Test 1- IV anesthesia and analgesia

Question 1

General anesthesia

Answer 1

 Unconsciousness (hypnosis)

 Analgesia

 Muscle relaxation

 Lack of movement in response to surgical stimulus

 No matter what technique you chose, you will have to achieve these goals!

Question 2

TIVA

Answer 2

TIVA (Total Intravenous Anesthesia): induction and maintenance of anesthesia using only intravenous agents

Question 3

PIVA

Answer 3

PIVA (Partial Intravenous Anesthesia): induction and maintenance of anesthesia using both intravenous and inhalant agents

Question 4

Balanced anesthesia

Answer 4

Balanced anesthesia: a combination of techniques

Question 5

Comparison of inhalation and TIVA

Answer 5

Question 6

Difference between drug admin strategies for induction

Answer 6

Classical: give half of the calculated dose slowly iv then top it up with small boluses to effect

 Bolus dosing: give only small boluses up to effect as needed. A single bolus is not expected to be “harmful”.

Question 7

analogue system

Answer 7

Classical dosing:

Question 8

digital system

Answer 8

Bolus dosing:

Question 9

Ideal agent for TIVA

Answer 9

 Short acting
 Short context sensitive half-life (not cummulating)  Does not have active metabolite
 Has wide therapeutic window
 Provides smooth recovery

Question 10

Most common in SA anesthesia

Answer 10

 Most common in small animal anesthesia  Propofol CRI: 0.1 - 0.4 mg/kg/minute
 Fentanyl CRI: 0.3 - 0.7 μg/kg/minute
 Give loading dose before

 Start CRI higher, reduce the rate later on

Question 11

What is not an option for a TIVA?

Answer 11

Etomidate