Bustamante Domínguez, RocíoMuñoz Blanco, LorenaSánchez Cordero, Ignacio2026-02-272026-02-272025Bustamante, R., Muñoz, L., & Sández, I. (2025). The recommendation for routine preemptive atropine administration in dogs receiving ephedrine is premature. Journal of the American Veterinary Medical Association, 263(10), 1209-1211. https://doi.org/10.2460/javma.263.10.12090003-1488https://hdl.handle.net/11268/16918In the June JAVMA article titled “Emergency administration of ephedrine for general anesthesia-induced hypotension requires preemptive atropine in dogs but not cats,” Seki et al1 reported a retrospective study evaluating the cardiovascular effects of IV ephedrine—with or without preemptive atropine—in anesthetized dogs and cats. The authors concluded that preemptive atropine administration is recommended in dogs to enhance the vasopressor effect of ephedrine. While the study provides valuable data, we are concerned that this clinical recommendation is not adequately supported by the study design.engAttribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/The recommendation for routine preemptive atropine administration in dogs receiving ephedrine is prematurejournal article10.2460/javma.263.10.1209open accessAnestesiaVeterinariaAnimal domésticoMedicamentoGoal 12: Ensure sustainable consumption and production patternsGoal 3: Ensure healthy lives and promote well-being for all at all ages