After a GDV surgery at 2:10 a.m., we ran Doppler checks every 15 minutes for the first hour in recovery — what MAP in a dog makes you escalate to additional support or call the surgeon back, and why?
I have owners keep a quick daily log — appetite, behavior, and any neuro oddities — and set a reminder to recheck on day 10 so nothing gets missed. Small caveat: if it’s not a dog/cat/ferret or vax history is fuzzy, local regs or CDC guidance can change the plan (Information for Veterinarians | Rabies | CDC). Do you do a day‑3 touch base too, or am I the only one running a mini countdown clock?
At 2:10 a.m. post-GDV, I escalate when MAP is <65 mmHg on two ‘every 15 minutes’ reads, or when Doppler systolic is <90 as the stand-in — renal/gut perfusion gets dicey fast. , first move is a 5–[redacted]/kg crystalloid bolus and ECG check; if not fluid-responsive, I loop the surgeon back and start vasopressors (norepi) per protocol; quick ref: https://www.merckvetmanual.com/clinical-pathology-and-procedures/monitoring-anesthetized-patients/intraoperative-hypotension-in-small-animals. Are you Doppler-only or do you have oscillometric MAP too?
If MAP hovers 65–70 but lactate isn’t clearing (~‘>20% in 2–4 h’) or new VPCs pop up post-GDV, I escalate and consider norepi plus an art line, @tobyVet88. I also watch urine (<[redacted]/kg/hr bumps my urgency); do you aim for MAP ≥70 in these SIRS-y recoveries?