Bulldogs World

 I do appologize- I teach all day Tues and Wed, then work at my clinic Wed. night, and I wanted to get a copy of his file. Archie was 57 lbs, or 26 kg, and received a pre-anesthetic of BAG (butorphenol, acepromazine and glycopyrrolate) to sedate him- he got 1 cc sq 10 minutes prior to being induced (actually a low dose for his weight, but he is a brachy, so we are more cautious), we masked him with 100% oxygen, and I noticed his respiration was heavy. I should have gone with my gut feeling and called you to take him home, but I thought I was being overly cautious (hindsight...). He was induced  with a mixture of ketamine/diazepam 1:1 dosed at 0.1ml/kg so 2.7 ml dosed to effect (he received 2.2 ml to achieve an adequate state of anesthesia, where we could intubate him). After intubation, he was maintained at 2% isoflurane gas on a circle system with 1 l oxygen flow. Post anesthesia, he received 0.15ml hydromorphine for analgesia, and during wake up, he was kept on the oxygen until ready to extubate- we do that to maximize oxygenation. Despite him waking up, he had increased respiratory sounds, so we masked him with oxygen, which made him panic, so stopped. That is why I knew he would need a brachycephalic repair, but honestly thought he would do ok after the surgery, and did not expect him to pass away that night.
 
Once again, my condolences to you and your sister, and a check will be on its way next week.
 
I hope this gives you some closure. I have practiced for 23 years, I teach at Vanier, and I have run the SNclinic for 17, and once again, this was not my intention to lose your dog post-operatively.
 
Sincerely, Dr. Amanda Glew