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In addition to a physical exam, pre-op bloodwork is a key diagnostic tool that all parents need to insist on having done. Jeffrey Levy, DVM, CVA and owner of House Call Vet NYC, "Pre-op blood tests are used to determine the absence of underlying conditions that would make surgery risky or leave the patient vulnerable to the effects of anesthesia.Most important are kidney and liver values, hematocrit (red blood cell count), white blood cell counts, blood sugar for potential diabetes and a heartworm test." Each bit of information retrieved from the bloodwork tells a story that can help your veterinarian evaluate the overall health and identify any risk factors they need to address.I remember that feeling of unbelievable relief that consumed me when I received the phone call from Lily's neurologist after her 6 hour back surgery telling me that she woke up like a champ.

"Chronic anemia, indication of kidney disease, genitourinary infection or systemic infection, abnormal chest radiographs or ECG and abnormal clotting profile, independent of age, would be red flags to not move forward with anesthesia," states Dr. When my senior pug Lily was going through her testing to ensure she could handle anesthesia to undergo an MRI, CT scan and the inevitable surgery, she underwent many of the above mentioned tests as well as an abdominal ultrasound.

Now with my Winnie, my 6 year old French Bulldog who has noticeable breathing issues, I am going to ensure she has an anesthesiologist on site for any procedures she may need.

During any procedure requiring anesthesia your dog's vital signs are constantly monitored.

Judy Morgan, DVM, CVA, CVCP, CVFT, owner of two award winning practices and the Chief Medical Officer for Monkey's House Senior Dog Hospice and Sanctuary.

Additional tests such as an ECG, urinalysis and chest X-rays may also be wise and for invasive procedures with a high risk of bleeding, Dr.

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