12/3/14. Top 10 Tips You Need to Know About for Anesthesia & Analgesia. Sponsorship. Introduction. VETgirl on the RUN!

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1 Top 10 Tips You Need to Know About for Anesthesia & Analgesia Sponsorship Introduction Introduction Introduction VETgirl on the RUN! 1

2 Subscription plans Download our podcasts on itunes! Find us on social media! h0p:// Logistics and CE Certificates! No&need&to&raise&your&hand!&! Type&in&quesAons&! ed&to&you&48&hours&aEer&the&webinar&! AcAve&parAcipaAon&=&no&quiz&! Watching&video&later,&must&complete&quiz&! ELITE&members&only&! &/&contact&with&ANY&quesAons&! 2

3 Goals of this lecture Goals of this lecture Tip #1: Monitoring what pulse oximetry and capnography tell you Pulse oximetry Oxyhemoglobin Dissociation 3

4 Advantages/Disadvantages Image from Dr. Graham Hypoxemia End-tidal CO2 Normal is ~35-45 mm Hg Capnogram Advantages/Disadvantages 4

5 Hypercarbia Hypocarbia Tip #2: What new drugs are available for anesthesia/analgesia? Recuvyra: Highlights to Consider 5

6 Recuvyra Recuvyra: Unique Delivery Recuvyra: Highlights to Consider Recuvyra: Unique Delivery Recuvyra: Advantages 6

7 Recuvyra Recuvyra: Safety Recuvyra: Safety Important Safety Information Recuvyra: Important Safety Information Recuvyra: Important Safety Information 7

8 Buprenorphine: partial mu agonist Introducing SIMBADOL (buprenorphine injection) " The first and only buprenorphine FDA approved for cats " Demonstrated safety and efficacy in >200 cats treated with SIMBADOL " Up to 3 once-daily subcutaneous doses for 72 hours of pain control The Benefits to your pet owners Product Details SIMBADOL (buprenorphine injection) IMPORTANT SIMBADOL (buprenorphine injection) SAFETY INFORMATION The dosage of SIMBADOL is 0.24 mg/kg (0.11 mg/lb) administered subcutaneously once daily, for up to 3 days. Administer the first dose approximately 1 hour prior to surgery. Do not dispense SIMBADOL for administration at home by the pet owner.* WARNINGS, PRECAUTIONS and CONTRAINDICATIONS: Due to serious human safety and abuse concerns, including physical or psychological dependence, life-threatening respiratory depression and additive CNS depressat effects, read the full prescribing information before using this drug, including the complete Boxed Warning. Not for use in humans. Hospital staff should be trained in the handling of potent opioids and should avoid accidental exposure. For subcutaneous (SQ) injectable use in cats. Opioid excitation has been observed up to 8 hours after anesthetic recovery. Use with caution in cats with impaired hepatic function. SIMBADOL has not been evaluated in breeding, pregnant, or lactating cats, in cats younger than 4 months of age or moribund cats. Do not use in cats with known hypersensitivity to buprenorphine hydrochloride or any of the components of SIMBADOL, or known intolerance to opioids. ADVERSE REACTIONS: In two controlled field studies, the most frequent adverse reactions with SIMBADOL were hypotension, tachycardia, hypothermia, hyperthermia, hypertension, anorexia, and hyperactivity. Less frequent but serious adverse reactions included two deaths following apnea and two reports of presumptive postanesthetic cortical blindness. See the full prescribing information for a complete list and additional details of adverse reactions for each field study. See Abbott Animal Health Representative for full prescribing information. SIM-2042 Abbott Laboratories July

9 PropoFlo Propofol 28 PropoFlo PropoFlo What is Alfaxan? Alfaxalone: Alfaxan TM 9

10 Alfaxalone Alfaxalone Alfaxalone Alfaxalone Tip #3: How to do a local coccygeal block for the obstructed cat Coccygeal epidural 10

11 Coccygeal epidural Coccygeal epidural Coccygeal epidural Coccygeal epidural Coccygeal epidural Coccygeal epidural 11

12 Tip #3: How to do a local coccygeal block for the obstructed cat Coccygeal epidural Tip #4: What type of fluid therapy is used for general anesthesia? Fluid Therapy Fluid therapy Fluid therapy 12

13 Hypotension Tip #5: How to sedate the fractious dog or cat Fractious dog or cat Fractious cat Neuroleptanalgesic in dog/cat Tip #6: How to anesthetize the diabetic patient 13

14 Diabetic patients Diabetic patient Diabetic patients Tip #7: How to sedate/ anesthetize the trauma patient Anesthesia for trauma Tip #8: How to manage hypotension under anesthesia 14

15 Hypotension Hypotension Dopamine Dobutamine Ephedrine Norepinehprine 15

16 Vasopressin Hypotension Tip #9: What makes for a good recovery Recovery Recovery 16

17 Recovery: Continued care Tip #10: The importance of record keeping Anesthesia Record A successful outcome can be achieved with diligent monitoring and care. Sponsorship Want more? 17

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