Manejo anestésico de paciente con síndrome respiratorio braquiocefálico sometido a cirugía correctiva: estudio de caso

Abstract

The objective of this research is to evaluate anesthetic management, developing a specific protocol for the anesthesia of American Bully patients undergoing corrective surgery for Brachiocephalic Respiratory Syndrome. An anesthetic protocol specifically designed for an American Bully patient undergoing corrective surgery for Brachycephalic Syndrome (BRS) is presented. Given the potential risk of cardiac problems associated with this pathology in this breed, diagnostic tests, such as an electrocardiogram and x-rays, were performed before scheduled intervention to correct the syndrome. To ensure patient safety, anesthetic drugs were carefully selected taking into account the diagnostic results. The protocol included the administration of Omeprazole to prevent gastrointestinal complications, Maropitant to control nausea and vomiting, Dipyrone as an anti-inflammatory analgesic, Butorphanol as premedication, Propofol for maintenance, Sevoflurane for inhalation anesthesia, Meloxicam for anti-inflammatory analgesia, Morphine to control pain, Atropine as premedication and Adrenaline for emergency situations. Results: The data collected in the tables highlight the appropriateness of the selection of anesthetic drugs for the patient. During the surgical intervention, no significant complications were observed, and physiological constants remained within pre-established ranges. This behavior clearly demonstrates the effectiveness of the set of drugs used both in the preanesthetic phase and in the maintenance of anesthesia. These results allow us to conclude that the patient responded favorably to the anesthetic protocol implemented, which solidly supports the safety and effectiveness of the surgical procedure performed.