Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
John R. Dodam, DVM, MS, PhD, DACVA
I'll review the pathophysiological changes associated with the common congenital and acquired cardiac defects in small animal medicine and discuss the characteristics of anesthetic drugs that may make them desirable of undesirable for each problem.
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Use of analgesics prior to surgery (preemptive analgesia) may also be beneficial. Non-steroidal anti-inflammatory drugs are commonly being administered during the perioperative period. Debate exists as to when to administer the drugs (preoperatively vs. postoperatively).
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Anesthetic and pain related mortality would appear to be an easily quantifiable statistic that could be used to measure the outcome of the profession's current anesthetic practices. However, to rely solely on death rate as the measure of the quality of anesthetic care provided is inadequate. The anesthetist's goal should be to minimize the risks to the patient's health while reducing pain and stress.
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
John R. Dodam, DVM, MS, PhD, DACVA
Cesarean section may be indicated for animals with prolonged gestation periods, refractory uterine inertia (primary or secondary), or those with obstructive dystocias. In addition, elective cesarean section may be done in those breeds with consistent fetal oversize (i.e., English bulldogs).
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Accurate measurement of pain perception in individual non-human patients is impossible. However, management of pain requires objective measures of effectiveness of the applied treatment.
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Patients are typically sedated or anesthetized and placed in sternal or lateral recumbency. Next, the cranial edge of the wings of the ilia are palpated. Once located, a 10 cm by 10 cm area of hair directly over the lumbosacral junction is clipped and the skin is surgically prepared.
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Patient stress is probably a contributing factor in some cases of adverse patient outcome. Stress during induction of anesthesia can increase circulating catecholamine concentration predisposing the heart to arrhythmias.
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
John R. Dodam, DVM, MS, PhD, DACVA
The liver is integral to the production of clotting factors and albumin, and the metabolism of proteins, carbohydrates, fats. In addition, a variety of other endogenous and exogenous substances are metabolized in the liver. Indeed, the liver plays a role in the elimination of most anesthetic drugs.
|
Source: CVC IN SAN DIEGO PROCEEDINGS
November 1, 2010
By:
John R. Dodam, DVM, MS, PhD, DACVA
The capnograph is a noninvasive monitoring device that can provide information on ventilation (pulmonary function), blood flow, and equipment function. Knowledge of respiratory and cardiovascular physiology is essential to the understanding of capnography.
|
|