DM1 Pt1-3 Methods of Anaesthesia Flashcards

1
Q

What factors influence the choice of anaesthesia technique in cats?

A

The type of procedure, duration of anaesthesia, and the temperament of the cat influence the decision-making process.

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2
Q

What is a common technique for inducing anaesthesia in cats using a volatile agent?

A

Anaesthesia can be induced with a volatile agent (e.g., sevoflurane) via a face mask or anaesthetic chamber, followed by intubation.

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3
Q

How can anaesthesia be maintained after induction with a volatile agent?

A

Anaesthesia can be maintained with the same volatile agent (e.g., sevoflurane) via an endotracheal tube or using an intravenous agent (e.g., propofol).

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4
Q

What is one method for inducing and maintaining anaesthesia using injectable agents?

A

Anaesthesia can be induced with an injectable agent (e.g., alfaxalone) and maintained with a volatile agent (e.g., isoflurane).

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5
Q

What is total intravenous anaesthesia (TIVA)?

A

Total intravenous anaesthesia (TIVA) is the induction and maintenance of anaesthesia using injectable agents (e.g., alfaxalone or propofol) delivered intravenously.

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6
Q

How is intramuscular anaesthesia typically administered?

A

Anaesthesia is induced and maintained by intramuscular injection of a drug combination (e.g., medetomidine, ketamine, butorphanol).

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7
Q

What are the essential differences between various anaesthetic techniques in cats?

A

Differences include the use of mask/chamber versus injectable agents for induction, and volatile versus injectable agents for maintenance.

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8
Q

What should be considered in all patients regardless of the anaesthesia technique used?

A

Endotracheal intubation, supplementation of inspired oxygen, and intravenous catheter access should be considered in all patients.

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9
Q

What are the advantages of mask or chamber induction with a volatile agent?

A

It doesn’t require IV access and provides rapid recovery, making it useful for short procedures or in very young kittens.

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10
Q

What are the disadvantages of mask or chamber induction with a volatile agent?

A

Induction is slower, causing distress and potential self-trauma, and volatile agents can contaminate the environment.

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11
Q

In what situations is mask or chamber induction typically used?

A

For difficult-to-handle cats, kittens under 12 weeks, or very short procedures like establishing IV access or taking blood samples.

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12
Q

What are the advantages of intravenous induction using injectable agents?

A

It provides rapid, controlled induction, is less stressful for well-sedated cats, and offers smoother transition to maintenance.

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13
Q

What are the disadvantages of intravenous induction with injectable agents?

A

Requires metabolism for recovery, and IV access must be established, which may be difficult in some cases.

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14
Q

What is an advantage of maintaining anaesthesia with volatile agents?

A

Recovery is rapid since volatile agents don’t require metabolism, and anaesthetic depth is easily controlled.

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15
Q

What are the disadvantages of maintaining anaesthesia with volatile agents?

A

Environmental contamination during recovery, and endotracheal tubes may interfere with some procedures (e.g., bronchoscopy).

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16
Q

What is a disadvantage of maintaining anaesthesia with intravenous agents?

A

Drug accumulation can cause prolonged recovery, especially in cats with impaired liver function, and depth is harder to regulate.

17
Q

Why is intramuscular induction and maintenance advantageous in some cases?

A

It is easy to administer, especially for difficult-to-handle or aggressive cats, and is useful for short procedures like neutering.

18
Q

What are the disadvantages of intramuscular anaesthesia in cats?

A

It can be painful, induction is slower and less predictable, and recovery is prolonged compared to volatile agent anaesthesia.