Recovery Flashcards
In what species should the ETT be removed earlier due to risk of laryngospasms?
Cats
If no regurgitation has occurred in SA anesthesia-when do you remove the ETT?
deflate cuff and remove after swallow or cough
If regurgitation has occurred in SA, how should you remove the ETT?
Remove the ETT with the cuff inflated
What should you be concerned of if you have a patient with bandages wrapped around the neck when still sedate?
Upper airway obstruction
T/F: Unpleasant bodily sensations, nervousness and anxiety is describing pain.
FALSE. This is describing dysphoria
If you give an anxious post-op patient opioids and they calm down-the anxiety was most likely caused by pain.
TRUE. If the patient was dysphoric-they would become more dysphoric with additional opioids
Which drug class treats both pain and dysphoria?
Alpha-2 agonists
What is used if you think the patient is more dysphoric than painful?
Opioid antagonists
T/F: Hypothermia decreases O2 demand
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.
What is a long term effect of hypothermia?
Delayed healing and infection
What causes hyperthermia in SA patients?
Opioid in cats or MRI in obese furry dogs
What is a cause of hypoventilation in SA?
Drugs, airway obstruction and debris in airway
What is a cause of hypoxemia in SA?
Airway obstruction or V/Q mismatch
T/F: Extubation in equine occurs a lot earlier due to the slim chance of aspiration.
TRUE
What are the two types of equine recovery methods?
Assisted and free recovery
A healthy horse that has no orthopedic disease, short anesthetic sx with no complications will have what type of recovery?
Free recovery
An old patient with orthopedic disease would have what type of recovery?
Assisted recovery- hand assistance (foal), ropes, sling or pool
What drug class will help keep horses down longer allowing better recovery?
Alpha-2 agonists-xylazine and romifidine
What two pain drugs are commonly used for visceral pain?
Butorphanol and alpha-2 agonists
Which pain medication has a concern for ileus?
Morphine/meperidine
If a horse becomes hypoxemic during surgery, what can be done to help regulate the O2 flow?
Demand valve while intubated
What are common concerns of ruminant recovery?
Regurgitation, aspiration and bloat
What position should ruminants stay in until they are trying to chew the tube?
Sternal recumbency