Chapter 21 - Recovery from anesthesia Flashcards

1
Q

Which nerve should be padded in the head?

A

Facial nerve

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2
Q

The horse should be at least recumbent for

A

20minutes Ideally sternal 10 to 20 minutes to exhale the volatile anesthetic agent

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3
Q

Why a surgery longer than 1 hour the urinary catheter should be placed?

A

Drain bladder
Reduce the potential fo rfull bladder to stimulate the horse to stand up prematurely

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4
Q

endotracheal tube is best left in place for horses with which conditions (6)

A
  1. preexisting hemiplegia
  2. trauma
  3. hyperextension of the neck
  4. prolonged recumbency
  5. upper airway surgery
  6. risk of aspiration
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5
Q

that α2-adrenoceptor agonists act not only as sedatives but also as

A

analgesics

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6
Q

Most authors advocate the use of 0.1 to 0.2 (to 0.5) mg/kg of ___________ IV for recovery

A

Most authors advocate the use of 0.1 to 0.2 (to 0.5) mg/kg xylazine IV ;

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7
Q

What is the dosage of detomidine

A

0.002-0.01 mg/kg IV

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8
Q

What is the dosage of romifidine?

A

0.008-0.01 mg/kg IV

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9
Q

what is the dosage of medetomidine?

A

0.002 mg/kg IV

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10
Q

The ideal dimension of stall size for recovery is dependent on the

A

horse’s size

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11
Q

A recovery stall should have several features (3)

A
  1. oxygen supply,
  2. temperature-controlled heating and air conditioning
  3. easy access for recovery personnel
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12
Q

In which cases of rope-assisted recovery the ropes may not be appropriate?

A

young
untrained horse
roping quarter horse that is trained to pull back on ropes

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13
Q

during hydro pool recovery, extrathoracic and pulmonary pressures are increased, what do Zurich horses receive?

A

all anesthetized horses in Zurich are treated with colloids to maintain plasma oncotic pressure during hydro pool recovery + ACP to promote peripherial vasodilatation (0.03 mg/kg IM)

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14
Q

Main disadvantages of pool recovery

A
  1. exposure of the surgical site to water
  2. severe lung edema
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15
Q

anesthesia, myopathies occur most frequently in cases where ______ (1w) is present

A

anesthesia, myopathies occur most frequently in cases where hypotension (mean arterial blood pressure <70 mm Hg) is present for more than 15 minutes

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16
Q

In case of myopathie small dose of acepromazine (____ - ______ mg/kg IM) may help to calm the horse and to improve peripheral perfusion

A

small dose of acepromazine (0.02–0.03 mg/kg IM) may help to calm the horse and to improve peripheral perfusion

17
Q

major life-threatening consequence of widespread myopathy is

A

myoglobinuria, which in turn results in kidney or renal dysfunction.

18
Q

How do you treat myoglobinuria?

A

Appropriate fluid administration (to ensure maintenance of urine output) and monitoring of urine production are mandatory.

19
Q

What can you do to help the horse to relax its muscles?

A

Physiotherapy and infrared light

20
Q

What other medication can you provide beside ACP in case of myopathie?

A

NSAID s, opioids, α2-agonists, and in severe cases, dantrolene sodium (DMSO) and short-acting corticosteroids are recommended

21
Q

Neuropathies that impair recovery include 5 types of nerve paralysiss nf 1 myrlopsyhy, name them

A
  1. femoral nerve paralysis
  2. radial nerve paralysis
  3. brachial nerve paralysis
  4. peroneal nerve paralysis
  5. suprascapular nerve paralysis
  6. hemorrhagic myelopathy
22
Q

Other miscellaneous problems that lead to inability to stand

A
  1. hyperkalemic periodic paralysis
  2. hypocalcemia
  3. glycogen disease of draft horses
  4. fractures
  5. luxations
  6. severe hypothermia
  7. blood loss
  8. generalized fatique
  9. pulmonary embolism
23
Q

The major benefit of recovery in a hydro pool

A

is that self-inflicted trauma is minimized because the partially submerged horse struggles against the resistance of the water until it is fully capable of standing.

24
Q

How do you seal the wound in a horse that goes to pool recovery?

A

wound is carefully closed with suture, and then the incision site is sealed with cyanoacrylate