44 – Euthanasia Flashcards
1
Q
What are the euthanasia AVMA classifications?
A
- Acceptable
- Acceptable with conditions
- Unacceptable
2
Q
What makes it an acceptable method? (criteria)
A
- Consent
- Pain free
- Limit stress
- Safety
- Quick
- Reliable
- Effective: loss of consciousness followed by death
- Irreversibility
- Emotional effect
- Environmental impacts
- *12 criteria in total
3
Q
Ideal euthanasia: order we want things to be in (process that are occurring in the body)
A
- Depression of neurons necessary for life function: loss of consciousness (can include anesthesia)
- Hypoxia: cardiac and respiratory arrest
- Physical disruption of brain activity and destruction of neurons necessary for life: LOSS OF BRAIN FUNCTION
4
Q
What are the options for how to do euthanasia?
A
- Chemical: inhalant, non-inhalant
- Physical
5
Q
What are the inhalant agents for euthanasia?
A
- Isoflurane (irritating)
- Halothane, sevoflurane (non-noxious odour)
- NO increase to speed of onset
- CO: acceptable
- CO2: controversial (acceptable w/conditions)
6
Q
Inhalant agents: important things to remember/consider
A
- Chamber method <7kg
o Container needs to be large enough to prevent hypoxia - If can’t get a vein in
- If no injectables available
- Sometimes if during surgery you decide
- Downside: human exposure
- FAST
- Confirmation of death required (heartbeat, breathing, touch cornea and pupils)
- NOT appropriate for reptiles, amphibians, diving birds and mammals (can HOLD THEIR BREATH FOR A LONG TIME)
7
Q
CO and CO2
A
- Used for dogs/cats in some humane societies and for rodents and birds
- *Species dependant aversion
8
Q
CO
A
- Acceptable
- Signs of agitation, convulsions, muscle spasms, vocalization (can be difficult for the humans involved)
- Source is important (from a tank, not a CAR!)
- Blocks O2 uptake by RBCs
9
Q
CO2
A
- Hyperventilate and get acidosis (pain from carbonic acid)
- Breathlessness: panic
- Direct simulation of amygdala: fear response
- 7.5% increases pain threshold (takes time to get there)
- Need 30% to get anesthesia and then followed by death
- *Acceptable with conditions
- Gradual fill recommended
- Ex. used in avian species for depopulation
10
Q
What are non-inhalant methods of euthanasia?
A
- Barbiturates
o Pentobarbital - T-61
- Tricaine methane sulfonate (MS-222)
11
Q
Pentobarbital: things to know or consider
A
- Rapid, smooth
o Possible excitement and agonal gasp
o Consider adding propofol (or other sedation): premed - Controlled drug
- Must be given IV
- Confirmation of death required
- Risk of scavenging (wildlife, bald eagles and dumps!)
12
Q
Barbiturates in birds and reptiles
A
- Most birds anesthetized first otherwise a massive excitement phase
- Reptiles: consider 2-3 days before releasing to owner, intracoelomic acceptable
o 3 chamber heart (difficult on a good day to hear them)
o Can slow heart for extended period of time
o *GOOD TO USE: loss of eye pressure!
13
Q
T-61
A
- Contains
o Local anesthetic
o General anesthetic
o Neuromuscular blocking agent - NOT a controlled drug
- *AVMA acceptable, CCAC not recommended
14
Q
What are the concerns with T-61?
A
- Improper administration (IV only)
- Pain with administration
- Mammals
o Dysphoria if injected too quickly
o Respiratory paralysis (suffocation) BEFORE loss of consciousness - Birds:
o *does work: Anesthesia immediate + EEG loss <6 secs
15
Q
Pentobarbital for horses
A
- IV required
- Sedation or anesthesia recommended (NOT required)
- Risk to scavengers
- *used often