Thursday, October 13, 2011

Anesthesia

Is Anesthesia Safe?

One of the most common concerns clients have in regards to their pet’s safety deals with the risk of anesthesia. While there is always some risk of an unexpected adverse reaction from anesthesia, it is generally safe for most pets. Even pets that are ill can often be anesthetized safely if attention is paid to the anesthetic protocol used and the animal is monitored properly during anesthesia and throughout the recovery period.

A Thorough Exam should be performed the day of the scheduled procedure. 

Pre-Anesthetic Blood Testing should be done on all patients, not just the old or sick. In a healthy pet, the blood screen will most often be normal. However, it is not impossible to find unexpected abnormalities even in young healthy pets and it is always better to know about these abnormalities ahead of time. In some cases, if your pet’s blood screen is abnormal, postponing the surgery may be the best option. In others, abnormalities may trigger a change in your pet’s anesthetic protocol.

Pre-Anesthetic Electrocardiogram (EKG) will check the heart for abnormalities such as arrhythmias and enlargement.

 Pain Medications should be started prior to surgery and should be continued as needed after surgery. Preventing pain from occurring will make your pet’s recovery from anesthesia smoother and will speed healing afterward. 

Intravenous Fluids will help combat the decrease in blood pressure caused by many anesthetic drugs. In addition, if there are any adverse reactions under anesthesia, an intravenous catheter allows for immediate administration of emergency drugs.

A Warming System should be used to combat hypothermia. Anesthesia commonly induces hypothermia by inhibiting the patient’s ability to stay warm, reducing metabolic heat production, and hindering shivering. In addition, an open body cavity further exposes the patient to a cool environment. Hypothermia may potentially affect the central nerves, cardiovascular, respiratory, gastrointestinal and metabolic systems. Decreased wound healing and increased infections have been reported as well.

An Endotracheal Tube (placed in your pet’s throat) will most likely be used. This will help administer anesthetic gas and oxygen during the procedure. It can also be used to help your pet breath if needed. 

  It is critical to Monitor the Patient’s Vital Signs while under anesthesia to ensure that the respiratory and cardiovascular systems are functioning well. This will also ensure that the patient is not under too lightly or too deeply. Parameters measured should include pulse rate, respiratory rate, EKG, pulse oximetry (the amount of oxygen in the blood), temperature and blood pressure. 

Anesthesia will never be completely risk-free. However, with proper attention to detail, complications can be minimized and anesthesia can be performed safely.