Unit 3 - Surgical Procedures Flashcards
The availability of procedures depends on what 6 things?
- facility of availability
- surgeon
- patient health status
- after care ability
- prognosis
- economics
What two types of surgery are there?
Standing and general
What is the criteria of standing surgery in equine?
- safety
- general anesthesia risks
- large animals (recumbency risk)
- stress
- problems with anesthesia
- cost restraints
How long do we restrict grains/hay from equine in standing surgery?
grain for 12 hrs
hay for 2-6 hrs
What 3 things do we use for pain control in equine?
Nerve block, field block, and epidural
In which movable intercoccygeal space is the epidural administered?
1st
How long is grain/hay withheld before general anesthesia in equine?
> 12hrs
What does atropine do?
Depress GI motility
What do we do before intubation that helps remove debris?
clean mouth
What 5 things can reduce compartment syndrome risk?
- minimize anesthesia time
- minimize anesthesia depth
- use cushions
- reduce carbs before surgery
- maintain B/P
What are the 3 methods of induction/maintenance?
- injectable/injectable
- injectable/gas
- gas/gas
What are the three routes of intubation in equine?
- orotracheal
- nasotracheal
- direct tracheal
Which route of intubation is used in foals only?
nasotracheal
How long can tourniquets be used on equine for homeostasis?
up to 2 hrs
During recovery, in what position should equine remain in until getting up?
Lateral recumbency
What age is castration done in equine?
1-2 years = gelding
What three things are reduced with castration?
- reduces sexual behavior
- reduces aggressive behavior
- prevents reproduction
What is cryptorchid?
failure of testicles to descend
What vaccine is given with castration in equine?
Tetanus prophylaxis
How soon can equine exercise after castration?
24 hrs
What does ‘sunken anus’ mean?
anus is cranial to vulva
When do we remove breeder’s stitch from caslick surgery in equine?
10-21 days before foaling
What vaccine is given after caslick surgery in equine?
Tetanus
What are the three surgical drainages for gutteral pouch surgery in equine?
- modified whitehouse
- viborg’s triangle
- hyovertebrotomy
What three economic values dictate if surgery is performed in bovine?
- high producing dairy cattle
- registered breeding stock
- pets
Majority of standing surgery in bovine is done with a combination of what three things?
- restraint
- sedation/tranquilization
- local-regional block
Restraint during standing surgery in bovine is dependent on what?
- facilities: personnel available & duration
- patient factors (temperament and anatomical location)
- anticipated pain/general health
How long is food withheld before surgery in cattle? Water?
12-14hrs food; <6 hrs water
What medication do we use for local anesthesia in bovine? What %?
lidocaine 2%
When giving a paravertebral block which 3 spinal roots do we use in cattle?
T-13, L-1, L-2
Where is the cornual nerve block given?
“HORN” - nerve between eye and horn
Where are bier blocks given in bovine?
Distal to tourniquet, use padding
When are caudal epidurals given in bovine?
Obstetric procedures
What does the caudal epidural block? (bovine)
tail, anus, perineum, vulva, caudal vagina, and caudal thigh
What is the onset/duration of caudal epidurals? (bovine)
onset: 10-20 mins
duration: 1-2 hrs
What are the 4 risks bovine face with general anesthesia?
- regurgitation
- bloat
- hypoventilation
- compartment syndrome
What can we do to prevent regurgitation?
Cattle: pull food 12-36 hours, water 6-12 hours
Calves: food 2-4 hours, water 0 hours
Neonates: food and water 0 hours
- cuff endotracheal tubes!
Which preanesthetic drug are cattle very sensitive to and require 1/10 of horse dose?
Xylazine
Inhalant gas (induction drug) is used when cattle are less than _____lbs.
150
What three drugs are in the triple drip?
- guaifenesin
- xylazine
- ketamine
What two drugs are in the double drip?
- guaifenesin
- ketamine
During maintenance, inhalant gas can be used if less than ___ hr(s).
1 hr
When monitoring ventilation during general anesthesia in bovine, how many breaths/min are desired? (it’s a range)
20-40 B/M
When IV fluids are given, what is added for neonates? (bovine)
Dextrose
What position do cattle recover in?
Sternal recumbency
If lateral recumbency is required during recovery, which side is preferred?
right
Castration in bovine is best done when? (2 things)
- young
- no flies
What two things are used in open castration in cattle?
- newberry knife
- emasculator
Which two things are used in closed castration in cattle?
- emasculatome (burdizzo)
- elastrator
What are some complications of castration?
Hemorrhage and infection