Anesthsia Flashcards
Anesthesia
Total loss of sensation in part or entire body
Anesthetic agents
• produce loss of consciousness & induce absence of motor response to noxious stimuli
Basal anesthesia
Light level of general anesthesia produced by
pre-anesthetic agents
General anesthesia
Loss of consciousness & sensation thru-out the body.
• CONTROLLED & REVERSIBLE CNS depression
Surgical anesthesia
Loss of consciousness & sedation w/ sufficient muscle relaxation & analgesia to allow surgery to be performed w/o pain
Dissociative anesthesia
CNS state characterized by muscular rigidity, peripheral analgesia & altered consciousness
Principles of anesthesia vs analgesia
Anesthesia
• should coincide w/ expected duration of procedure
Analgesia
• should coincide w/ expected duration & intensity of Post-op pain generated by procedure
What factors help decide an anesthetic regimen?
- type of procedure
- Duration of procedure
- amt & type of pain
- Animal’s characteristics
- Drug properties
How are anesthetics dosed?
No predetermined anesthetic dose • first estimate based on BW & age • give drug until effect (may be delayed) • calculated based on the metabolic size • Side effects • Monitor & maintain body temp! • rehydrate (IV)
Goal of pre-anesthesia
• Minimize anxiety/excitement • Ease transition btwn Stage 1 & Stage 3 - stage 2 = delirium • ↓ amt of anesthetic agent • prevent vomiting
Pre-anesthetic drug classes
- Anticholinergic
- Opioids
- ↓ dose of anesthetic needed
- induces smooth recovery
- PAIN relief
- Tranquilizer/sedative
- Need time to work!!
- ↓ dose of anesthetic needed -w/ ↓ side effects
Injectable anesthetics
Given IV
- except for small rodents - IP w/ diluted drug
- Barbiturates
- Non-barbiturates
- Dissociatives
Inhalation or volatile anesthetics
- used for long & major procedures
- Requires scavenger system, nose cone, or endotracheal tube
- calibrated vaporizer if LA’s – prevent overdose
** cannot contact anesthetic in liquid form!!
Stages of General anesthesia
Stage 1: (analgesia)
• Loss of pain w/o loss of consciousness
Stage 2: (delirium)
• Dangerous period
Stage 3: (Sx stage( • Plane 1: light sx • Plane 2: moderate sx • Plane 3: Deep sx • Plane 4: Excessive Sx - Intercostal paralysis, short gasping inspiration
Stage 4: ( medullary depression)
• respiratory paralysis to circulatory failure
When does recovery period end w/ anesthesia
when animal is fully awake