Please be sure your anesthesia machine has a pop-off occlusion valve.
http://www.vasg.org/pop-off_occlusion_valves.htm
Anesthesia Check List – PATIENT CARE
Hospital Admit:
1. Get a history from the client
a. Any coughing/sneezing/vomiting/diarrhea?
b. When was the last time the patient ate?
c. When were last medications given, and what dose?
2. Verify what procedure(s) we are doing and get the permission to proceed and estimate and authorization form signed.
Patient preparation
1. Get a current weight and TPR
2. Label patient with a collar ID tag
3. Label cage/run with patient info
4. Remove all collars/harnesses/clothes – give to client if possible
5. Check for fleas. If present, administer Capstar
6. Collect in samples needed for preanesthetic testing .
7. Doctor exam and approval to proceed
8. Administer premedication
9. Place the patient in the cage/run for 5-15 min.
10. Place IV catheter
11. Place e-collar if not to be immediately induced.
PreInduction needs
Fluids prepared ± Ketamine/other additives
Induction drugs and flush
Three different sized ET tubes with cuffs checked
laryngoscope
Stylet and lidocane for cat intubation
Tie for ET tube
Induction
1. Preoxygenate if indicated (Brachycephalic patient or heart condition)
2. Induce patient to effect
3. Place endotracheal tube and tie-in
4. Place patient on O2 and iso
5. Listen for heart and breathing with a stethoscope
6. Check for leaks and fill the cuff to the appropriate level
7. Hook up monitoring equipment
8. Prepare surgery site
Procedure for surgical patients
1. Move patient to surgery and hook up to anesthesia machine
2. Listen for heart and breathing with a stethoscope
3. Check for leaks again and adjust the cuff if needed
4. Position the patient and tie-in
5. Hook up monitoring equipment
6. Start IV fluids at 10ml/kg/hr
Recovery
1. Turn the iso off, flush the system and leave the patient connected to O2.
2. Untie the patient and place in lateral recumbency
3. Obtain a post-op temperature, institute additional warming if needed
4. Extubate once patient swallows twice or sits up (for bracheocephalics – once they do that and start fighting the tube)
5. Disconnect monitoring equipment
6. Disconnect IV fluids per Dr. order.
7. Monitor temperature every 15 minutes until patient reaches 100 degrees
8. Administer post-op pain injection at appropriate time
Prior to discharge
1. Walk outside when fully ambulatory
2. Check surgery site and alert doctor if any problems
3. Removed IV catheter
4. Fill any medications to go home
5. Print discharge instructions for client
At discharge
1. Go over medications and written instructions with client
2. Set up recheck or suture removal appointment if indicated
3. Remove catheter bandage
4. Check incision site
5. Check patient to make sure they are clean and smell fine
6. Take patient to client and help them to the car if needed.
Much thanks to Angee (Dyer) Corso, DVM for compiling the basics of this list.
