Hypotension is a common complication during anesthesia and is defined as bp values of systolic <80–90 mm hg, mean <60–70 mm hg, and diastolic <40 mm hg. 44 evaluation of other physiologic parameters (capillary refill time, peripheral pulse palpation) can be used to aid in the diagnosis of inadequate blood flow. balanced anesthetic. Untreated hypotension can lead to morbidity and mortality in anesthetized small animal patients. objective monitoring is the only way to reliably detect hypotension. blood pressure monitors are not always accurate. anesthetic management, fluid therapy, inotropes, and vasopressors may all be used to treat hypotension.
Drugs such as dopamine (5–20 mcg kg min, an agonist of d1, d2, beta and alpha receptors depending on the dose) and ephedrine (0.2 mg kg, iv, an agonist of beta and alpha receptors) are administered during anesthesia. 9 in cases of severe vasodilation during sepsis and endotoxemia, norepinephrine (0.05–2 µg kg min; an agonist of alpha. Hypotension, defined as mean arterial pressure (map) < 60 mm hg or systolic arterial pressure (sap) < 90 mm hg, is one of the most common intra operative complications observed in small animal anesthesia. in high risk patients, such as dogs with gastric dilation and volvulus, hypotension detected at any time during the hospitalization period is. A survey of anesthetic records at the colorado state university veterinary teaching hospital indicated that 32% of dogs were hypotensive at some point during anesthesia.14 previously, two other published studies have reported the incidence of hypotension during anesthesia in dogs: 7% in one study1 and 17.9% in the other.2 the report with the. Anesthetic technician erin bombalski provides an in depth look at the management and treatment of anesthetic hypotension in the veterinary patient.
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