Anesthetic considerations in patients with GDV

Dr. Robert TRUJANOVIC
Dipl. ECVAA
Duration : 30 min
Gastroenterology Anesthesiology and analgesia
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  • Gastric dilatation-volvulus (GDV) commonly affects medium- to large-breed dogs and causes acute stomach dilation that compromises blood supply and can lead to tissue necrosis.GDV reduces venous return to the heart by compressing the caudal vena cava, resulting in decreased cardiac output and obstructive shock.Pre-anaesthetic preparation for GDV involves attempting stomach decompression and monitoring key clinical variables like packed cell volume, electrolytes, and lactate levels.Anaesthetic management of GDV patients should avoid drugs with negative cardiovascular effects and include preoxygenation, continuous ECG monitoring, and preparation of lidocaine for ventricular arrhythmias.Post-surgery, GDV patients require vigilant monitoring for cardiovascular issues, appropriate fluid therapy, and effective analgesia to ensure recovery.
Dr Robert Trujanovic studied at the Faculty of Veterinary Medicine in Belgrade, where he graduated in veterinary medicine in 2015. He moved to Vienna in 2015 to start his position as assistant doctor in anesthesiology at the University of Veterinary Medicine Vienna, and later, he completed his internship there from 2017-2018.

During this time, his interest in veterinary anesthesia deepened further and he started a residency at the Vetmeduni Vienna in 2018, which was completed in 2021.

In addition, he is a passionate regional anesthetist, passing on his knowledge through the latest learning methods. He led a team of experts in veterinary medicine and invested a great deal of passion into creating the first mobile app - the Vet RA App - focused on the most commonly used nerve blocks in small animals.