Dental/meds Issue

[Cricket57]

My DW took Xena in for a dental yesterday morning. She called me shortly after noon and said that Xena was not going under and that they were going to keep her until everything cleared out of her system. I called the clinic this morning to get a rundown of what was done (I wanted to get it first hand from those who were there. No pre-ane meds were given. They put in a catheter and then put propofol in through the cath. My girl is wide awake. No tube was put in, but they did put an induction mask over her nose and administered isoflurane. Still nothing.

 

The doc said she's only seen this once before in 15 years. Has anyone else had this happen? What protocol did you use going forward?

 

Thanks in advance.

 

Cricket

 

ETA Meds in title

Edited February 14, 2018 by Cricket57

[XTRAWLD]

Meds issue, not dental issue? They tried to put her under but she didn't react to it?

[Cricket57]

Yes - I guess more of a meds issue. And, that's correct - they tried to put her under, but she remained wide awake.

 

Cricket

[XTRAWLD]

Boy oh boy, the force is strong with that one! How old is she and has she been successfully put under before?

[Cricket57]

LOL - yes, the force is strong with that one! She turned 7 the end of December. She has not been put under since we adopted her (2014). Presumably she was anesthetized to be spayed.

 

Cricket

[NeylasMom]

Have never heard of this. There are board certified veterinary anesthesiologists. I would ask your vet to get one involved in this case.

[KF_in_Georgia]

I had a vet once warn me not to give Ketamine to my boy Sam. They gave it pre-anesthesia, and apparently he tried to get up and leave during a dental... (Vet's phone call started, "Sam's okay now, but...") I had a dog tag engraved for him with "WARNING: NO KETAMINE."

 

I don't know what the vet practice wound up doing on future dentals, but they had no further problem.

 

Good luck.

[Batmom]

One of mine wouldn't go down with propofol but did when they masked him with isofluorane. The next time he had to go under, wouldn't wake up (eventually he did). Creeped my vet out big time, as you can imagine. I'd second the suggestion of getting a board-certified anaesthesiologist involved.

 

 

Oh, yeah, and if her teeth/gums aren't in dreadful shape, just need a good cleaning, and she is a cooperative girl, your vet might be able to do it while she is awake. We have been able to do some what way using primarily the ultrasonic scaler/polisher. Obviously can't do any extractions, but yes you can get under the gumline and it is lots better than not cleaning them at all.

[tbhounds]

Im not surprised. It would take a lot of propofol (more than they were most likely comfortable using) to induce a dog of that size without having preop drugs on board. Why didnt they use preops?

Edited February 15, 2018 by tbhounds

[Batmom]

I should have mentioned that my vet did use preops.

[Cricket57]

Thanks for the responses everyone.

 

Batmom: She's not usually very cooperative, so I don't think doing it while she's awake would be an option. And I'll ask the vet about a board certified anesthesiologist. There IS one in Charleston.

 

tbhounds: The LVT I spoke with said they didn't use preops because of how sensitive greyhounds can be. I'll ask again when I talk to the vet (she was off when I called).

 

I checked Xena's adoption book yesterday when I got home. She went in with 4 or 5 others for her dental & spay. No notes. I'm guessing it's an in & out, wham-bam-thank you ma'am, no need for notes since we'll likely never see you again kind of thing. I also sent an email to the president of our adoption group, wondering if she might know something.

[GeorgeofNE]

That actually happened to my father once!!

 

Poor guy had to stay awake through hemmorhoid surgery! They just couldn't knock him out.

 

[NeylasMom]

Im not surprised. It would take a lot of propofol (more than they were most likely comfortable using) to induce a dog of that size without having preop drugs on board. Why didnt they use preops?

We no longer use preops with Violet when she has dentals and they had no trouble getting her under using (I am pretty positive) the Propofol through a catheter.

 

This was part of a plan that the veterinary dentist, behaviorist, and vet anesthesiologist came up with to try to eliminate the bad reaction she had the furst time that we believe was stress related. For her, hanging out while the preops kicked in just gave her time to stress out.