Reanimação cardiopulmonar transanestésica em potro - relato de caso

Abstract

Surgical procedures in neonatal horses are risky due to the immaturity of their organic systems and homeostasis processes. However, when necessary, the team needs to be prepared to successfully treat transanesthetic complications. The present work aims to report a case of successful cardiopulmonary resuscitation and anesthetic management in a 30-day-old foal undergoing bilateral metatarsal osteosynthesis surgery. The patient began the procedure with severe hypotension, and after 15 minutes under general anesthesia presented pulseless electrical activity and absence of corneal reflex, when basic life support maneuvers were immediately started, with chest compressions and ventilation with FiO₂ 100%. Advanced life support then began, using intravenous (IV) adrenaline at a dose of 0.01mg/kg for two cycles and a dose of 0.1mg/kg IV in the last cycle performed, where resuscitation was successful. After returning to spontaneous circulation, the surgical procedure continued. Upon regaining consciousness, the foal woke up with signs of hypoxic-ischemic brain injury, in addition to being unable to adopt a quadrupedal or sternal recumbency. Finally, the horse returned to the hospital stall to continue the treatment. However, the patient died 7 days after the cardiac arrest.