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Presurgical assessment of brachycepahlic dogs

Talk Overview
Pre-Operative Assessment of Brachycephalic Dogs  
It is not possible to assess the airways – other than the nares, in a conscious dog. A complete assessment of brachycephalic dogs prior to surgery is essential for attaining the best possible outcome and also in order to give the animal’s owners the most accurate prognosis. 
Prior to surgery we recommend the following assessment be undertaken:
Pedigree – record of the dog’s pedigree is essential for information gathering purposes. 
History – a thorough clinical history including diet, previous and current illness and medications. 
Physical examination – include auscultation of the sinuses, larynx, pharynx as well as the thorax.
Neurological examination – essential due to the high incidence of hemivertebrae and encephalopathies. 
Haematology / biochemistry / blood gasses – biochemical and haematological analysis prior to anaesthesia is essential prior to any anaesthetic induction.
Ophthalmological examination – brachycephalic dogs have many eye issues
Musculoskeletal examination – many orthopaedic conditions are commonly seen in brachycephalic dogs – in particular medial patella luxation and hip dysplasia.  
Imaging minimum database is thoracic radiology however assessment by whole body CT is our preferred imaging modality
 
Once all data is available a veterinarian can develop an assessment of the risk of brachycephalic surgery and have a discussion with the owner of the dog about these risks so that informed consent may be obtained. 
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