Look away now if sqeamish!!!
An adult male tabby cat presented after being missing for 6 days with a severely damaged fore paw (See picture below). Pain control and antibiosis was administered and the animal fed watered and cage rested overnight before surgery. In the morning the cat was anaesthetised with medomitidine/Buprenorphine/Ketamine combination and maintained on Isoflourane.
The cat was given Hartmanns fluids IV throughout the procedure.
Amputation was carried out of the whole scapula for aesthetic reasons and to ensure removal of all necrotic tissue as well as avoiding future trauma to the site.
During the operation After transection of the racial nerve plexus but prior to closure cardiac and respiratory arrest occurred but were restarted following adrenaline administration and mechanical ventilation . The cat recovered consciousness but appeared to be in pain and developed respiratory distress. The animals level of consciousness deteriorated until breathing stopped. The animal was placed on a mechanical ventilator and O2 therapy instituted. Dopram sublingually and IV was administered, but no response was noted, cardiac failure occured an hour later but was rescued by adrenaline administration and reflexes improved but never went above pupillary dilation. After 5 hours monitoring (some 10hours after surgery) terminal cardiac arrest occurred and no recovery was attempted. The owner took the animal home and no post mortem was possible
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