Avian Anesthesia Flashcards

1
Q

What are the two distinct functional components of the bird respiratory system ?

A

Ventilation: trachea, bronchi, air sacs, thoracic skeleton

Gaseous exchange: parabronchial lung composed of shallow depressions which contain 3-6 funnel shaped ducts

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2
Q

T/F: birds have no diaphragm

A

True

-liver lobes border the apex of the heart

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3
Q

Is the glottis in a bird easily visualized

A

Yes

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4
Q

T/F: birds have no vocal cords or epiglottis

A

True

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5
Q

How does the avian trachea differ from mammals?

A

Birds have complete tracheal rings

Mammals have incomplete tracheal rings

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6
Q

How does dorsal recumbency affect inspiration in birds?

A

Normally sternum moves forward and ribs downward

Dorsal recumbency compresses air sacs and hinders chest movement

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7
Q

What is the flow of air during a respiratory cycle in the bird?

A

Inspiration 1: air flows mostly to caudal air sacs

Expiration 1: from caudal air sacs across the lungs

Inspiration 2: air passes to the cranial sacs

Expiration 2: air exhaled from cranial air sacs

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8
Q

When would you intubate the thoracic or abdominal air sacs?

A

Obstructed trachea

Surgical procedures around cranial airways

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9
Q

What type of exchange occurs between the air in blood in the birds respiratory system ?

A

Counter current and cross current

PaO2 (arterial) > PO2 (parabronchial)
PCO2 (air)>PCO2 (venous)

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10
Q

What is the structure of the bird heart?

A

Avian heart: 4 chambers

Relatively larger and more efficient SV than mammalian —> lower heart rates but higher stroke volume and CO

Ventricles and atria innervated by high density sympathetic and parasympathetic fibers —> more susceptibility to adverse effects from anesthesic drugs, stress, and pain

Quick depolarization due to Purkinje fibers that penetrate the myocardium

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11
Q

What is the renal portal system?

A

Unique to avian and reptilian circulation

In external iliac vein, a valve can direct blood from the caudal extremities to the central circulation or the to the kidneys.

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12
Q

T/F: the hind limb muscles of birds serve as good places to inject anesthetic drugs

A

False

Due to renal portal system, drugs can cause nephrotoxicity or reduced drug effect due to elimination

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13
Q

What is normal temperature for birds?

A

37-42C

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14
Q

How do birds thermoregulate?

A

No sweat glands
Cooling: panting and gular flutter

Heating: shivering, pilo-ecrection, eating, and basing

**thermoregulation is affected by anestherics—> overhead heat sources are most effective (heat lamp)

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15
Q

When is sedation/immobilization indicated for birds?

A

Facilitate minor procedures

  • physical exam
  • blood collection
  • diagnostic imaging
  • bandaging
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16
Q

Why is restraint methods so important for birds?

A

Small birds can die easily from the stress of improper restraint

Restrain to control wings and legs
Control neck in long-necked birds

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17
Q

Should birds be fasted prior to anesthesia?

A

Small birds become hypoglycemic quickly: high metabolic rate and poor glycogen reaper se

Empty crop or allow it to empty

Bird <200g BW: no fasting/at most 2hours
Pittaines (400-1000g): 4-6hours
Raptors/ratites: 6-12hours

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18
Q

What are the IM injection sites for birds?

A

Pectoral (most flying birds)

Thigh muscles: non flying birds

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19
Q

What are the SQ injection sites in birds ?

A

Over back of wings
Wing web and leg web
Inguinal fold

20
Q

What are IV sites of injection in birds?

A

Medial metatarsus
Brachial vein
Right jugular vein

21
Q

What are the intraosseous injection sites in birds?

A

Proximal ulna

Tibiotarus

22
Q

T/F: inhalation anesthesia is more common in avian practice

A

True

Easier to administer
Safer (rapid recovery)
—> injectables mor practicable in wild/large birds

23
Q

What drugs are used for sedation/analgesia in birds?

A

Weak opioids (butorphanol/buprenorphine) with benzodiazepines (midazolam)/ A2 agonists (medetomidine)

IV or IM

24
Q

What drugs are used for IMMOBILIZATION of birds

A

Weak opioids (butorphanol/buprenorphine) with benzodiazepines (midazolam)/ A2 agonists (medetomidine)

+ Ketamine

IV or IM

25
What drugs are used for induction/maintenance of birds?
Propofol/alfaxalone IV can be added on to immobilization drugs to complete induction or maintain effect
26
What drugs would be used to provide analgesia?
Potent opioids -morphine/fentanyl NSAIDS can be used to augment (Carprofen/meloxicam)
27
T/F: local anesthetics can be used in birds
True | But toxicity risk is high
28
Do birds have faster induction and recover with isoflurane or sevoflurane ??
Sevoflurane
29
Is inhalation induction faster is birds or mammals, and why?
Birds Fresh air enters lungs during both inspiration and expiration and cross current gas exchange
30
In water birds, what should you take into consideration when using inhalation anesthetics?
Able to breath-hold for up to minutes (dive-response) | —> bradycardia accompanies the apnea of the dive response
31
What are signs of sufficient relaxation before intubation?
Eyes closed Palpebral reflex diminished Slower breathing rate
32
What type of ET tube do you use in birds?
NON-cuffed | —> birds have compete tracheal rings
33
What type of breathing circuit do you use in birds?
Non rebreathing (least resistance)
34
T/F: there is no minimum alveolar concentration in birds
True Birds do not have alveoli But there is a minimum anesthesic concentration
35
How do you prevent CO2 accumulation in the distal air sacs during anesthesia?
Assisted ventilation is mandatory!
36
T/F: you can ET intubate air sacs in birds
True
37
How can you monitor anesthetic depth?
Palpebral, corneal, and cere (nares) reflex Responses to noxious stimuli Autonomic responses
38
How is the CV system monitored in birds?
Pulse palpation and heart auscultation (esophageal stethoscope) ECG Pulse oximeter BP
39
How is the respiratory system monitored in birds?
Respiratory rate | ETCO2
40
How is body temp monitored in birds?
Esophageal or cloacal thermo-sensor
41
What is the ECG configuration for birds?
Apex to base (lead II)) | - results in a large negative defection of S wave
42
Bradycardia due to pain, drugs, or cold is not well tolerated by birds. How can you treat this/
Anticholinergic
43
What are problems with using pulse oximetry in birds?
Not always accurate - different colour absorption characteristics by Hb-> nucleated RBCs - bird may be well oxygenated but still hypercapnic—> used capnometry
44
What method provides the most accurate assessment of tissue oxygenation
Arterial blood gas analysis
45
What should ETCO2 be in birds
30-45mmhg
46
What are the fluid administration rates for birds?
Crystalloids 5-10m/kg/hour Colloid 5ml/kg/hour
47
How should you recover your birds from anesthesia ?
Keep on O2 until extubated Remove ET tube when bird starts to object to it Wrap in towel - >hold head if a parrot - >hold head and feet if raptor Offer food also soon as possible Provide nursing care (pain, temp, fluids)