merlin<p>Hi Mark,</p> <p>Sorry to hear about those incidents and in particular the patient you lost.</p> <p>I think it would be interesting to know which doses were given to those patients and via which route to have a better picture of what could have happened. Did you perform any local blocks on those patients?</p> <p>How was the lighter plane of anaesthesia managed in those cases? Were top-ups administered?</p> <p>Were those patients hypothermic at the time of the event? You say that the bradycardia occurred over a period of 20 minutes - how did the patients respond to your interventions to treat bradycardia in that time?</p> <p>Finally, did you have any blood pressure measurements around the time of the incidents?</p> <p></p> <p>I apologise for asking more questions than giving answers, but I think that all those factors can be contributing to complications and as part of your review, it would be important to consider those elements.</p> <p></p> <p>Kind regards</p><div style="clear:both;"></div>