title: [Anaesthesia for canine caesarean section - an evidence-based approach].
abstract: In recent years, several new studies on anaesthesia for caesarean section have been published. This paper refers to these and ground-breaking research on risk factors affecting the puppies. Based on the available evidence, a recommendation for an anaesthetic procedure is given and in addition, alternatives are discussed. Induction with propofol or alfaxalone and maintenance by inhalation anaesthesia appears to be the method with the least risk. Intraoperatively, an adequate and low-risk analgesia is achieved by an epidural anaesthesia. Opioids allow an adequate maternal pain management after delivery of the puppies as well as postoperatively. A stabilisation of the dam before induction and an optimised oxygen supply are additional basal requirements.
authors.affiliation: Prof. Dr. Michaele Alef, Klinik für Kleintiere, Veterinärmedizinische Fakultät, Universität Leipzig, An den Tierkliniken 23, 04103 Leipzig, E-Mail: alef@kleintierklinik.uni-leipzig.de.
authors.forename: Michaele
authors.initials: M
authors.lastname: Alef
mesh_terms: D000701:Analgesics, Opioid / Q000008:administration & dosage; D000767:Anesthesia, Epidural / Q000662:veterinary*; D000769:Anesthesia, Inhalation / Q000662:veterinary*; D000777:Anesthetics / Q000008:administration & dosage*; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D000818:Animals; D002585:Cesarean Section / Q000662:veterinary*; D004285:Dogs / Q000502:physiology / Q000601:surgery*; D005260:Female; D010100:Oxygen / Q000008:administration & dosage; D011247:Pregnancy; D011277:Pregnanediones / Q000008:administration & dosage; D015742:Propofol / Q000008:administration & dosage; D012307:Risk Factors
chemical_list: D000701:Analgesics, Opioid; D000777:Anesthetics; D018686:Anesthetics, Intravenous; D011277:Pregnanediones; C006477:alphaxalone; D010100:Oxygen; D015742:Propofol
keywords: Caesarean section; anaesthesia; puppy; risk factors