Gastroesophageal Reflux

Question 1

Jones
Evaluation of Maropitant & Metoclopramide in preventing GER
JAVMA 2019

Answer 1

No difference in groups

Increased odds of PO GER
~male sex 9.2
~Overweight 12.3
~GI Sx 30.5
~Dexdomitor CRI PO 9.6

Question 2

Torrente
Intra-op reflux
JVECC 2017

Answer 2

33.4% developed GID

Prevalences
GER 17%
vomiting 6%
diarrhea 11%

Increased GER
~Intra-abdominal Sx
~Change in body position
~Length of anesthesia

Postanesthesia vomiting
~Change in vent mode
~Length of anesthesia
~Colloid

Less likely to vomit
~with Ace

Diarrhea PO
~length of anesthesia
~change in body position
~change in vent mode
~hypoxemia