Podcast
Questions and Answers
Which of the following is NOT a component of patient evaluation prior to anesthesia?
Which of the following is NOT a component of patient evaluation prior to anesthesia?
- Prognosis (correct)
- Signalment
- History
- Temperament assessment
Pharmacokinetics focuses on how drugs affect the body.
Pharmacokinetics focuses on how drugs affect the body.
False (B)
What is the difference between analgesia and anesthesia?
What is the difference between analgesia and anesthesia?
Analgesia refers to the absence of pain sensation, while anesthesia involves a loss of sensation, including pain, in a body part or the entire body.
The study of what the drug does to the body is called ______.
The study of what the drug does to the body is called ______.
Match the following anesthetic terms with their corresponding descriptions:
Match the following anesthetic terms with their corresponding descriptions:
What is the recommended fasting period for small ruminants before surgery?
What is the recommended fasting period for small ruminants before surgery?
What is the primary function of an oxygen concentrator?
What is the primary function of an oxygen concentrator?
Rodents, rabbits, and birds should be fasted before surgery to prevent complications.
Rodents, rabbits, and birds should be fasted before surgery to prevent complications.
Large cryogenic liquid oxygen containers are typically used in smaller clinics and medical offices due to their affordability.
Large cryogenic liquid oxygen containers are typically used in smaller clinics and medical offices due to their affordability.
What are two common anesthetic concerns in animals during surgery?
What are two common anesthetic concerns in animals during surgery?
The ASA Physical Status scale is used to assess a patient's ______ risk.
The ASA Physical Status scale is used to assess a patient's ______ risk.
What is the primary safety concern when opening an oxygen cylinder valve?
What is the primary safety concern when opening an oxygen cylinder valve?
The ______ valve is a safety feature that prevents the pressure in the anesthesia machine from exceeding a certain limit.
The ______ valve is a safety feature that prevents the pressure in the anesthesia machine from exceeding a certain limit.
Match the medical gas with its corresponding color:
Match the medical gas with its corresponding color:
Which of these is NOT a safety mechanism to prevent the use of the wrong medical gas during surgery?
Which of these is NOT a safety mechanism to prevent the use of the wrong medical gas during surgery?
Match the anesthetic agent with its corresponding color in a vaporizer:
Match the anesthetic agent with its corresponding color in a vaporizer:
Describe two potential consequences of a closed pop-off valve during anesthesia.
Describe two potential consequences of a closed pop-off valve during anesthesia.
Dehydration in animals can be easily detected by clinical signs when the percentage of dehydration is less than 5%.
Dehydration in animals can be easily detected by clinical signs when the percentage of dehydration is less than 5%.
Which of the following steps is NOT included in the pressure check (leak test) of an anesthesia machine?
Which of the following steps is NOT included in the pressure check (leak test) of an anesthesia machine?
What are the three common sources of oxygen used in veterinary medicine?
What are the three common sources of oxygen used in veterinary medicine?
If a leak is detected during the pressure check, the anesthesia machine should be used immediately after addressing the leak.
If a leak is detected during the pressure check, the anesthesia machine should be used immediately after addressing the leak.
What does an increased end tidal CO2 (ETCO2) level indicate?
What does an increased end tidal CO2 (ETCO2) level indicate?
Doppler blood pressure readings are accurate in hypotensive patients.
Doppler blood pressure readings are accurate in hypotensive patients.
What is the golden standard for direct blood pressure analysis?
What is the golden standard for direct blood pressure analysis?
A systolic blood pressure above _____ mmHg is considered acceptable in dogs.
A systolic blood pressure above _____ mmHg is considered acceptable in dogs.
Match the condition with its corresponding ETCO2 level change:
Match the condition with its corresponding ETCO2 level change:
What does a Bispectral Index (BI) reading of 60 indicate?
What does a Bispectral Index (BI) reading of 60 indicate?
Mild or no palpebral reflex in an anesthetized patient is a sign of adequate anesthesia.
Mild or no palpebral reflex in an anesthetized patient is a sign of adequate anesthesia.
What are two critical parameters monitored in anesthetized patients?
What are two critical parameters monitored in anesthetized patients?
The ______ is a noninvasive method for measuring blood pressure that can assess systolic arterial pressure.
The ______ is a noninvasive method for measuring blood pressure that can assess systolic arterial pressure.
Match the monitoring technique with its corresponding measurement:
Match the monitoring technique with its corresponding measurement:
Which statement is true regarding the rebreathing system?
Which statement is true regarding the rebreathing system?
A non-rebreathing system is preferred for larger pets due to lower resistance in breathing.
A non-rebreathing system is preferred for larger pets due to lower resistance in breathing.
What is the pressure threshold at which an oxygen cylinder should be changed?
What is the pressure threshold at which an oxygen cylinder should be changed?
A manual ventilation technique involves occluding the __________ valve while squeezing the reservoir bag.
A manual ventilation technique involves occluding the __________ valve while squeezing the reservoir bag.
What is a disadvantage of passive scavenging systems?
What is a disadvantage of passive scavenging systems?
Match the scavenging systems with their characteristics:
Match the scavenging systems with their characteristics:
A benefit of using the Mapleson D system is that it is more common with the bain circuit.
A benefit of using the Mapleson D system is that it is more common with the bain circuit.
How is tidal volume initially calculated for manual ventilation?
How is tidal volume initially calculated for manual ventilation?
The study of how the body processes a drug is called ______.
The study of how the body processes a drug is called ______.
Tranquilization refers to a state of complete unconsciousness.
Tranquilization refers to a state of complete unconsciousness.
What is the primary role of the veterinarian in charge in the pre-anesthetic evaluation?
What is the primary role of the veterinarian in charge in the pre-anesthetic evaluation?
What is the most accurate method for measuring blood pressure, but rarely used in small animal practice?
What is the most accurate method for measuring blood pressure, but rarely used in small animal practice?
A decreased ETCO2 level could indicate hypothermia or airway obstruction.
A decreased ETCO2 level could indicate hypothermia or airway obstruction.
What are two factors that can result in inaccurate readings when using an oscillometric blood pressure monitor in dogs?
What are two factors that can result in inaccurate readings when using an oscillometric blood pressure monitor in dogs?
An increased ETCO2 level is a sign of ______, which can be associated with conditions like malignant hyperthermia.
An increased ETCO2 level is a sign of ______, which can be associated with conditions like malignant hyperthermia.
Match the following conditions with their corresponding ETCO2 level changes:
Match the following conditions with their corresponding ETCO2 level changes:
Which of the following is a safety feature designed to prevent the pop-off valve from closing completely and building up excessive pressure?
Which of the following is a safety feature designed to prevent the pop-off valve from closing completely and building up excessive pressure?
The APL valve should be closed during the pressure check of an anesthesia machine.
The APL valve should be closed during the pressure check of an anesthesia machine.
The color of the vaporizer for sevoflurane is ______.
The color of the vaporizer for sevoflurane is ______.
Match the following anesthetic machine components with their primary function:
Match the following anesthetic machine components with their primary function:
Which of the following is a potential consequence of a closed pop-off valve during anesthesia?
Which of the following is a potential consequence of a closed pop-off valve during anesthesia?
A low oxygen concentration in the breathing circuit can be a dangerous complication during anesthesia.
A low oxygen concentration in the breathing circuit can be a dangerous complication during anesthesia.
Describe two steps you would take if a leak is detected during a pressure check of the anesthesia machine.
Describe two steps you would take if a leak is detected during a pressure check of the anesthesia machine.
Which of the following statements about oxygen cylinders is TRUE?
Which of the following statements about oxygen cylinders is TRUE?
Manual ventilation with a reservoir bag involves squeezing the bag and occluding the Pop-off valve temporarily.
Manual ventilation with a reservoir bag involves squeezing the bag and occluding the Pop-off valve temporarily.
What is the primary purpose of a CO2 absorption canister in a rebreathing system?
What is the primary purpose of a CO2 absorption canister in a rebreathing system?
The ______ system is preferred for smaller pets as it offers less resistance to airflow and fewer components, minimizing the risk of leaks.
The ______ system is preferred for smaller pets as it offers less resistance to airflow and fewer components, minimizing the risk of leaks.
Match the following types of scavenging systems with their respective characteristics:
Match the following types of scavenging systems with their respective characteristics:
What is the recommended fasting period for horses before surgery? (Select all that apply)
What is the recommended fasting period for horses before surgery? (Select all that apply)
Dehydration clinical signs are readily detectable when the percentage of dehydration is less than 5%.
Dehydration clinical signs are readily detectable when the percentage of dehydration is less than 5%.
Match the ASA Physical Status scale classification with the corresponding patient description:
Match the ASA Physical Status scale classification with the corresponding patient description:
What are the normal color coding systems for oxygen and nitrous oxide (N2O) medical gases?
What are the normal color coding systems for oxygen and nitrous oxide (N2O) medical gases?
Anesthetic concerns for obese animals include hypotension, hypoventilation, hypothermia, and hypoxemia.
Anesthetic concerns for obese animals include hypotension, hypoventilation, hypothermia, and hypoxemia.
What are some important steps to be taken for stabilization of an animal before surgery?
What are some important steps to be taken for stabilization of an animal before surgery?
The ______ wave on an ECG represents atrial depolarization.
The ______ wave on an ECG represents atrial depolarization.
Conduction, being a mechanism of heat loss, involves losing heat through direct contact with an object.
Conduction, being a mechanism of heat loss, involves losing heat through direct contact with an object.
What is the most common complication during anesthesia?
What is the most common complication during anesthesia?
Match the following anesthetic complications with their corresponding descriptions:
Match the following anesthetic complications with their corresponding descriptions:
What is the normal range for ETCO2 in mmHg?
What is the normal range for ETCO2 in mmHg?
Which of the following is NOT a sign of moderate hypothermia?
Which of the following is NOT a sign of moderate hypothermia?
List the four most common issues with anesthesia, known as the '4 H's'.
List the four most common issues with anesthesia, known as the '4 H's'.
Hyperthermia is always caused by infection or inflammation.
Hyperthermia is always caused by infection or inflammation.
Which of these are considered pre-medications?
Which of these are considered pre-medications?
A micro drip set delivers a smaller number of drops per milliliter compared to a macro drip set.
A micro drip set delivers a smaller number of drops per milliliter compared to a macro drip set.
The study of what the drug does to the body is known as ______.
The study of what the drug does to the body is known as ______.
Oxygen concentrators are commonly used in larger clinics due to their affordability.
Oxygen concentrators are commonly used in larger clinics due to their affordability.
What is the primary purpose of the pop-off valve in an anesthesia machine?
What is the primary purpose of the pop-off valve in an anesthesia machine?
Match the following oxygen sources with their characteristics:
Match the following oxygen sources with their characteristics:
A patient with a severe systemic disease, such as fever, anemia, or renal failure, would be classified as an ASA class ____ patient.
A patient with a severe systemic disease, such as fever, anemia, or renal failure, would be classified as an ASA class ____ patient.
Match the following medical gases with their corresponding colors:
Match the following medical gases with their corresponding colors:
Which of the following is NOT a common anesthetic concern in animals during surgery?
Which of the following is NOT a common anesthetic concern in animals during surgery?
Which of the following is a safety mechanism to prevent the use of the wrong medical gas during surgery? (Select all that apply)
Which of the following is a safety mechanism to prevent the use of the wrong medical gas during surgery? (Select all that apply)
An oxygen cylinder should be changed when the pressure falls below 500 psi.
An oxygen cylinder should be changed when the pressure falls below 500 psi.
Which type of breathing system is preferred for smaller pets?
Which type of breathing system is preferred for smaller pets?
The ______ system is a type of breathing system where CO2 is absorbed by a canister.
The ______ system is a type of breathing system where CO2 is absorbed by a canister.
What is the primary concern with using the rebreathing system?
What is the primary concern with using the rebreathing system?
Match the type of scavenging system with its primary advantage:
Match the type of scavenging system with its primary advantage:
Which of the following is NOT a disadvantage of passive scavenging systems?
Which of the following is NOT a disadvantage of passive scavenging systems?
What is the primary purpose of a scavenging system?
What is the primary purpose of a scavenging system?
The ______ valve is occluded during manual ventilation with a reservoir bag.
The ______ valve is occluded during manual ventilation with a reservoir bag.
The Mapleson D system is commonly used with the Bain circuit.
The Mapleson D system is commonly used with the Bain circuit.
Flashcards
Anesthesia
Anesthesia
Loss of sensation in a body part or the whole body, can be local or general.
Analgesia
Analgesia
Absence of pain sensitivity, often induced by certain drugs.
Sedation
Sedation
CNS depression where the patient is calm but not fully unconscious.
Tranquilization
Tranquilization
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Pharmacokinetics
Pharmacokinetics
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Fasting before surgery (SAs)
Fasting before surgery (SAs)
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Fasting before surgery (Small ruminants)
Fasting before surgery (Small ruminants)
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Fasting before surgery (Equines)
Fasting before surgery (Equines)
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Fasting before surgery (Cattles)
Fasting before surgery (Cattles)
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Dehydration clinical signs
Dehydration clinical signs
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ASA Physical Status scale
ASA Physical Status scale
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Anesthesia concerns
Anesthesia concerns
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Medical gas safety mechanisms
Medical gas safety mechanisms
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Oxygen Cylinders
Oxygen Cylinders
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Cryogenic Liquid Oxygen Containers
Cryogenic Liquid Oxygen Containers
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Oxygen Concentrator
Oxygen Concentrator
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Modern Vaporizers
Modern Vaporizers
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Closed Pop-Off Valve Hazard
Closed Pop-Off Valve Hazard
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Machine Leak Test Steps
Machine Leak Test Steps
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Pressure Check Observations
Pressure Check Observations
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Oxygen Remaining Calculation
Oxygen Remaining Calculation
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Bispectral Index (BI)
Bispectral Index (BI)
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Anesthetic monitoring importance
Anesthetic monitoring importance
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Noninvasive blood pressure monitoring
Noninvasive blood pressure monitoring
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Pulse oximetry
Pulse oximetry
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Ventral medial eye rotation
Ventral medial eye rotation
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Cylinder E size
Cylinder E size
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Cylinder H size
Cylinder H size
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Change oxygen cylinder
Change oxygen cylinder
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Manual ventilation with reservoir bag
Manual ventilation with reservoir bag
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Rebreathing system
Rebreathing system
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Non-rebreathing system
Non-rebreathing system
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Passive scavenging system
Passive scavenging system
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Active scavenging system
Active scavenging system
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End tidal CO2 (ETCO2)
End tidal CO2 (ETCO2)
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Hypoventilation
Hypoventilation
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Hypoventilation causes
Hypoventilation causes
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Direct BP analysis
Direct BP analysis
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Doppler BP prediction
Doppler BP prediction
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Oscillometric BP monitoring
Oscillometric BP monitoring
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Oxygen Cylinder Types
Oxygen Cylinder Types
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Oxygen Concentrator Function
Oxygen Concentrator Function
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Vaporizer Color Codes
Vaporizer Color Codes
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Closed Pop-Off Valve Risks
Closed Pop-Off Valve Risks
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Vaporizer Functionality
Vaporizer Functionality
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Tidal Volume Calculation
Tidal Volume Calculation
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Pros of Rebreathing System
Pros of Rebreathing System
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Cons of Non-Rebreathing System
Cons of Non-Rebreathing System
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Scavenging Systems Purpose
Scavenging Systems Purpose
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Passive vs Active Scavenging
Passive vs Active Scavenging
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Change Oxygen Cylinder Criteria
Change Oxygen Cylinder Criteria
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Manual Ventilation Technique
Manual Ventilation Technique
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Components of Breathing Systems
Components of Breathing Systems
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Fasting before surgery (Rodents, rabbits, birds)
Fasting before surgery (Rodents, rabbits, birds)
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Dehydration shock signs
Dehydration shock signs
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Correcting dehydration
Correcting dehydration
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ASA Physical Status scale (IV)
ASA Physical Status scale (IV)
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Oxygen medical gas color coding
Oxygen medical gas color coding
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Clinical signs of dehydration
Clinical signs of dehydration
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Oscillometric method
Oscillometric method
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P wave
P wave
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Normal PaO2 under anesthesia
Normal PaO2 under anesthesia
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Four mechanisms of heat loss
Four mechanisms of heat loss
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Hypothermia symptoms
Hypothermia symptoms
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Hyperthermia causes
Hyperthermia causes
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Normal ETCO2 range
Normal ETCO2 range
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MAP normal limits
MAP normal limits
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Neuroleptanalgesia
Neuroleptanalgesia
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Pharmacodynamics
Pharmacodynamics
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Patient evaluation
Patient evaluation
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Macro vs Micro drip sets
Macro vs Micro drip sets
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Blood & urine samples
Blood & urine samples
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Fluid Drip Rates
Fluid Drip Rates
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Scavenging Systems
Scavenging Systems
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Cylinder E and H
Cylinder E and H
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Stabilization procedures
Stabilization procedures
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Steps to Perform Machine Leak Test
Steps to Perform Machine Leak Test
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Study Notes
Anesthesia Learning Objectives
- Anesthesia is the loss of sensation (in a body part or whole body)
- Analgesia is the absence of pain sensitivity
- Sedation is CNS depression, not unconsciousness (patient is awake and calm)
- Tranquilization is relaxing the patient while they are aware of their surroundings
- Neuroleptanalgesia combines a sedative/tranquilizer with an opioid
- Pharmacokinetics studies how the body processes drugs (metabolism, half-life)
- Pharmacodynamics studies how drugs affect the body
- Fluid drip rates vary based on animal size; 10-15 drops/mL for larger dogs, 60 drops/mL for smaller animals (cats, exotics)
- Fluid drip rates are calculated using drops per milliliter
- Macro drip sets are for larger dogs (10-15 drops/mL)
- Micro drip sets are for smaller animals (cats, exotics) (60 drops/mL)
- 1mg = 1000mcg
Patient Evaluation Prior to Anesthesia
- Veterinarians evaluate patients before anesthesia
- This evaluation includes signalment (species, breed, sex), history, physical exam, blood work, and urine samples
- It also includes assessment of temperament, mentation, pain, and stress, along with any changes from before the surgery.
Lab Work for Healthy and Unhealthy Pets
- Healthy pets require PCV, total solids, glucose, BUN (protein).
- Unhealthy pets require a complete blood count (CBC), standard chemistry panels, and a urinalysis (U/A).
Anesthesia Preparation
- Anesthesia preparation includes withholding food (6-12 hours before for small animals; 12-18 for small ruminants; 4-12 for equines; 18-24 for cattle)
- Water withholding varies but often occurs until pre-medication is given.
- Small ruminants and equine are given less food than usual and their water intake withheld for 3-12 hrs before surgery.
- Food withheld for small animals 6–12 hrs, small ruminants 12–18 hrs, equines 4–12 hrs, and cattle 18–24 hrs prior to surgery. Water is withheld until pre-med is given
Safety Concerns in Anesthesia
- Risk analysis and risk management should be discussed with the client.
- Safety mechanisms prevent wrong medical gas flow to the patient: Oxygen—green, N2O—blue, PISS, DISS
- Oxygen cylinders commonly used contain steel or aluminum and should be changed when pressure drops below 500 psi
Oxygen Cylinders in Veterinary Medicine
- E cylinder is commonly used
- Cryogenic liquid oxygen containers are large, used in facilities, and are more expensive
- Oxygen concentrators absorb nitrogen from air to increase oxygen levels.
- They are more affordable but require more maintenance.
Machine Leak Tests
- Anesthesia machines have leak tests (pressure checks)
- Valves need to be observed and set optimally
- Leak tests are performed to prevent possible death of patients.
- Pressure test the system by adding pressure to the system up to 30 cm H2O and monitor if pressure drops in 30 seconds. If pressure does not drop then the system is leak free.
ASA Physical Status Scale
- Categorizes a patient's surgical risk into classes from 1 (healthy) to 5 (high risk)
Oxygen Flow Calculation
- Calculate oxygen remaining and expected time based on PSI and flow rate. Use the following formula P1/V1 = P2/V2
P Reservoir Bag Calculation
- Calculate P reservoir bag volume using weight
- In emergency cases or for less oxygen usage, P reservoir bag's volume can be calculated using (KILOGRAMS (kg) * TIDAL VOLUME (mL/kg) * 5)
- Always round up when using a smaller tidal volume
Safety Concerns with Anesthesia Machine
- Proper checking prevents environmental pollution, hypoxemia (low oxygen), and other problems.
- Two breathing systems are common: rebreathing and non-rebreathing. Rebreathing systems have lower oxygen flow requirements; non-rebreathing systems are suitable for smaller animals
Scavenging Systems in Anesthesia
- Different systems actively remove waste products
- Passive Systems only remove certain types of anesthetic gases
Endotracheal Tube (ETT) Types
- Equipment for ETT includes a light source and a laryngoscope
- Proper placement and sizing are crucial (use a size one size larger than, and one size smaller than the ETT).
- Cuff Inflation methods to ensure no gas escapes (~ 22cm H2O of air escapes)
Oxygen Flow Rates
- Beginning anesthesia flow rate = 44 mL/kg/min (start with higher rate)
- During maintenance anaesthesia = 22 mL/kg/min
Anesthesia Planes
- Stages of anesthesia are observed during monitoring of different vitals and reflexes. Note: Stages I, II, and III are different for each species.
- Planes of anesthesia describe the level of anesthetic effect on the patient (pupil size, jaw tone, corneal reflexes and heart and resp rates).
- There is a range for specific responses in different species depending on different anesthetic drugs that affect species at varying points.
Anesthetics and Monitoring
- Patients undergo different protocols and methods of monitoring to ensure proper levels of anethesia given.
- Basic monitors, including pulse oximetry, capnography, and ECG are used for patient monitoring.
Complications during anesthesia
- Patient’s body temperature changes during surgery.
- Hypothermia is a common problem; monitor constantly and correct temperature accordingly.
- Monitor patients for symptoms of inflammation, including changes in organ function.
- Monitor for changes in patient vitals, such as heart rate, respiratory rate, blood pressure, and oxygen saturation.
- Monitor for changes in patient responses to therapy.
Heat and Temperature
- Radiation, Convection, Conduction, and Evaporation are the 4 common ways heat transfers.
- Anesthetics cause the body to think it is hot/cold even though it is not.
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