Spaying/Neuter/Surgery cautions
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A vet you are confident in is the most important, however, if your pug is going to have surgery, choose Isoflurane to put your Pug under with. It is the safest for these short faced breeds and they come out of it much quicker. Be aware that these short faced pugs have a much more difficult time being put under than the longer nose dogs.
I would not allow a pug to be put under without an oxygen tube and a heart monitor. Use Caution and make sure your vet is familiar with the surgical risk involved with Pugs and that your vet is aware of the problems in this breed.
Make sure your vet realizes that the time following surgery is still a very crucial time for a Pug to remain on oxygen and a heart monitor and that the Pug should be watched closely if not constantly. Pugs have the tendency to swallow their tongues and/or have their hearts stop beating. Ask your Vet to use Isoflourane to sedate your Pug prior to surgery as some Pug owners have lost their Pugs from the tranquilizers used to sedate their Pug to put in the oxygen tube. The medicine seemed to of stopped their heart.
Make sure Precious does not have Elongated Palette before surgery.
After your baby is spayed or neutered, you have the option to bring them home. I choose to bring home mine because my Vet office closes at night and though someone comes back to check on the animals, I prefer to have mine in my sight in their own home and comfortable surroundings. Your Pug’s temperature will drop considerably during surgery and when you bring her home, she may tremble and shiver uncontrollably. I like to put them in a warm comforter and help control their chill. I can not imagine them being alone at the Vet office overnight, in a sterile cage trembling.
Your Pug may throw up bile once he is home but this should pass in 24 hrs. If you have a female Pug, and if she begins to bleed through her vulva, this could indicate that an infection has invaded her uterus area due to surgery and you need to get her checked by your Vet and started on antibiotics.
A very good friend of mine, Donna Price, had a little Pug spayed and she began to spot blood and then she began to bleed heavier. She also did not stop trembling and was walking around with her little tail uncurled and between her legs. Donna contacted her Vet who told her this was normal, however, her intuition told her that her Pug, Winnie, needed to be seen. She drove to a different Vet who found the little Pug to be suffering from a low grade infection and in need of antibiotics. Winnie began to feel better and stopped bleeding and trembling shortly after treatment begun.
Another reason for bleeding through the vulva after surgery is that your Pug may of been about to start her heat cycle. However, your Vet should of been able to determine this before surgery. At any rate, any bleeding should be checked out by a professional. It is better to be safe than sorry.
For your information, please read the following in regards to the safety of Anethesia and sedatives used before and during surgery. It was taken from the Pug Dog Mailing List on the Internet submitted by Diana Teaman CVT Certified Veterinary Technician:
Ketamine is a neuroleptic anesthetic. It is actually one of the safest general anesthetics in use, under normal situations. It is most often used along with valium as the induction agent prior to placing the endotracheal tube to deliver the gas anesthetic. (It is pretty much impossible -and not recommended- to place a trach tube in a normal, awake animal-- the animal must be sedated.) It is also used for short surgical procedures. (Although many vets use it alone for major procedures such as spays, this is contraindicated.) Ketamine does not cause respiratory or cardiopulmonary depression at correc dosage level, unless it is given too fast. However, it does cause increased cardiac output, increased intracranial pressure, and is fairly long acting. For this reason ketamine should not be used in animals suffering from epilepsy, heart failure, renal or hepatic (kidney or liver) disease, or in trauma cases or for certain procedures. (Myelograms, spinal taps, etc.) Ketamine is also not safe in animals with eye injuries or who are to undergo eye procedures, as it causes increased intraocular pressures. Probably the biggest problem with ketamine is that it has fairly long wakeup times (the iso wears off long before the ketamine does), with the animal having little motor control for somet ours, and it causes hypersensitivity to sounds and noises when the animal is waking up. Ketamine recoveries are often characterized by tremors, thrashing, etc. Although this is much more of a problem in cats. One of the biggest side effects of most interest to us pug lovers is that Ketamine exacerbates hypersalivation. Ketamine should not be used in animals with thyroid problems whether they are on thyroid medications or not, because it can cause life threatening increases in heartrate and blood pressure in these animals. Ketamine should be used cautiously with halothane gas anesthesia as it can result in prolonged recovery times (a no-no with pugs) and cardiac depression. In our practice we use ketamine for cat restraint and for induction for routine procedures with relatively healthy animals (endoscopies, wound repairs, etc.) We use propofol or oxymorphone (or some other protocol) on our other patients for inductions (or propofol alone for very short procedures), including our brachycephalics. We have plenty of these drugs at hand, and we prefer the shorter, smoother recovery times. Plus, most of the animals we are anesthetizing are sick animals, so we can't use ketamine anyways.