56 Questions
Which anaesthetic agent has a structure of hindered phenol?
Propofol
Which anaesthetic agent is an imidazole derivative?
Etomidate
Which anaesthetic agent is a dissociative agent?
Ketamine
Which anaesthetic agent is a steroid anaesthetic?
Alfaxalone
What does the blood:gas partition coefficient measure?
Solubility in blood
Which anaesthetic has the highest oil:gas partition coefficient?
Isoflurane
Which anaesthetic has the lowest blood:gas partition coefficient?
Desflurane
Which anaesthetic has the lowest metabolism percentage?
Desflurane
Which anaesthetic has the highest minimum alveolar concentration (MAC) percentage?
Desflurane
Which anaesthetic has the highest global warming potential?
Isoflurane
Which anaesthetic is associated with the least airway irritation for mask induction?
Sevoflurane
Which anaesthetic has the highest boiling point?
Isoflurane
Which anaesthetic is known for rapid increases in heart rate and arterial blood pressure at high concentrations?
Isoflurane
Which anaesthetic is a weak anaesthetic with negligible cardiovascular and respiratory effects?
Nitrous oxide
Which anaesthetic is known for the second gas effect and diffusion hypoxia?
Nitrous oxide
Which anaesthetic is associated with long-term occupational exposure risks such as anaemia, leukopaenia, and peripheral neuropathy?
Nitrous oxide
Which type of animal is unsuitable for IV infusions of Propofol due to a slower metabolism and reduced ability to conjugate with glucuronide?
Cats
Which anaesthetic agent causes rapid loss of consciousness in the central nervous system (CNS) and mild hypotension in the cardiovascular system (CVS)?
Propofol
Which animal is alfaxalone licensed for use in, with rapid onset and short duration?
Dogs
In which animals should ketamine not be used as a sole agent for anaesthesia due to its potential for convulsions and hallucinations?
Horses
When is Intravenous anaesthesia (TIVA) used?
When the airway cannot be shared
Which anaesthetic agents are suitable for TIVA in dogs and cats?
Propofol and alfaxalone
What is the basis for choosing between propofol and alfaxalone?
Personal preference and cost
Which type of anaesthetic agents are typically used for maintenance of anaesthesia due to their rapid adjustability and elimination?
Inhalational anaesthetic agents
What does Minimum Alveolar Concentration (MAC) measure?
Potency of inhaled anaesthetics
Which inhaled anaesthetic requires the lowest concentration in dogs and cats according to MAC values?
Desflurane
In which animals is ketamine used to induce anaesthesia and provide analgesia, but should be used with caution in patients with a history of seizures or elevated intracranial pressure?
Dogs
What is Total Intravenous anaesthesia (TIVA)?
Use of intravenous anaesthetics to both induce and maintain anaesthesia
What is the in-use shelf-life of Propofol?
28 days
Which of the following is not a component of the formulation of Propofol?
Olive oil
What is the maximum recommended duration for Propofol infusion?
30 minutes
What is the recommended maximum dosage of Propofol per anaesthetic?
24 mg/kg
What is the blood:gas partition coefficient of sevoflurane?
0.68
Which inhaled anaesthetic has the highest oil:gas partition coefficient?
Isoflurane
What is the boiling point of desflurane?
23°C
Which anaesthetic agent has the lowest metabolism percentage?
Desflurane
What is the MAC (%) of desflurane?
7.2
Which anaesthetic agent is associated with the least airway irritation for mask induction?
Desflurane
Which anaesthetic agent is known for rapid increases in heart rate and arterial blood pressure at high concentrations?
Isoflurane
Which anaesthetic agent is a weak anaesthetic with negligible cardiovascular and respiratory effects?
Nitrous oxide
What is the blood:gas partition coefficient of isoflurane?
1.5
What is the MAC (%) of sevoflurane?
2.3
Which anaesthetic agent has the highest global warming potential?
Isoflurane
Which anaesthetic agent is a gas at room temperature and pressure?
Nitrous oxide
Which anaesthetic agent is suitable for TIVA in cats?
Alfaxalone
Which anaesthetic agent is associated with the least airway irritation for mask induction?
Sevoflurane
What is the minimum alveolar concentration (MAC) used to measure?
Pain threshold
Which anaesthetic agent has the highest global warming potential?
Desflurane
Which anaesthetic agent is known for the second gas effect and diffusion hypoxia?
Desflurane
Which anaesthetic agent is a weak anaesthetic with negligible cardiovascular and respiratory effects?
Ketamine
Which anaesthetic agent is an imidazole derivative?
Halothane
What does the blood:gas partition coefficient measure?
Solubility in blood
Which anaesthetic agents are typically used for maintenance of anaesthesia due to their rapid adjustability and elimination?
Isoflurane and desflurane
Which anaesthetic has the lowest metabolism percentage?
Isoflurane
When is Total Intravenous anaesthesia (TIVA) used?
Both a and b
Which anaesthetic agent is known for rapid increases in heart rate and arterial blood pressure at high concentrations?
Ketamine
Study Notes
Veterinary Anaesthetic Agents and Their Clinical Use
- Cats have a slower metabolism and are less able to conjugate with glucuronide, making them unsuitable for IV infusions of Propofol.
- Propofol causes rapid loss of consciousness in the central nervous system (CNS) and mild hypotension in the cardiovascular system (CVS).
- Alfaxalone is a steroid anaesthetic with rapid onset and short duration, licensed for use in dogs, cats, and rabbits, and is administered IV to induce and maintain anaesthesia.
- Ketamine is a dissociative anaesthetic and analgesic that can be given IV, IM, or SC, and should not be used as a sole agent for anaesthesia due to its potential for convulsions and hallucinations.
- Intravenous anaesthesia (TIVA) is used when inhalational anaesthetic agents are not available, or when the airway cannot be shared, such as in bronchoscopy or some airway surgeries.
- Propofol or alfaxalone are suitable for TIVA in dogs, while only alfaxalone is suitable for cats, and a "triple drip" of an α2-agonist plus GGE plus ketamine is popular for field anaesthesia in horses.
- The choice between propofol and alfaxalone is based on personal preference and cost, while ketamine may be chosen in cases of aggressive patients or haemodynamic instability.
- Inhalational anaesthetic agents, such as halothane, isoflurane, desflurane, and sevoflurane, are typically used for maintenance of anaesthesia due to their rapid adjustability and elimination.
- Minimum Alveolar Concentration (MAC) is used to compare the potency of different inhaled anaesthetics and is the steady-state minimum alveolar concentration required to prevent gross purposeful movement in response to noxious stimulation in 50% of test subjects.
- MAC values vary between different inhaled anaesthetics, with desflurane requiring the lowest concentration in dogs and cats.
- Ketamine is used to induce anaesthesia in dogs, cats, and horses, and to provide analgesia in dogs and cats, but should be used with caution in patients with a history of seizures or elevated intracranial pressure.
- Total Intravenous anaesthesia (TIVA) is the use of intravenous anaesthetics to both induce and maintain anaesthesia, and can be used in cases where inhalational anaesthetic agents are not available or when the airway cannot be shared, such as in bronchoscopy or some airway surgeries.
Veterinary Anaesthetic Agents and Their Clinical Use
- Cats have a slower metabolism and are less able to conjugate with glucuronide, making them unsuitable for IV infusions of Propofol.
- Propofol causes rapid loss of consciousness in the central nervous system (CNS) and mild hypotension in the cardiovascular system (CVS).
- Alfaxalone is a steroid anaesthetic with rapid onset and short duration, licensed for use in dogs, cats, and rabbits, and is administered IV to induce and maintain anaesthesia.
- Ketamine is a dissociative anaesthetic and analgesic that can be given IV, IM, or SC, and should not be used as a sole agent for anaesthesia due to its potential for convulsions and hallucinations.
- Intravenous anaesthesia (TIVA) is used when inhalational anaesthetic agents are not available, or when the airway cannot be shared, such as in bronchoscopy or some airway surgeries.
- Propofol or alfaxalone are suitable for TIVA in dogs, while only alfaxalone is suitable for cats, and a "triple drip" of an α2-agonist plus GGE plus ketamine is popular for field anaesthesia in horses.
- The choice between propofol and alfaxalone is based on personal preference and cost, while ketamine may be chosen in cases of aggressive patients or haemodynamic instability.
- Inhalational anaesthetic agents, such as halothane, isoflurane, desflurane, and sevoflurane, are typically used for maintenance of anaesthesia due to their rapid adjustability and elimination.
- Minimum Alveolar Concentration (MAC) is used to compare the potency of different inhaled anaesthetics and is the steady-state minimum alveolar concentration required to prevent gross purposeful movement in response to noxious stimulation in 50% of test subjects.
- MAC values vary between different inhaled anaesthetics, with desflurane requiring the lowest concentration in dogs and cats.
- Ketamine is used to induce anaesthesia in dogs, cats, and horses, and to provide analgesia in dogs and cats, but should be used with caution in patients with a history of seizures or elevated intracranial pressure.
- Total Intravenous anaesthesia (TIVA) is the use of intravenous anaesthetics to both induce and maintain anaesthesia, and can be used in cases where inhalational anaesthetic agents are not available or when the airway cannot be shared, such as in bronchoscopy or some airway surgeries.
Test your knowledge of veterinary anaesthetic agents and their clinical use with this quiz. Learn about the uses and considerations for Propofol, Alfaxalone, Ketamine, and Intravenous anaesthesia (TIVA) in different animal species. Understand the role of inhalational anaesthetic agents and Minimum Alveolar Concentration (MAC) in maintaining anaesthesia.
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