Many pet owners have
fears about general anesthesia, especially when deciding on the
importance of an elective procedure, such as dental cleanings. At the
Amherst Animal Hospital, we pride ourselves on the safety of our anesthetic
procedures and our efforts to educate clients that the benefit of routine
dental care far outweighs the risks of anesthesia. We also try to make your
pet’s anesthetic procedure and hospital stay a very pleasant experience.
Mr. And Mrs. Karczewski and their seven year old
miniature schnauzer, Mandy illustrate how extreme anxiety about anesthesia
for a much needed dental cleaning can turn out to be a positive experience
for everyone involved
Mandy has a condition called hyperlipidemia, or excessive
fat in the blood, which is common in schnauzers. This condition commonly
causes digestive problems and seizures in rare cases. Mandy is treated with
a special diet and medication to lower the lipid level in her blood.
Mandy was in the hospital last year for a routine dental
cleaning. She was given a very safe sedative, appropriate for a middle aged
dog, prior to anesthesia and began to have seizures. She was treated for the
seizures and referred to an internal medicine specialist for a neurologic
evaluation. She was found to be normal and her seizures stopped. The dental
cleaning was postponed. The cause of her seizures while in the hospital is
unclear. Possible explanations include the hyperlipidemia, stress, and an
allergic reaction to the sedative, which has never been reported in dogs
with that particular drug.
A year later, Mandy was in for a routine exam and her
dental disease had worsened. Dental disease can lead to dangerous health
problems like heart and kidney disease. Mandy’s owners agreed to try the
dental cleaning again; they understood the importance and had faith in our
abilities.
To eliminate any possible stress and allergic reactions,
Mrs. Karczewski stayed with Mandy during the entire procedure and minimal
drugs were used. Instead of a sedative, we applied a topical anesthetic to
Mandy’s leg and Mrs. Karzewski held her to eliminate pain and anxiety during
placement of IV catheter. We gave her a short acting drug through the IV to
cause her to fall asleep and then general anesthesia was used. Mandy’s teeth
were cleaned and examined. As she woke up, Mrs. Karczewski talked to Mandy
and stroked her. When the endotracheal tube was removed from her throat, she
wagged her tail and licked her mom’s face over and over again. Mandy even
licked the technician’s and Dr. Hill’s face. Mandy and Mrs. Karcewski went
home less than an hour later and she has been fine ever since.
Thanks to her owners, Mandy has a clean, healthy mouth
and we are reminded that special pets need special care and that’s what we
are here for.