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Evaluation of urine specific gravity as a predictor of hypotension during anaesthesia in healthy dogs premedicated with dexmedetomidine

Published:January 17, 2023DOI:https://doi.org/10.1016/j.vaa.2023.01.001

      Abstract

      Objective

      To investigate the relationship between urine specific gravity (USG) and the risk of arterial hypotension during general anaesthesia in healthy dogs that received a dexmedetomidine & methadone premedication.

      Study design

      Prospective clinical cohort study.

      Animals

      A total of 75 healthy client owned dogs undergoing general anaesthesia for elective tibial-plateau-levelling osteotomy.

      Methods

      After placing an intravenous catheter, dogs were premedicated with dexmedetomidine (5 μg kg-1) and methadone (0.3 mg kg-1) intravenously. After induction of general anaesthesia with alfaxalone given to effect, the bladder was expressed, and USG was measured. An arterial catheter was placed, and residual blood was used to measure packed cell volume (PCV) and total protein (TP). General anaesthesia was maintained with isoflurane vaporised in oxygen and a femoral and sciatic nerve block were performed. Arterial blood pressure < 60 mmHg was defined as hypotension and recorded by the anaesthetist. Treatment for hypotension was performed in a stepwise manner following a flow chart. Frequency of hypotension, treatment, and response to treatment were recorded. Logistic regression modelling was used to assess the association between USG, TP, and PCV and incidence of perioperative hypotension. p < 0.05.

      Results

      Data from 14 dogs were excluded. Of the 61 dogs 16 (26 %) were hypotensive during general anaesthesia, 15 dogs needed treatment of which 12 were responsive to a decrease in inhalant vaporiser setting. The logistic regression model was not statistically significant (p = 0.8). There was no significant association between USG (p = 0.6), TP (p = 0.4), PCV (p = 0.8) and arterial hypotension during general anaesthesia.

      Conclusion and clinical relevance

      In, healthy dogs premedicated with dexmedetomidine and methadone and maintained under general anaesthesia with isoflurane and a femoral and sciatic nerve block, there was no relationship between the specific gravity of urine collected after premedication and intraoperative arterial hypotension.

      Keywords

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