intro (Granone)

Question 1

General anesthesia surgical procedures

Answer 1

• muscle relaxation
• ophthalmologic procdures
• delecate surgical procedures

Question 2

central eye position for anesthesia

Answer 2

• a patient that is very light
• a patient that is almost dead

Question 3

local anesthesia

Answer 3

• topical
• infiltration
• local nerver blocks

Question 4

regional anesthesia

Answer 4

• epidural
• regional intravenous anesthesia

Question 5

anesthetic goals

Answer 5

• ensure adequate analgesia
• ensure optimal state of patient for procedure performed
  
  • light or heavy sedation, general
• ensure safety and survival

Question 6

anesthesia (def)

Answer 6

• loss of sensation of particular body part
  
  • depression of CNS (PNS and CNS)

Question 7

general anesthesia

Answer 7

inhibitio of CNS

• unconsciousness
• absence of pain sensation
• muscle relaxation
• immobility

Question 8

overall aim of GA

Answer 8

• unconsciousness
• amnesia
• muscle relaxation
• analgesia
• immobility

Question 9

inhalent anesthetics

Answer 9

• isoflurane
• sevoflurane
• desflurane

Question 10

injectible induction drugs

Answer 10

• propofol
• etomidate
• ketamine
• alfaxalone

Question 11

TIVA

Answer 11

• Total intravenous anesthesia
  
  • propofol CRI
  • alfaxalone CRI

Question 12

PIVA

Answer 12

• partial intravenous anesthesia
  
  • injectible + inhalent

Question 13

balanced anesthesia

Answer 13

• use of two or more drugs or anesthetic techniques
• examples
  
  • phenothiazine: sedation
  • opiod: analgesia
  • benzodiazepine: muscle relaxation
  • dissociative anesthetic: induce unconsciousness
  • inhalent anesthetic: unconsciousness

Question 14

example of a phenothiazine

Answer 14

acepromazine

Question 15

dissociative anesthetic example

Answer 15

ketamine

Question 16

our lab protocol

Answer 16

sedative: ace

hydromorephone

propofol

transition to inhalent

Question 17

advantages to balanced anesthesia

Answer 17

• lighter anesthetic plane than with a single drug
• greater stability in cardiopulmonary function
• synergism of drugs
  
  • 1+1 > 2

Question 18

duration of action of propofol

Answer 18

20 minutes

Question 19

hydromorphone

Answer 19

will have analgesics

dog will vomit

Question 20

pre-anesthetic assessment

Answer 20

• history, physical assessment, physical exam
  
  • cardiovascular, respiratory, nervous, endocrine, metabolic status
  • other causes of complication
• allows for optimization of anesthetic even
• best protocl based on info obtained

Question 21

ASA physical status

Answer 21

• ASA 1: normal healthy patient
  
  • neuter, routine dental prophylaxis
• ASA 2: patient with mild systemic disease
  
  • minor fractor, slight dehydration, skin tumors, asymptomatic heart murmurs
• ASA 3: severe systemic disease
  
  • chronic heart dz, anemia, severe fractures, chronic kidney disease
• ASA 4
  
  • patient with severe systemic dz constant threat to life
    
    • ruptured urinary bladder, closed pyo, diaphragmatic hernia
• ASA 5
  
  • moribund patient that is not expected to survive without operation
    
    • severe shock

Question 22

often overlooked part of physical exam

Answer 22

TEMPERMENT