Anesthesia Management

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Author:
nitacherry
ID:
289351
Filename:
Anesthesia Management
Updated:
2014-11-16 13:58:37
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Anesthesia Management
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Description:
Anesthetic plan based on patient needs
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  1. Hypertrophic Cardiomyopathy
    * 70% of cats have this disease, otherwise asymptomatic
  2. Anesthetic plan based on:*2
    • 1. Individual patient
    • 2. Surgical procedure
  3. Dexmedetomidine
    • Sedative
    • alpha2 agonist
    • Reversal drug :: atipamazole
  4. Anesthetic plan designed to safely and effectively produce: *4
    • 1. Relaxation decrease stress. Anxiety increases sympathetic output
    • 2. Sedation better handling
    • 3. Analgesia
    • 4. Unconsciousness
  5. Combination drug therapy preferred *4
    • 1. Lower dose requirements
    • 2. Minimizes med effects
    • 3. More controlled anesthetic state
    • 4. Safer induction and recovery
  6. Combination drug therapy requires *3
    • 1. Pharmacodynamics understanding
    • 2. Pharmacokinetics understanding 
    • 3. Poss. reversible drugs
  7. Anesthetic Regimen Influenced by *10
    • 1. Age
    • 2. Breed
    • 3. Species
    • 4. Weight
    • 5. Temperament
    • 6. Physical condition
    • 7. Procedure time required for surgery
    • 8. Drug interactions
    • 9. Drug familiarity
    • 10. Available assistance
  8. Patient under anesthesia Always *3
    • 1. Intubate oxygen supply = prevent hypoventilation
    • 2. Venous Access catheter / IV fluid support
    • 3. Patient Monitoring
    • * Most importantly :: Look At Patient antesthetic depth, crt, mm
  9. Preanesthetic Evaluations *6
    • 1. Patient history
    • 2. current drug therapy
    • 3. P.E. vitals
    • 4. Bl Wk lab data
    • 5. ASA Classification
    • 6. Specific plan tailored to patient add. preop. tests / drugs / doses 
  10. American Society of Anesthesiologists :: Status Classification System vet med :: Class I
    Normal patient no organic dis.
  11. American Society of Anesthesiologists :: Status Classification System vet med :: Class II
    Patient mild systemic dis.
  12. American Society of Anesthesiologists :: Status Classification System vet med :: Class III
    Patient severe systemic dis., limited activity, not incapacitating
  13. American Society of Anesthesiologists :: Status Classification System vet med :: Class IV
    Patient incapacitating dis., constant threat to life
  14. American Society of Anesthesiologists :: Status Classification System vet med :: Class V
    Patient moribund, not expected to live 24 hrs w/ or w/o intervention

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