Jaynie - Slow Recovery From Anaesthetic

[Rickiesmom]

Jaynie had a routine dental yesterday. No extractions, just scale and polish.

 

The clinic kept in touch during the day as it took her longer to recover from the anaesthetic (i.e., get up and moving) than they expected. Eventually she got there though, and when I picked her up she was pretty perky, and she wolfed down dinner.

 

Today is another story - she didn't want a very tempting breakfast, and has been lethargic all day. She will go for walks, then flakes out. She ate some of dinner tonight, but not all, even though it was filled with special good stuff.

 

I am going to call the clinic in the morning and no doubt they'll want to see her. But in the meantime....

 

How concerned should I be?

 

She's scheduled for additional dental work in a couple of weeks, and her spay will have to be scheduled after that. Right now, because I don't know if reactions are cumulative, I am afraid to have her under anaesthetic again.

 

Your thoughts / experiences?

 

Edited to add: we've also had a few pee accidents in the house today, which we did not have prior to.

Edited September 18, 2009 by Rickiesmom

[Guest greytkidsmom]

Every person/dog is different with anesthesia. I have one who seems to take about two days to seem "right" after a dental and another who will wolf down dinner like nothing happened earlier in the day. Just make sure she stays hydrated and that her gums/tongue are a healthy pink. Some people will use ensure or pedia-lyte to keep some calories in. Calling the vet is a good idea. She may just be extra-sensitive and that information will help the vet dose her anesthesia better next time.

 

[2hounds]

Iceman is usually very slow coming out of anesthesia and he will skip a few meals afterwards. I would call, but don't be too concerned. I hope she perks back up soon!

[dmswartzfager]

Well, I don't have a whole lot of experience, but I did notice similar things when Wren had her dental (also just scale and polish) a few months ago - it was the first time she had been under general anesthesia in the six years we've had her. I don't remember the exact order of events, but she was definitely out of it the day she got home, and also still a little out of it the next day, and she did lose some bladder control. However, by 48 hours later, she was back to her old self. I hope Jaynie has a similar outcome.

[Wonder]

Mouth might be sore so I wouldn't worry too much about the not eating

[Batmom]

Let your vets know, could be they could go a little lighter on her next time.

 

Best to leave at least 3 weeks between anaesthesias, unless you're having an emergency.

 

Hope she is back to herself tomorrow.

[RobinM]

Tell them to go lighter on the "gas" next time- it makes a huge difference.

 

Beau drags after anethesia and he has had more anethesia than I can count.

 

Elsie bounces back as if she never had it. Just like people, the dogs will vary as to how well they tolerate it.

 

Hope she is feeling better soon.

[Guest LadyChester]

No advice but sending hugs for Jaynie and you :grouphug

[Guest Flysmom]

Same here, no advice but sending tons of positive thoughts!!

[Guest RocketDog]

A former foster had a really hard time of it after her dental - incontinence, dizziness, and no appetite for about 36 hours afterwards. That's about how long it takes me to recover from anaesthesia too, but I have a friend who can be up and about as if nothing happened within a matter of hours. We all handle it differently, I guess.

[Blaidd49]

I would find out what pre-med protocol they are using as that is often where there problem lies

Pam

 

 

 

Tell them to go lighter on the "gas" next time- it makes a huge difference.

 

[CaliforniaGreys]

My Tanner was always slow to come back after being put under. Hoping Jaynie is back to normal today, but I too would let the vet know.

I remember my vet telling me sometimes it depends on the anesthetic that is used and sometimes it's just the dog, but no cause for alarm

Edited September 16, 2009 by cbudshome

[Guest Energy11]

My friend's grey boy had the same problem. He had a horrible time with his dental, so, because of that, the vet was aware, and went lighter on the gas, and pre-sedation meds. Good Luck!

[Guest AbbyGirl]

My girl too just had a dental yesterday too and she is still very groggy today and she doesn't have much interest in food but she is drinking, so I am not to concerned yet. Her surgery was long as she had a molar extracted.

[ozgirl2]

Maybe ask if they gave her any ace promazine... Cody was VERY sensitive to it and they sometimes give it before anaesthesia (or with it...)

[Rickiesmom]

Jaynie has barely been eating, or drinking, even today. This AM after breakfast (such as it was) I put her in the (very cushy) crate with a light blanket over her. Hours later she hadn't moved. When I took her out before going to the vet awhile ago, she peed and it was orange, probably because of the no drinking.

 

They have admitted her and will put her on fluids overnight.

 

Apparently one of the things that can happen with anaesthetic, even if the dog is fasted, is some acid reflux. If this happens and the acid sits in the esophagus it can cause quite a bad burn, even an ulcer. The only way to confirm this is to scope the dog, which obviously we aren't going to do. Instead the vet will treat Jaynie as if this is what happened, and give her an acid suppressant, sulcrate, and a pain med (can't recall which, but not an NSAID).

 

They are also going to rerun a few blood tests, just to be sure there is nothing new going on there.

 

I'm going to take up some rice and boiled hamburger, as well as some of the beef-based kibble she likes, in case they can get her to eat.

 

In answer to someone's question, yes, they did give her ACE as well as valium-ketomine [that probably isn't exactly the right name]. Vet said in future, no ACE and they would use something else which is lighter and wears off faster instead of the valium stuff.

 

Poor little girlie. This is certainly not how we wanted her new life to start!

[Chicocat]

When Darlin had her last dental the pre-screening blood test showed she had some kidney disease. It was the first time she ever showed any difficulties coming out of the anesthesia. She was bouncy and feeling good when we got home, slept most of the evening, but by the next morning was very lethargic and seemed feverish. It was the third day before she was back to completely normal. The vet said the kidney function probably slowed her ability to get rid of the anesthetic quickly.

 

Darlin was given profofol.

Edited September 16, 2009 by Chicocat

[Guest greytkidsmom]

Sweet Jaynie - sorry retirement is off to a rough start for you. Think of it as a sign of all of the pampering to come. Hope you and your tummy get better soon.

[macoduck]

The med your vet said he'd use next time because it wears off quicker is probably Propofol. That's what all mine dogs get now and they do much better with it. Also ask how much they monitor her temp during and after the procedure.

[MP_the4pack]

Valium/ketamine can have lots of different reactions in different dogs. My Onyx had an adverse reaction. She actually pulled out of her collar and ran down the halls of the hospital screaming at the top of her lungs. (she was about 8 at the time, she's now almost 14)

 

So.......big letters in her file....no ketamine.

 

 

 

 

[ahicks51]

Ketamine is structurally similar to (and in the same class as) PCP. It's understandable there are some problems with its use.

 

Propofol is the gold standard for most of this sort of thing- it's reversible, nearly instantaneously so. Hounds (and people) that get knocked out with the stuff will bounce back from it very quickly.

 

All are vast improvements over the old barbituates.

[GreyPoopon]

Poor sweetie. I hope she feels better soon.

[Guest ss556]

Hoping Jaynie gets better fast. Hugs.

[Guest tammymacb]

I would be more than cautious.

 

I lost my Keena in post op after a dental. Anesthesia was over, she was still intubated and she became bradycardic and coded. She was given medication to reverse the anesthesia and a full code was run on her for over 20 minutes but they couldn't bring her back.

 

I don't want to scare you. But, you need to be aware that it CAN happen and do everything you can to have a better outcome than I did.

 

BTW, I did all the preops. Went to a specialist. The whole 9. Nothing saved her.

 

Her previous dental was 6 months before.

[CaliforniaGreys]

In our thoughts and prayers!