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INTRODUCTION AND PRE-ANAESTHETIC ASSESSMENT AND PLANNING (What…
INTRODUCTION AND PRE-ANAESTHETIC ASSESSMENT AND PLANNING
What
Anaesthesia
lack of sensibility to painful stimuli
Anaesthetic Triad
Narcosis
#
Analgesia
Muscle relaxation
Balanced Anaesthesia
Phases
Pre-med
Induction
Maintenance
Recovery
Factors influencing choice of anaesthetic technique
Drugs available
Experience
Assistance
Patient factors
Procedure
type
duration
Risk
recovery
horses and cats
intubation
fluid therapy
GA
state of unconsciousness
Regional anaesthesia
Sedation
allaying of irritability/ excitement
GA vs. Sedation
Sedation more risky
small animals
cardiorespiratory problems
GA
no need to monitor drugs requiring hepatic metabolism
Anxiolysis
Reduced anxiety
Analgesia
reduced sensibility to pain
Narcosis
sleep-like state
Hypnosis
artificially induced state of passivity
Why
Moral/Ethical
prevent suffering
Technical
immobilility
safety
Legal
Aims
Prevent awareness
Immobility
Good operating conditions
Safety
Pre-Anaesthetic Assesment
History/Physical Examination
Laboratory Tests
ASA Classification
Pre-operative Starvation
Food: 4-6hours
Water: at time of pre-med
Food: 6-12 hours
Water: at time of pre-med
Food: 18-24 hours
Water: 12-18 hours