{"id":2401,"date":"2023-05-01T13:19:44","date_gmt":"2023-05-01T17:19:44","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=2401"},"modified":"2023-05-01T14:22:42","modified_gmt":"2023-05-01T18:22:42","slug":"how-do-we-monitor-your-pets-anesthesia","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/how-do-we-monitor-your-pets-anesthesia\/","title":{"rendered":"How do we monitor your pet\u2019s anesthesia?"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"1628\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Nurse.jpg\" alt=\"\" class=\"wp-image-2402\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Nurse.jpg 1920w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Nurse-1100x933.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Nurse-768x651.jpg 768w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Nurse-1536x1302.jpg 1536w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Nurse-1320x1119.jpg 1320w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/figure>\n\n\n\n<p>Vets have been able to dramatically decrease the death rate under anesthesia thanks to better anesthesia drugs and better monitoring.<\/p>\n\n\n\n<p>What does monitoring mean?<\/p>\n\n\n\n<p>Let\u2019s review some techniques we use at our hospital to reduce the risks.<\/p>\n\n\n\n<p>Please understand that not all practices have this equipment, for financial reasons mostly. As a general rule, we perform higher-risk and longer anesthesia and surgery, so we have an obligation to provide the best equipment available.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Vital signs<\/h2>\n\n\n\n<p>One of the many roles of the anesthesia nurse is to record the pet\u2019s vital signs and numbers indicated by the devices described below: body temperature, blood pressure, heart rate, respiration rate, temperature etc.<\/p>\n\n\n\n<p>This is critical to determine if there is a trend.<\/p>\n\n\n\n<p>For example, is the blood pressure slowly dropping?<\/p>\n\n\n\n<p>The surgeon is then alerted, and decisions can be made in a timely manner.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">ECG<\/h2>\n\n\n\n<p>Most people have had an ECG (aka EKG), so most are familiar with the concept. An ECG measures the electric currents generated by the heart. It helps monitor the heart rate and rhythm. It allows early recognition of heart issues, such as arrhythmias (extra heart beats), which can then be treated appropriately.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Blood pressure<\/h2>\n\n\n\n<p>Blood pressure measurement is probably the earliest indicator of problems with anesthesia in pets.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pulse oximetry<\/h2>\n\n\n\n<p>This is a way to estimate how much oxygen is being carried by red blood cells.<\/p>\n\n\n\n<p>You may have been connected to such a device at the hospital.<\/p>\n\n\n\n<p>This is the clip that is usually placed on your finger.<\/p>\n\n\n\n<p>In pets, the probe is usually placed on the tongue.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Temperature<\/h2>\n\n\n\n<p>Anesthesia commonly reduces the body\u2019s temperature.<\/p>\n\n\n\n<p>We are obsessed with maintaining pets\u2019 temperature, especially small ones.<\/p>\n\n\n\n<p>Opening a body cavity (chest or belly) leads to losing even more body heat.<\/p>\n\n\n\n<p>So we use several modalities to keep the temp up.<\/p>\n\n\n\n<p>For example, every single patient gets a \u201cBair Hugger,\u201d which is a warming blanket, in addition to a heating pad under their body.<\/p>\n\n\n\n<p>It is important to warm patients up after surgery as well.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1532\" height=\"1164\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Monitor.jpg\" alt=\"\" class=\"wp-image-2403\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Monitor.jpg 1532w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Monitor-1100x836.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Monitor-768x584.jpg 768w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2023\/05\/Monitor-1320x1003.jpg 1320w\" sizes=\"auto, (max-width: 1532px) 100vw, 1532px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Capnography<\/h2>\n\n\n\n<p>This is a fancier machine, not routinely available in general practices.<\/p>\n\n\n\n<p>It monitors the amount of CO2 (carbon dioxide) in the patient.<\/p>\n\n\n\n<p>If it becomes too high, it means that the patient is not breathing enough to \u201cblow off\u201d the toxic CO2.<\/p>\n\n\n\n<p>The anesthesia nurse would then help the patient breathe.<\/p>\n\n\n\n<p>Such equipment undoubtedly helps us greatly improve the safety of anesthesia.<\/p>\n\n\n\n<p>By far, my favorite way to monitor my patients is my skilled nurses.<\/p>\n\n\n\n<p>The risk obviously depends on the patient and the type of surgery.<\/p>\n\n\n\n<p>For example, spaying a healthy 6 month old Lab puppy is less risky that removing a 1 pound cancerous tumor from the liver of a 14 year old diabetic, seizure-prone poodle with heart and kidney disease!<\/p>\n\n\n\n<p>That said, the OVERALL death rate under anesthesia is:<\/p>\n\n\n\n<p>. 0.06 to 0.43% in cats;<\/p>\n\n\n\n<p>. 0.11 to 0.43% in dogs<\/p>\n\n\n\n<p>according to several studies conducted in the late 1990s.<\/p>\n\n\n\n<p>As you can see, careful monitoring makes the anesthesia as safe as possible, so that we can reach our ultimate goals: a healthy pet and a happy pet owner.<\/p>\n\n\n\n<p>If you would like to learn how we can help your pet with safe surgery and anesthesia, please contact us through <a href=\"http:\/\/www.DrPhilZeltzman.com\" target=\"_blank\" rel=\"noreferrer noopener\">www.DrPhilZeltzman.com<\/a><\/p>\n\n\n\n<p><em>Never miss a blog by subscribing here: <\/em><a href=\"http:\/\/www.DrPhilZeltzman.com\/blog\" target=\"_blank\" rel=\"noreferrer noopener\">www.DrPhilZeltzman.com\/blog<\/a><\/p>\n\n\n\n<p><em>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free <\/em>Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vets have been able to dramatically decrease the death rate under anesthesia thanks to better anesthesia drugs and better monitoring. What does monitoring mean? Let\u2019s review some techniques we use at our hospital to reduce the risks. Please understand that not all practices have this equipment, for financial reasons mostly. As a general rule, we [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[10],"class_list":["post-2401","post","type-post","status-publish","format-standard","hentry","category-the-veterinary-life","tag-veterinary-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How do we monitor your pet\u2019s anesthesia? | Dr Phil Zeltzman\u2019s Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.drphilzeltzman.com\/blog\/how-do-we-monitor-your-pets-anesthesia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How do we monitor your pet\u2019s anesthesia? | Dr Phil Zeltzman\u2019s Blog\" \/>\n<meta property=\"og:description\" content=\"Vets have been able to dramatically decrease the death rate under anesthesia thanks to better anesthesia drugs and better monitoring. 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