Pre-anaesthetic assessment and preparation

Name 8 things that should be assessed in a pre-anaesthetic assessment

Temperament
Cardiac
Respiration
Temperature
Hydration
Neurological status
Pain
Clinical history

Name 4 ways to reduce stress and anxiety prior to GA

Pheromones
Gabapentin
Trazadone
Oromucosal dexmedeomidine gel

Name 5 reasons a pre-anaesthetic blood test may be indicated

Old patients
Patients with pre-existing conditions
Patients with trauma
Dehydrated patients
Breeds predisposed to coagulopathy

Name 2 reasons an echocardiogram may be indicated prior to GA

Patients with arrhythmias
Breeds predisposed to heart issues

Name 5 patients that should not be starved

Neonates
Rabbits
Guinea pigs
Diabetics
Ferrets

Name 3 disadvantages of pre-anaesthetic fasting

Hypoglycaemia
Electrolyte issues
GI issues

Name 2 advantages of pre-anaesthetic fasting

Prevents regurgitation
Prevents aspiration

Name 2 medications that can prevent risk of regurgitation and aspiration

Maropitant
Omeprazole

What patients should be pre-oxygenated

Brachycephalics

Name 4 things that should be checked on the breathing system

Visually inspect and leak test
Close APL valve for leak test then reopen fully
Check sodalime for exhaustion
Check inside tubing of coaxial systems

What is the purpose of ASA grades?

Assesses the risk of anaesthesia to evaluate whether the procedure is worth it or not

Explain the types of patients that would be classified as ASA grade 1

Normal, healthy patient with no detectable underlying disease

Explain the types of patients that would be classified as ASA grade 2

Slight to mild systemic disease but causing no obvious clinical signs, also includes neonates, geriatrics, and obese patients

Explain the types of patients that would be classified as ASA grade 3

Mild to moderate systemic disease causing clinical signs

Explain the types of patients that would be classified as ASA grade 4

extreme systemic disease constituting a threat to life

Explain the types of patients that would be classified as ASA grade 5

Patient is not expected to survive for more than 24 hours without surgery

What can be added to an ASA score and what does it mean?

E - Emergency procedure

Name 4 patient related factors that should be considered when choosing your drug

Temperament
ASA grade
Age
Breed

Name 2 procedure related factors that should be considered when choosing your drug

The aim of the procedure
Whether analgesia is needed

Name 3 things that should be included in the pre-induction checklist

Patient
Equipment
Staff

Name 3 things that should be included in a recovery checklist

Procedures
Analgesia
Ongoing monitoring

Name 4 risks of dorsal recumbency

Increased diaphragmatic pressure
Hypoventilation
Reduced venous return
Reduced cardiac output

Name 5 things that should be considered when positioning a patient

Padding
Neutral position
Avoid overextension/overflexion
Consider pain
Avoid breathing tube pulling on the ET tube
Avoid limbs hanging off the table
Avoid excessive movement