By C. Max Lang D.V.M. (auth.)
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Extra info for Animal Physiologic Surgery
Skeletal muscle tone rapidly disappears, leaving the dog flaccid. The irises are widely dilated. Feces may fall from the anus and some urine may escape from the urethra. The pulse is weak. Diaphragmatic respiration, although regular, gradually becomes more shallow. Intercostal respiration is depressed and begins to lag further and further behind the diaphragmatic respiration; when it disappears entirely, a dangerous depth of anesthetic depression has been reached. The failure of the diaphragmatic respiration indicates the beginning of stage IV.
Diaphragmatic respiration, although regular, gradually becomes more shallow. Intercostal respiration is depressed and begins to lag further and further behind the diaphragmatic respiration; when it disappears entirely, a dangerous depth of anesthetic depression has been reached. The failure of the diaphragmatic respiration indicates the beginning of stage IV. Progressive paralysis of the hypothalamic centers during stage III inactivates the heat-regulating mechanism, so that loss of body heat fails to evoke such protective responses as shivering and vasoconstriction.
Both the anesthetist and his assistant should approach the dog in a friendly manner in order to allay anxiety. A right-handed assistant stands on the left side of the dog (Fig. 21) with his right hand around the dog's right foreleg. The ring and little fingers are curled behind the olecranon to prevent the dog from pulling his leg back (the index and middle fingers under the olecranon), and the thumb is placed on top of the leg to apply pressure to the cephalic vein and rotate it slightly laterally.
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