Anaesthesia small mammals, birds and reptiles Flashcards

1
Q

How long do you starve a rabbit before general anaesthesia?

A

You do not starve rabbits before anaesthesia. Rabbits cannot vomit, and prolonged fasting can lead to gut stasis and hypoglycaemia.

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2
Q

Why is reducing stress so important in rabbits?

A

Rabbits are prey animals – stress can lead to cardiovascular instability and delayed recovery.
Reduces catecholamine release, which may cause arrhythmias.
Prevents gut stasis, a common complication in stressed rabbits.

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3
Q

How will you ventilate a rabbit under anaesthetic?

A

Face mask (less reliable, may cause breath-holding).
Endotracheal intubation (preferred but difficult due to small airway).
V-gel supraglottic airway device (easy alternative to ET tube).
Mechanical or manual ventilation may be required as rabbits often hypoventilate under GA.

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4
Q

How should a rabbit be positioned during anaesthesia? How does this differ from cats and dogs?

A

Dorsal recumbency for a spay, but avoid hyperextension of the neck.
Unlike cats and dogs, rabbits have a fragile spine and need gentle handling.
Tilt table can be used to reduce pressure on the diaphragm.

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5
Q

What equipment do you use to monitor a rabbit under general anaesthesia, and what does each monitor?

A

Pulse oximeter – Measures oxygen saturation and heart rate.
Capnography – Monitors end-tidal CO₂ levels, ensuring adequate ventilation.
Doppler blood pressure monitor – Checks perfusion.
ECG – Detects arrhythmias.
Thermometer – Prevents hypothermi

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6
Q

How do you prevent hypothermia in a rabbit under anaesthesia?

A

Use a heat mat or forced-air warming system.
Minimise wetting the fur (e.g., during surgical prep).
Cover the rabbit with insulating material.
Use warmed IV fluids if needed.

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7
Q

How can you increase a rabbit’s blood pressure under anaesthesia?

A

Fluid therapy (IV or intraosseous fluids).
Reduce anaesthetic depth if excessive.
Use inotropes like dopamine if needed

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8
Q

What drugs could you administer to a rabbit to ensure a quick recovery from general anaesthesia?

A

Reversal agents (e.g., flumazenil for benzodiazepines, atipamezole for alpha-2 agonists).
Analgesia (NSAIDs, opioids like buprenorphine or meloxicam).
Prokinetics (metoclopramide, cisapride) to reduce risk of gut stasis

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9
Q

How long do you starve a bird before general anaesthesia?

A

Varies by species and size:
Small birds (e.g., finches, budgies): 2-3 hours.
Larger birds (e.g., parrots): 6-12 hours.
Starvation reduces crop stasis and aspiration risk

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10
Q

How will you ventilate a bird under anaesthesia?

A

Face mask induction with isoflurane/sevoflurane.
Endotracheal intubation if possible.
Manual or mechanical ventilation is often required due to the lack of a diaphragm and reliance on air sacs.

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11
Q

Why might a fracture of the humerus affect the respiratory tract in birds?

A

Birds have pneumatic bones connected to their air sacs.
A fractured humerus can disrupt airflow and cause respiratory distress

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12
Q

What equipment do you use to monitor a bird under anaesthesia, and what does each monitor?

A

Pulse oximeter (on the beak, tongue, or foot) – Monitors oxygen saturation.
Capnography – Measures CO₂ levels in exhaled air.
Doppler blood pressure – Checks perfusion.
ECG – Monitors heart function.
Temperature probe – Prevents hypothermia.

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13
Q

How do you prevent hypothermia in birds under anaesthesia?

A

Use a heat mat or forced-air warming device.
Wrap the bird in an insulating material, leaving the surgical site exposed.
Monitor temperature closely with a probe.

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14
Q

How could you administer fluids to a bird under general anaesthetic?

A

IV (jugular, ulnar vein, or medial metatarsal vein).
Intraosseous (IO) catheter (distal ulna or proximal tibiotarsus).
Subcutaneous (SC) fluids for mild dehydration.

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15
Q

How do you ventilate a tortoise under anaesthesia, and why is a ventilator needed?

A

Positive-pressure ventilation is required because tortoises lack a diaphragm and rely on muscle movements for respiration.
Manual ventilation or mechanical ventilator is needed to maintain oxygenation.

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16
Q

Why is it crucial to keep a tortoise’s body temperature close to 30°C during anaesthesia?

A

Reptiles are ectothermic, and their metabolism slows down in cold conditions.
Anaesthetic drug metabolism is temperature-dependent – hypothermia prolongs recovery.
Maintaining body temperature ensures normal cardiovascular and respiratory function.

17
Q

What equipment do you use to monitor a tortoise under general anaesthesia, and what does each monitor?

A

Doppler ultrasound – Monitors heart rate and blood flow.
ECG – Checks for arrhythmias.
Capnography – Measures exhaled CO₂ (if intubated).
Pulse oximeter (on skin or cloaca) – Oxygen saturation (less reliable in reptiles).
Temperature probe – Prevents hypothermia

18
Q

What stimulates a reptile to breathe, and why is this important during GA recovery?

A

Reptiles breathe in response to low oxygen (hypoxia), not high CO₂ like mammals.
If given 100% oxygen during recovery, they may not breathe spontaneously.
Gradually reduce oxygen concentration to stimulate natural respiration.