Summary

Preoperative care protocol for dogs with Brachycephalic Obstructive Airway Syndrome (BOAS) at the University of Tennessee College of Veterinary Medicine. It emphasizes extended fasting times and pre‑visit anxiety‑reducing medications to minimize stress. Detailed medication recommendations are provided for dogs with and without a history of vomiting or gastroesophageal reflux, including use of omeprazole, antiemetics, and pro‑motility drugs to reduce aspiration risk. The protocol highlights careful gastrointestinal management prior to anesthesia to improve surgical safety and postoperative outcomes in brachycephalic dogs.