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Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse
Horses are susceptible to developing large areas of pulmonary atelectasis during recumbency and anesthesia. The subsequent pulmonary shunt is responsible for significant impairment of oxygenation. Since ventilation perfusion mismatch persists into the post-operative period, hypoxemia remains an impo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174201/ https://www.ncbi.nlm.nih.gov/pubmed/30327770 http://dx.doi.org/10.3389/fvets.2018.00235 |
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author | Dupont, Julien Serteyn, Didier Sandersen, Charlotte |
author_facet | Dupont, Julien Serteyn, Didier Sandersen, Charlotte |
author_sort | Dupont, Julien |
collection | PubMed |
description | Horses are susceptible to developing large areas of pulmonary atelectasis during recumbency and anesthesia. The subsequent pulmonary shunt is responsible for significant impairment of oxygenation. Since ventilation perfusion mismatch persists into the post-operative period, hypoxemia remains an important concern in the recovery stall. This case report describes the diagnosis and supportive therapy of persistent hypoxemia in a 914 kg draft horse after isoflurane anesthesia. It highlights how challenging it can be to deal with hypoxemia after disconnection from the anesthesia machine and how life-threatening it can become if refractory to treatment. Furthermore, it stresses the point on the interactions between hypoxemia and other factors, such as residual drug effects and hypothermia, that should also be considered in the case of delayed recovery from general anesthesia. |
format | Online Article Text |
id | pubmed-6174201 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-61742012018-10-16 Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse Dupont, Julien Serteyn, Didier Sandersen, Charlotte Front Vet Sci Veterinary Science Horses are susceptible to developing large areas of pulmonary atelectasis during recumbency and anesthesia. The subsequent pulmonary shunt is responsible for significant impairment of oxygenation. Since ventilation perfusion mismatch persists into the post-operative period, hypoxemia remains an important concern in the recovery stall. This case report describes the diagnosis and supportive therapy of persistent hypoxemia in a 914 kg draft horse after isoflurane anesthesia. It highlights how challenging it can be to deal with hypoxemia after disconnection from the anesthesia machine and how life-threatening it can become if refractory to treatment. Furthermore, it stresses the point on the interactions between hypoxemia and other factors, such as residual drug effects and hypothermia, that should also be considered in the case of delayed recovery from general anesthesia. Frontiers Media S.A. 2018-10-01 /pmc/articles/PMC6174201/ /pubmed/30327770 http://dx.doi.org/10.3389/fvets.2018.00235 Text en Copyright © 2018 Dupont, Serteyn and Sandersen. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Veterinary Science Dupont, Julien Serteyn, Didier Sandersen, Charlotte Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse |
title | Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse |
title_full | Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse |
title_fullStr | Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse |
title_full_unstemmed | Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse |
title_short | Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse |
title_sort | prolonged recovery from general anesthesia possibly related to persistent hypoxemia in a draft horse |
topic | Veterinary Science |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6174201/ https://www.ncbi.nlm.nih.gov/pubmed/30327770 http://dx.doi.org/10.3389/fvets.2018.00235 |
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