BrachycephalicConsent Form

We consider brachycephalic pets a high-risk population. I grant permission for my pet to undergo general anesthesia, sedation, and/or hospitalization.

I am aware that my pet has physical characteristics that make anesthesia and sedation more challenging and possibly riskier than for the average pet with a longer nose.

I am aware that brachycephalic breeds, such as the English and French Bulldog, Boston Terrier, Pug, Pekingese, and Persian cats have a shortened skull, resulting in a compressed nasal passage and abnormal throat anatomy. The abnormal upper airway anatomy causes increased negative pressure while taking a breath, leading to inflammation, deformation of throat tissues, and obstruction of breathing.

I am aware that if my brachycephalic pet undergoes sedation or general anesthesia, the potential complications include partial or complete airway obstruction during recovery and regurgitation or vomiting which could lead to aspiration pneumonia and/or respiratory distress. I am aware that anesthetizing or sedating a brachycephalic animal for any reason can lead to the development of significant complications as described in this document.

Please answer YES or NO to the following questions: