Anesthesia Management

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Hypertrophic Cardiomyopathy

* 70% of cats have this disease, otherwise asymptomatic
Anesthetic plan based on:^*2
- 1. Individual patient
- 2. Surgical procedure
Dexmedetomidine
- Sedative
- alpha₂agonist
- Reversal drug :: atipamazole
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
Combination drug therapy preferred ^*4
- 1. Lower dose requirements
- 2. Minimizes med effects
- 3. More controlled anesthetic state
- 4. Safer induction and recovery
Combination drug therapy requires ^*3
- 1. Pharmacodynamics understanding
- 2. Pharmacokinetics understanding
- 3. Poss. reversible drugs
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
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}
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}
American Society of Anesthesiologists :: Status Classification System ^{vet med}:: Class I

Normal patient ^{no organic dis.}
American Society of Anesthesiologists :: Status Classification System vet med :: Class II

Patient mild systemic dis.
American Society of Anesthesiologists :: Status Classification System vet med :: Class III

Patient severe systemic dis., limited activity, not incapacitating
American Society of Anesthesiologists :: Status Classification System vet med :: Class IV

Patient incapacitating dis., constant threat to life
American Society of Anesthesiologists :: Status Classification System vet med :: Class V

Patient moribund, not expected to live 24 hrs w/ or w/o intervention

Author

nitacherry

289351

Card Set

Anesthesia Management

Description

Anesthetic plan based on patient needs

Updated

2014-11-16T18:58:37Z