Occasionally, I come across a client who point-blank refuses to give their 4-legger an anesthetic. Sadly, this is usually because they once lost a much-loved pet under anesthesia.
Chatting further, it often transpires the tragedy happened years ago. Back then, anesthetic agents and protocols weren’t as sophisticated as they are today. Discussing how gentle modern anesthetic agents are often puts minds at rest enough to go ahead with the procedure. However, another reason for refusing is “The breeder says this breed dies under anesthetic.”
While the delivery of the message is a little blunt (and oversimplified), sometimes there is a modicum of truth in what the breeder said. With this in mind, let’s look at some of the breed-specific conditions that impact an anesthesia and what your vet does to keep the dog safe.
Flat-Faced Breeds: Pug, Bulldog and Boston Terrier
A vet’s heart is liable to start racing when they see a squish-faced breed on the operating schedule. When awake, these dogs often struggle to breathe, and anesthesia is an extra challenge, but your vet knows this and therefore anticipates the risks.
Some of the challenges facing a flat-faced breed include:
- Large tonsils and a long soft palate blocking the back of the throat.
- A windpipe that is much narrower than it should be.
- A tendency to inhale saliva into the lungs.
To keep your dog safe, the vet will be proactive and will:
- Place an intravenous catheter for direct access to the bloodstream.
- Give the dog oxygen ahead of handling.
- Use low doses of sedatives so the dog has better control of their swallowing.
- Give anesthetic agents that wear off rapidly so the dog wakes quickly.
- Place a tube in the dog’s windpipe to maintain an open airway.
- Monitor the dog constantly until fully awake.
Sighthounds: Greyhound, Whippet and Saluki
These guys have an unusually low amount of body fat, which alters how they handle anesthetic agents. Once upon a time, the anesthetics available meant these dogs slept for days afterward. Happily, this is no longer the case.
Modern drugs are short-acting and don’t rely on body fat soaking them up for the dog to wake up. From the inductions agents to the gas that keeps the dog asleep, anesthetic protocols for sighthounds are almost unrecognizable from 10–20 years ago. This means the dogs are fully awake within hours, just like any other dog.
Herding Dogs: Border Collie and Australian Shepherd
Dogs of herding heritage are special cases. A quirk in their physiology makes them overly sensitive to certain drugs, such as Ivermectin. This also applies to certain sedatives, but your vet knows this and uses low doses to compensate.
Toy Breeds: Chihuahua and Pomeranian
The teeny-tiny toy breeds have a large surface area relative to their size. The upshot of this is they lose heat easily, especially under anesthetic. Heat pads and a particularly comfy sort of doggy hot air bed (called a “bear hugger”) ensure this isn’t a problem.
Another potential concern is a toy dog’s tendency toward low blood sugar. Careful monitoring during the anesthetic helps the vet tech and vet keep abreast of sugar levels so they know if an intravenous supplement becomes necessary.
Giant Breeds: Newfoundland and St. Bernard
These boys may be big, but they’re small at heart. Many giant breeds are especially sensitive to sedative drugs, but your vet anticipates this by giving reduced dosages.
Special Mentions: Boxer, Doberman and Dachshund
Some breeds have issues all of their own, such as the Boxer’s extreme sensitivity to sedatives, the Doberman’s risk of silent heart disease or clotting problems, and the Dachshund’s inclination to a low heart rate under anesthetic.
Forewarned is forearmed, so your vet may wish to run tests ahead of the procedure to troubleshoot for problems.
Learn more about what happens when your pet goes under from this veterinary anesthesiologist:
Rather Than Refuse, Ask Questions Instead
You can’t bear the thought of putting your dog under anesthesia — and I totally get it.
There’s a risk with any anesthetic that no one can deny. But what many people don’t appreciate (probably because vets don’t tell them) is that each pet is treated as an individual. There’s no “one size fits all” when it comes to anesthetic. Each patient’s risk factors are carefully assessed and addressed, and everything is tailored to the individual, including screening blood tests, intravenous fluids, drugs, dosages and anesthetic circuits. Taking the pre-med injection as an example, there’s a whole array of different drugs available to best match a patient’s age, breed or health conditions.
In short, discuss your concerns with the vet. Chances are they’re way ahead of you in terms of risk assessment. No one will force you to do anything you don’t want to, but perhaps when you know all the facts, you may feel a little better about trusting professionals with your dog’s care and a little less like taking the breeder’s word as gospel.
This pet health content was written by a veterinarian, Dr. Pippa Elliott, BVMS, MRCVS. It was last reviewed Nov. 10, 2017.