title: [Anesthesia in the patient with stomach dilatation-volvulus].
abstract: Before a decision on the anesthetic protocol and the various patient support measures can be taken, the pathophysiological changes that occur during a gastric dilatation-volvulus need to be evaluated. The most important changes are of a circulatory and/or respiratory nature, inducing hypotension, hypovolaemia, cardiac dysrhythmias, a decreased respiratory minute volume, and subsequently resulting in changes in the acid-base balance and plasma electrolyte concentration. In view of these changes and the increased anaesthetic risk for the patient with gastric dilatation-volvulus, the use of barbiturates or ketamine cannot be recommended for anaesthetising these patients. With the use of neurolept-analgesic combinations, such as methadone-droperidol or sufentanil-midazolam, an increased cardiovascular stability and an ample analgesic effect can be obtained. Especially with the potent sufentanil in combination with midazolam, an excellent anaesthesia for patients with gastric dilatation-volvulus can be achieved.
authors.affiliation: Veterinaire Anesthesiologie en vakgroep Geneeskunde van Gezelschapsdieren, Faculteit der Diergeneeskunde, Rijksuniversiteit te Utrecht.
authors.forename: L J
authors.initials: LJ
authors.lastname: Hellebrekers
authors.forename: R
authors.initials: R
authors.lastname: Sap
mesh_terms: D000758:Anesthesia / Q000662:veterinary*; D000818:Animals; D004283:Dog Diseases / Q000503:physiopathology / Q000601:surgery; D004285:Dogs; D013271:Gastric Dilatation / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*; D009458:Neuroleptanalgesia / Q000662:veterinary; D011300:Preoperative Care / Q000662:veterinary; D013277:Stomach Volvulus / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*; D013577:Syndrome