Hello! 😊
In this second part we will cover the key aspects during the peri- and postoperative period in a functional adrenalectomy in dogs.
Peri-operative medical management in dogs with hypercortisolemia:
Constant blood pressure monitoring and electrocardiogram.
Start dexamethasone infusion as soon as the adrenal mass has been removed/sectioned:
Dose: 0.1 mg/kg infusion over 6 hours (0.017 mg/kg/h).
Electrolyte and glucose measurement at the end of surgery.
Sufficient but not excessive peri- and post-operative analgesia, since the patient must be able to walk/be ambulatory no later than 4 hours after surgery.
This is pursued to try to reduce the risk of thrombus formation.
Post-operative medical management:
MONITORING
Electrocardiogram (ideally constant).
Blood pressure (2 - 3 measurements per day).
Hematocrit/total protein (at least 1 time per day).
Glucose 4 - 6 hours after surgery and the morning after surgery.
From that moment on, 24 hours or depending on needs.
Electrolytes 4 - 6 h after surgery and the morning after surgery.
From that moment on, 24 hours or depending on needs.
Short, frequent walks (q 1 - 2 hours initially) to promote blood circulation and minimize the risk of thrombus formation.
Important! Remove sutures later than usual (3 weeks after surgery) as healing may be slower.
