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Case Report: Atropine-induced delirium in a dog

Year: 2025
Type: article
Study design: Case Report
Abstract: A 6-year-old spayed female Goldendoodle was presented as a referral for bradycardia and collapse. An electrocardiogram revealed a high-grade second-degree atrioventricular block (HG2AVB) with atrial flutter. The patient was hospitalized overnight with the intention of pacemaker placement the following morning. Following bolus administration of atropine and lidocaine to rule out high vagal tone, the patient was placed on an atropine continuous rate infusion (CRI) to increase heart rate overnight. This resulted in an acute onset of suspected delirium, which lasted several hours following cessation of the CRI. The patient proceeded with pacemaker placement the following day. No further neurological events were noted at 1 year after pacemaker placement. Atropine-associated delirium should be considered in any patient where high cumulative doses of atropine are being considered.
Language: English
Subfield: Small Animals
Field: Veterinary
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W4415129207
FWCI:
Cites: 18
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