As safe as possible steps we take to ensure safety and comfort of your pet while going anesthesia:
- Preop blood screen (age related):
- A complete blood count- to asses white blood cell count( infection) , red blood cell count ( anemia) and platelet count ( ability to clot).
- A mini internal organ screen- asses liver, kidneys, protein levels and glucose.
- This make sure the drugs we are using for anesthesia can be metabolized ( broken down) and cleared from the body. Patients 7 years and older will get more extensive blood screen, chest x rays and ECG .
- Pets with a heart murmur will get an echo-cardiogram prior to anesthesia .
- Three types of anti pain ( butarphenol, buprenex and metacam )medications are used routinely prior to surgery covering the first 24 hours post surgery so that when your pet wakes up she will feel no or minimal pain.
- Intravenous catheter and fluids are administered to ensure adequate blood pressure and perfusion of all tissues and to clear drugs from the kidneys thereby preventing damage .
- We use propofol exclusively with each anesthesia, followed by gas anesthesia isoflurane.
- Propofol breaks down very fast so that your pet recover in minutes from anesthesia.
- It is also safer in pets with heart conditions.
- This drug is used routinely in human hospitals.
- ADS,Anesthesia delivery system, same as in human hospitals, ensures oxygen delivery at all times by breathing for the patient, therefore make anesthesia smoother and safer .
- Monitoring of oxygen levels,blood pressure, breathing and temp done at all times till your pet is safe.
- Heated water blanket – prevents hypothermia during anesthesia, facilitates recovery especially with cats.
- The human touch.
At the end of the day there is no replacement to experience and knowledge.
While human errors may occur , following a standard no compromising protocol helps to minimized them.
And while we are proud of our safety record of performing several hundreds anesthesia a year without accidents , we are humbled by your trust in us and take the best possible care of your pet, just is if it was our own.
Frequently Asked Questions About Pet Anesthesia and Surgery
Does my pet need to be fasted prior to surgery?
Yes. No food after 10:00pm the evening before the surgery.
What do I need to do in the morning?
If you own a dog, please walk him/her well. Try to encourage them to defecate and urinate before admission. Please bring your pet to the hospital at 8am. First come is usually first served unless an emergency arrives.
Why do you need my pet so early in the morning if procedures start at noon?
While we make every effort to minimize your pet’s stay, several procedures must be accomplished before noon, including pre-anesthetic blood work, ECG, IV catheter placement and pre-anesthetic medication.
What kind of precaution do you take before administering anesthesia?
All patients need clearance for anesthesia. We routinely perform pre-anesthetic blood work and electrocardiograms. Older patients may need chest x-rays, echocardiogram or more comprehensive blood work.
Why do you need an intravenous catheter?
Your pet’s front leg will be shaved in order to place an IV catheter. This is the only way we can administer propoflo for induction of anesthesia. The catheter will also serve as a means to give fluids to your pet while under anesthesia – this is much safer and helps a lot in recovery. Finally, it serves as a direct route to the blood, should an emergency arise.
How is anesthesia safely monitored in my pet?
All patients have a dedicated nurse and are monitored by devices that record blood pressure, heart rate, breathing rate, and blood oxygen concentration. Isoflurane gas anesthesia is very safe because the depth of anesthesia can be changed quickly in response to alteration in the above parameters.
What about pain?
We routinely monitor anesthesia not only with a dedicated nurse, but also with devices such as blood pressure and pulse oximeter to verify your pet’s comfort. Pre and post surgical anti-pain medication is administered based on the procedure performed. Anti-pain medication will be dispensed to be given at home for the following 4-5 days after the procedure.
When should I call for a progress report?
After 4:00 pm
When can I come pick up my pet?
It really depends on recovery time, but discharge times will vary in late afternoon/evening.
Can I feed my pet tonight?
No. Your pet may lick ice cubes. Give a very light breakfast the following morning; if there is no vomiting, you may give more.
What can I expect in the next few days?
Your pet should be eating in 24 hours post anesthesia. Bowel movements and urination may change frequency and consistency. Your pet will gradually resume normal activity in 2-3 days.
When should I come for suture removal?
Between 10-14 days after surgery, but not later.