Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Tamara Grubb, DVM, MS, DACVA
No matter what anesthetic protocol is chosen, the addition of adequate analgesia is imperative for safe anesthesia and for enhanced patient outcome.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Tamara Grubb, DVM, MS, DACVA
Constant rate infusions (CRI) of analgesic drugs are an excellent way to manage pain in both dogs and cats. A CRI of analgesic agents has several advantages over multiple repeated injections for pain relief.
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Source: CVC IN KANSAS CITY PROCEEDINGS
August 1, 2010
By:
Tamara Grubb, DVM, MS, DACVA
Our patient population has changed fairly dramatically in the last 10 years as our medical skills have progressed and we have become capable of supporting patients with advanced disease and advancing age. Now we must hone our anesthesia skills in order to support patients that largely don't fit into the 'young, healthy' category and it is no longer appropriate to think that safe anesthesia means recovering as many patients as we anesthetize.
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Source: CVC IN BALTIMORE PROCEEDINGS
April 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
The electrocardiogram is a useful monitoring tool, but its proper use requires training. It provides a heart rate and a picture of the electrical activity of the heart muscle. The anesthetist should be trained to recognize many commonly encountered intraoperative arrhythmias (e.g., multifocal and unifocal ventricular premature complexes, atrioventricular blockade, ventricular tachycardia, etc.) and the veterinarian should be prepared to treat arrhythmias when they occur (if necessary).
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Source: CVC IN BALTIMORE PROCEEDINGS
April 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Anesthetic 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.
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Source: CVC IN BALTIMORE PROCEEDINGS
April 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.
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Source: CVC IN BALTIMORE PROCEEDINGS
April 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.
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Source: CVC IN BALTIMORE PROCEEDINGS
April 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Alpha 2 adrenergic agonists bind to alpha 2 receptors located in the dorsal horn of the spinal cord and brainstem, modulating the release of substance P, calcitonin gene-related peptide and various other neurotransmitters involved in rostral transmission of nociceptive information.
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Source: CVC IN BALTIMORE PROCEEDINGS
April 1, 2010
By:
Kurt A. Grimm, DVM, MS, PhD, DACVA, DACVCP
Patients vary and accidents occur. This truth emphasizes the need for patient monitoring. One only need visit the exhibit hall of a major veterinary meeting to appreciate the advancements made in veterinary patient monitoring.
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