Principles of Veterinary Surgery & Anesthesiology

Aseptic

All survival surgical procedures on vertebrate animals must be performed using —- procedures to prevent postoperative infections.

1. Minor surgery

2. Major surgery

3. Survival surgery

4. Non survival or terminal surg

Classifications of surgical procedures (4)

Minor surgery

This classification of surgery *does not expose a body cavity* and causes little or no physical impairment (ex: suturing superfcial wound

Major surgery

*Penetrates and exposes a body cavity* or includes procedures with the potential for significant impairment (ex: orthopedic surgeries)

Survival surgery

____ surgery is one from which animals are *expected to recover*

Non-survival or terminal surgeries

—- are procedures where the animals are *euthanized prior to anesthetic recovery*

Non-porous

Room surfaces should be —- and easily sanitized

aspiration pneumonia

It is common in larger species to withhold food prior to surgery to prevent the possibility of ____ after regurgitation

T (para sa tamang dosage ng anesth)

T/F: all animals must be weighed prior to surgery

Sterile opthalmic ointment

In most cases, —— should be applied to each eye to *prevent corneal damage*

(Take note)

Hair or feathers must be removed from the surgical site. This step should be in a location separate from where the surgery is to be conducted (Take note)

Dilute chlorhexidine or betadine scrub

The skin is scrubbed with surgical disinfectants such as ——.

3 times or until he site is free of visible debris

Scrubbing starts at the *center of the surgical site and radiates outward*. Repeat at least how many times??

sterile saline rinse

Surgical scrubbing of the skin is recommended for *scaled vertebrates* but not for fish and amphibians, as it removes the protective slime layer. A—- of the incision site is appropriate for fish and amphibians.

False

T/F: *alcohol* by itself is an appropriate skin disinfectant for surgery

Hypothermia

Do not overly wet the animal, it may cause —-

ancillary heat

____ shoud be provided for most species undergoing procedures *lasting longer than 5 minutes*

-heat (autoclave or bead sterilizer)

-gas (ethylene oxide)

-chemical (2% glutaraldehyde; cidex)

surgical instruments must be sterilized prior to use in animals using ___ (3) and rinsed free of chemical using sterile water or saline

surgical technique

—— is a major influence on the surgical outcome, including postoperative infection and pain.

take note

(take note) if an instrument or hand touches something outside of the sterile field, the instrument or glove must be replaced immediately.

take note

(take note) be careful in handling tissues. *Hold the cut edge* rather than grasping in the middle of a tissue layer.

absorbable

any suture buried in tissues should be (absorbable/nonabsorbable)

basic postural responses; analgesics

animals in the immediate postsurgical period mmust be closely monitored until they demonstrate ___. During this time, ___ are administered and appropriate medical records completed.

hypothermia

—— should be prevented by placing the animals in a warm room or a cage warmed with a supplmental heat source

dehydration

supplemental subcutaneous or intravenous fluid therapy during surgery and recovery may be indicated to prevent ——

15-30 mins

recovering animals should be rotated from side to side every —- minutes to minimize congestion of the lungs.

take note

(take note) cages containing animals recovering from anesthesia should be *free of any live food sources*

5-7

post-surgical animals must be assessed at least daily until the animal has fully recovered, usually —- days

7-10 days

non-absorbable skin sutures o wound clips must generally be removed —— days after surgery in *mammals*

-subjective

-objective

-assessment

-plan

what is the post-surgery follw up SOAP note? (basically, meaning of SOAP)

take note, surgeons!

(take note) "the surgeon should have the eye of the eagle, the heart of the lion, and the hand of the woman"