{"id":2525,"date":"2024-07-02T08:51:42","date_gmt":"2024-07-02T12:51:42","guid":{"rendered":"https:\/\/www.drphilzeltzman.com\/blog\/?p=2525"},"modified":"2024-07-02T08:51:44","modified_gmt":"2024-07-02T12:51:44","slug":"3-secrets-of-safe-anesthesia","status":"publish","type":"post","link":"https:\/\/www.drphilzeltzman.com\/blog\/3-secrets-of-safe-anesthesia\/","title":{"rendered":"3 secrets of safe anesthesia"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1500\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-2000x1500.jpg\" alt=\"\" class=\"wp-image-2526\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-768x576.jpg 768w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-1536x1152.jpg 1536w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-2048x1536.jpg 2048w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-Bulldog-1320x990.jpg 1320w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n\n\n\n<p>Most owners are afraid of anesthesia, although it\u2019s incredibly safe.<\/p>\n\n\n\n<p>The risk of dying under anesthesia, taking into account the healthiest patients as well as the sickest, is a fraction of 1%.<\/p>\n\n\n\n<p>Still, we all wish we would have zero deaths related to anesthesia.<\/p>\n\n\n\n<p>One way to make sure your pet will be safe under anesthesia is to understand what happens, or should happen, during the 3 steps of any anesthesia.<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">1. How to keep your pet safe before anesthesia<\/span><\/strong><\/p>\n\n\n\n<p>We routinely (i.e. 100% of the time) take at least 4 steps to ensure a patient is a good candidate for anesthesia.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Blood work. This allows us to make sure your pet can carry oxygen (enough red blood cells), can clot (enough platelets), can fight infection (enough white blood cells), has a healthy liver and healthy kidneys, has normal electrolytes, etc.<\/li>\n\n\n\n<li>We perform a physical exam.<\/li>\n\n\n\n<li>We assess the patient\u2019s individual anesthesia risk (called the \u201cASA\u201d risk).<\/li>\n\n\n\n<li>We discuss the anesthesia and pain management protocols as a team (surgeons and nurses) so they are adapted to the patient and their particular surgery. For example, we use a different protocol for pets with kidney, liver and heart disease. We use a special protocol for dogs (and cats) with a flat face (English Bulldogs, French Bulldogs, Boxers etc.). We use a different protocol for diabetics and pediatrics.<\/li>\n<\/ul>\n\n\n\n<p>As we always say, \u201cevery patient is different.\u201d<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"946\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-2000x946.jpg\" alt=\"\" class=\"wp-image-2527\" style=\"width:840px;height:auto\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-2000x946.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-1100x521.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-768x363.jpg 768w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-1536x727.jpg 1536w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-2048x969.jpg 2048w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-lung-1320x625.jpg 1320w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">2. How to keep your pet safe during anesthesia<\/span><\/strong><\/p>\n\n\n\n<p>In the vast majority of patients, fortunately, everything goes perfectly well.<\/p>\n\n\n\n<p>Occasionally, we run into problems: the heart rate drops or increases, the bloodqqq pressure drops or shoots up, the patient has difficulty breathing&#8230;<\/p>\n\n\n\n<p>Fortunately, in the vast majority of patients, we can quickly get the situation under control.<\/p>\n\n\n\n<p>But we never take anything for granted, so every single patient has a dedicated anesthesia nurse, whose only mission is to keep her patient safe.<\/p>\n\n\n\n<p>Anesthesia monitoring means the patient is monitored by a fancy machine.<\/p>\n\n\n\n<p>It allows us to monitor the heart (EKG), blood pressure, oxygen level (pulse oximetry), temperature, respiratory rate and CO2 levels (capnography).<\/p>\n\n\n\n<p>And of course, every patient has an IV catheter to receive IV fluids, antibiotics, and pain medications.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"2000\" height=\"1500\" src=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-2000x1500.jpg\" alt=\"\" class=\"wp-image-2528\" srcset=\"https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-2000x1500.jpg 2000w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-1100x825.jpg 1100w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-768x576.jpg 768w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-1536x1152.jpg 1536w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-2048x1536.jpg 2048w, https:\/\/www.drphilzeltzman.com\/blog\/wp-content\/uploads\/2024\/07\/Anesthesia-nurse-1320x990.jpg 1320w\" sizes=\"auto, (max-width: 2000px) 100vw, 2000px\" \/><\/figure>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">3. How to keep your pet safe after anesthesia<\/span><\/strong><\/p>\n\n\n\n<p>A common misunderstanding is to believe that once a patient is out of the OR and awake, they\u2019re safe.<\/p>\n\n\n\n<p>The reality is that most deaths related to anesthesia occur AFTER surgery, not during.<\/p>\n\n\n\n<p>Over half of patient deaths occur within 3 hours after the end of anesthesia.<\/p>\n\n\n\n<p>That\u2019s the reason why we continue to monitor our patients closely after they wake up from anesthesia.<\/p>\n\n\n\n<p>We monitor their breathing, heart rate or pulse, comfort level, and more.<\/p>\n\n\n\n<p>We\u2019re also a tiny bit obsessed with keeping our patients warm.<\/p>\n\n\n\n<p>The sicker the patient, or the higher the anesthesia risk, the more intensive postop supervision should be.<\/p>\n\n\n\n<p>This is especially true in cats and dogs with a flat face (brachycephalic breeds).<\/p>\n\n\n\n<p><strong><span style=\"text-decoration: underline;\">So if your pet needs anesthesia, which question should you ask?<\/span><\/strong><\/p>\n\n\n\n<p>Here are some questions you should feel perfectly comfortable asking before your pet goes under anesthesia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>What testing will be performed before anesthesia to make it safer?<\/li>\n\n\n\n<li>Will my pet be supervised by a nurse throughout anesthesia?<\/li>\n\n\n\n<li>What kind of monitoring do you provide during anesthesia?<\/li>\n\n\n\n<li>What kind of supervision will my pet have while recovering from anesthesia?<\/li>\n\n\n\n<li>Is there overnight care?<\/li>\n<\/ul>\n\n\n\n<p>Bottom line: most pet owners ask questions about the surgery.<\/p>\n\n\n\n<p>I think they should ask more questions about anesthesia.<\/p>\n\n\n\n<p>Your pet&#8217;s well-being depends on it.<\/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>Never miss a blog by subscribing here: <a href=\"http:\/\/www.DrPhilZeltzman.com\/blog\" target=\"_blank\" rel=\"noreferrer noopener\">www.DrPhilZeltzman.com\/blog<\/a><\/p>\n\n\n\n<p>Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most owners are afraid of anesthesia, although it\u2019s incredibly safe. The risk of dying under anesthesia, taking into account the healthiest patients as well as the sickest, is a fraction of 1%. Still, we all wish we would have zero deaths related to anesthesia. One way to make sure your pet will be safe under [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2525","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>3 secrets of safe 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\/3-secrets-of-safe-anesthesia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"3 secrets of safe anesthesia | Dr Phil Zeltzman\u2019s Blog\" \/>\n<meta property=\"og:description\" content=\"Most owners are afraid of anesthesia, although it\u2019s incredibly safe. The risk of dying under anesthesia, taking into account the healthiest patients as well as the sickest, is a fraction of 1%. Still, we all wish we would have zero deaths related to anesthesia. 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