Recovery

Question 1

In what species should the ETT be removed earlier due to risk of laryngospasms?

Answer 1

Cats

Question 2

If no regurgitation has occurred in SA anesthesia-when do you remove the ETT?

Answer 2

deflate cuff and remove after swallow or cough

Question 3

If regurgitation has occurred in SA, how should you remove the ETT?

Answer 3

Remove the ETT with the cuff inflated

Question 4

What should you be concerned of if you have a patient with bandages wrapped around the neck when still sedate?

Answer 4

Upper airway obstruction

Question 5

T/F: Unpleasant bodily sensations, nervousness and anxiety is describing pain.

Answer 5

FALSE. This is describing dysphoria

Question 6

If you give an anxious post-op patient opioids and they calm down-the anxiety was most likely caused by pain.

Answer 6

TRUE. If the patient was dysphoric-they would become more dysphoric with additional opioids

Question 7

Which drug class treats both pain and dysphoria?

Answer 7

Alpha-2 agonists

Question 8

What is used if you think the patient is more dysphoric than painful?

Answer 8

Opioid antagonists

Question 9

T/F: Hypothermia decreases O2 demand

Answer 9

FALSE. Hypothermia causes the patient to shake to try and warm itself up. The constant muscle tremors will increase the O2 demand in the body.

Question 10

What is a long term effect of hypothermia?

Answer 10

Delayed healing and infection

Question 11

What causes hyperthermia in SA patients?

Answer 11

Opioid in cats or MRI in obese furry dogs

Question 12

What is a cause of hypoventilation in SA?

Answer 12

Drugs, airway obstruction and debris in airway

Question 13

What is a cause of hypoxemia in SA?

Answer 13

Airway obstruction or V/Q mismatch

Question 14

T/F: Extubation in equine occurs a lot earlier due to the slim chance of aspiration.

Answer 14

TRUE

Question 15

What are the two types of equine recovery methods?

Answer 15

Assisted and free recovery

Question 16

A healthy horse that has no orthopedic disease, short anesthetic sx with no complications will have what type of recovery?

Answer 16

Free recovery

Question 17

An old patient with orthopedic disease would have what type of recovery?

Answer 17

Assisted recovery- hand assistance (foal), ropes, sling or pool

Question 18

What drug class will help keep horses down longer allowing better recovery?

Answer 18

Alpha-2 agonists-xylazine and romifidine

Question 19

What two pain drugs are commonly used for visceral pain?

Answer 19

Butorphanol and alpha-2 agonists

Question 20

Which pain medication has a concern for ileus?

Answer 20

Morphine/meperidine

Question 21

If a horse becomes hypoxemic during surgery, what can be done to help regulate the O2 flow?

Answer 21

Demand valve while intubated

Question 22

What are common concerns of ruminant recovery?

Answer 22

Regurgitation, aspiration and bloat

Question 23

What position should ruminants stay in until they are trying to chew the tube?

Answer 23

Sternal recumbency