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Welcome to another episode of Bark
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Welcome to another episode of Bark
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Welcome to another episode of Bark Brigade podcast by Dog Azila Magazine.
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Brigade podcast by Dog Azila Magazine.
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Brigade podcast by Dog Azila Magazine. You know, it's a moment that I think
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You know, it's a moment that I think
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You know, it's a moment that I think every single dog owner dreads. Your vet
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every single dog owner dreads. Your vet
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every single dog owner dreads. Your vet who you trust completely tells you your
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who you trust completely tells you your
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who you trust completely tells you your dog needs a procedure and it's going to
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dog needs a procedure and it's going to
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dog needs a procedure and it's going to require general anesthesia.
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require general anesthesia.
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require general anesthesia. >> Mhm.
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>> Mhm.
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>> Mhm. >> And your heart just sinks. It could be
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>> And your heart just sinks. It could be
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>> And your heart just sinks. It could be for something major, you know, like
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for something major, you know, like
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for something major, you know, like fixing a torn ligament or something that
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fixing a torn ligament or something that
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fixing a torn ligament or something that feels routine like a dental cleaning.
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feels routine like a dental cleaning.
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feels routine like a dental cleaning. But that word anesthesia just brings up
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But that word anesthesia just brings up
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But that word anesthesia just brings up so much anxiety.
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so much anxiety.
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so much anxiety. >> It really does. And that anxiety, it's
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>> It really does. And that anxiety, it's
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>> It really does. And that anxiety, it's completely understandable. But what our
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completely understandable. But what our
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completely understandable. But what our research shows and what the source
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research shows and what the source
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research shows and what the source material we're looking at today makes
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material we're looking at today makes
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material we're looking at today makes really clear is that most of that fear
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really clear is that most of that fear
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really clear is that most of that fear comes from not knowing what modern
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comes from not knowing what modern
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comes from not knowing what modern veterary medicine actually looks like
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veterary medicine actually looks like
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veterary medicine actually looks like today.
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today.
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today. >> Yeah. Exactly.
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>> Yeah. Exactly.
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>> Yeah. Exactly. >> And that's why we're doing this deep
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>> And that's why we're doing this deep
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>> And that's why we're doing this deep dive. We're going to break down an
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dive. We're going to break down an
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dive. We're going to break down an essential guide on veterary anesthesia
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essential guide on veterary anesthesia
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essential guide on veterary anesthesia for dogs. We'll be looking at, you know,
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for dogs. We'll be looking at, you know,
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for dogs. We'll be looking at, you know, the real safety measures, what the risks
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the real safety measures, what the risks
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the real safety measures, what the risks actually are, and the crucial steps for
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actually are, and the crucial steps for
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actually are, and the crucial steps for preparation and recovery. Right? Our
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preparation and recovery. Right? Our
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preparation and recovery. Right? Our whole mission here is to give you, the
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whole mission here is to give you, the
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whole mission here is to give you, the listener, the knowledge you need to turn
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listener, the knowledge you need to turn
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listener, the knowledge you need to turn that nervousness into confidence so you
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that nervousness into confidence so you
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that nervousness into confidence so you can make really informed decisions for
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can make really informed decisions for
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can make really informed decisions for your dog.
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your dog.
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your dog. >> So, it all comes down to that one core
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>> So, it all comes down to that one core
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>> So, it all comes down to that one core question that I think every owner asks.
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question that I think every owner asks.
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question that I think every owner asks. Is anesthesia safe for my dog? And the
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Is anesthesia safe for my dog? And the
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Is anesthesia safe for my dog? And the source material, it gives a short
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source material, it gives a short
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source material, it gives a short answer. And that answer is yes.
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answer. And that answer is yes.
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answer. And that answer is yes. Overwhelmingly yes, but with a huge
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Overwhelmingly yes, but with a huge
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Overwhelmingly yes, but with a huge caveat. It's safe when it's managed by a
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caveat. It's safe when it's managed by a
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caveat. It's safe when it's managed by a qualified team. The real key here isn't
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qualified team. The real key here isn't
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qualified team. The real key here isn't just the drug. It's the entire process.
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just the drug. It's the entire process.
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just the drug. It's the entire process. It's the prep, the monitoring during the
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It's the prep, the monitoring during the
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It's the prep, the monitoring during the procedure, and the afterare.
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procedure, and the afterare.
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procedure, and the afterare. >> Okay, so let's unpack that foundation
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>> Okay, so let's unpack that foundation
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>> Okay, so let's unpack that foundation first.
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first.
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first. >> Let's do it.
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>> Let's do it.
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>> Let's do it. >> So, part one, anesthesia 101. What are
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>> So, part one, anesthesia 101. What are
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>> So, part one, anesthesia 101. What are we even talking about when we say
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we even talking about when we say
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we even talking about when we say anesthesia in a vet clinic?
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anesthesia in a vet clinic?
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anesthesia in a vet clinic? >> Well, it's a lot more than just, you
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>> Well, it's a lot more than just, you
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>> Well, it's a lot more than just, you know, putting a dog to sleep for a bit.
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know, putting a dog to sleep for a bit.
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know, putting a dog to sleep for a bit. It's a very controlled process. We're
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It's a very controlled process. We're
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It's a very controlled process. We're talking about administering specific
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talking about administering specific
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talking about administering specific medications to achieve three things all
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medications to achieve three things all
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medications to achieve three things all at once. Pain relief, sedation, and
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at once. Pain relief, sedation, and
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at once. Pain relief, sedation, and total unconsciousness.
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total unconsciousness.
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total unconsciousness. >> Okay. So, three distinct goals.
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>> Okay. So, three distinct goals.
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>> Okay. So, three distinct goals. >> Three goals. Yeah. The whole point is to
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>> Three goals. Yeah. The whole point is to
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>> Three goals. Yeah. The whole point is to make sure the dog feels absolutely no
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make sure the dog feels absolutely no
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make sure the dog feels absolutely no discomfort, no fear, no anxiety at all
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discomfort, no fear, no anxiety at all
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discomfort, no fear, no anxiety at all during the procedure. It's about their
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during the procedure. It's about their
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during the procedure. It's about their well-being from start to finish.
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well-being from start to finish.
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well-being from start to finish. >> So, this is that state of uh controlled
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>> So, this is that state of uh controlled
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>> So, this is that state of uh controlled unconsciousness. The source talks about
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unconsciousness. The source talks about
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unconsciousness. The source talks about general anesthesia, which is what's used
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general anesthesia, which is what's used
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general anesthesia, which is what's used for the big stuff. It induces a complete
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for the big stuff. It induces a complete
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for the big stuff. It induces a complete loss of sensation by affecting the
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loss of sensation by affecting the
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loss of sensation by affecting the central nervous system.
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central nervous system.
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central nervous system. >> Exactly. It temporarily and safely
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>> Exactly. It temporarily and safely
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>> Exactly. It temporarily and safely switches off those awareness centers.
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switches off those awareness centers.
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switches off those awareness centers. >> And how we deliver it is also part of
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>> And how we deliver it is also part of
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>> And how we deliver it is also part of the safety protocol. It's usually done
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the safety protocol. It's usually done
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the safety protocol. It's usually done in two stages.
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in two stages.
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in two stages. >> Two stages.
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>> Two stages.
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>> Two stages. >> Yeah. First, there's what we call
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>> Yeah. First, there's what we call
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>> Yeah. First, there's what we call induction. That's often an IV injection
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induction. That's often an IV injection
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induction. That's often an IV injection that makes the dog lose consciousness
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that makes the dog lose consciousness
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that makes the dog lose consciousness very quickly and smoothly. Then comes
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very quickly and smoothly. Then comes
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very quickly and smoothly. Then comes the maintenance phase where we keep them
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the maintenance phase where we keep them
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the maintenance phase where we keep them in that state usually with an anesthetic
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in that state usually with an anesthetic
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in that state usually with an anesthetic gas
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gas
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gas >> like the ones you hear about isofllorane
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>> like the ones you hear about isofllorane
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>> like the ones you hear about isofllorane or sephorane
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or sephorane
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or sephorane >> precisely. Those are delivered through a
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>> precisely. Those are delivered through a
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>> precisely. Those are delivered through a tube in the windpipe.
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tube in the windpipe.
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tube in the windpipe. >> And the great thing about these modern
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>> And the great thing about these modern
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>> And the great thing about these modern gases is that we can adjust the depth of
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gases is that we can adjust the depth of
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gases is that we can adjust the depth of anesthesia literally second by second.
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anesthesia literally second by second.
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anesthesia literally second by second. It gives us incredible control and
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It gives us incredible control and
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It gives us incredible control and allows for a much quicker, smoother wake
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allows for a much quicker, smoother wake
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allows for a much quicker, smoother wake up.
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up.
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up. >> Okay, that makes sense. So, not every
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>> Okay, that makes sense. So, not every
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>> Okay, that makes sense. So, not every procedure needs that same deep level of,
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procedure needs that same deep level of,
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procedure needs that same deep level of, you know, general anesthesia. The source
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you know, general anesthesia. The source
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you know, general anesthesia. The source breaks it down into different types,
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breaks it down into different types,
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breaks it down into different types, right?
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right?
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right? >> Yes. And this is a key point. There are
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>> Yes. And this is a key point. There are
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>> Yes. And this is a key point. There are basically three categories. First, like
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basically three categories. First, like
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basically three categories. First, like you said, is general anesthesia. This is
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you said, is general anesthesia. This is
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you said, is general anesthesia. This is for complete unconsciousness, total
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for complete unconsciousness, total
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for complete unconsciousness, total muscle relaxation. It's non-negotiable
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muscle relaxation. It's non-negotiable
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muscle relaxation. It's non-negotiable for any major surgery spaying,
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for any major surgery spaying,
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for any major surgery spaying, neutering, orthopedic repairs, and
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neutering, orthopedic repairs, and
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neutering, orthopedic repairs, and importantly for thorough dental
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importantly for thorough dental
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importantly for thorough dental cleanings.
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cleanings.
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cleanings. >> We'll definitely come back to the dental
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>> We'll definitely come back to the dental
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>> We'll definitely come back to the dental cleanings. What's the second type?
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cleanings. What's the second type?
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cleanings. What's the second type? >> Second is local anesthesia. This is
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>> Second is local anesthesia. This is
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>> Second is local anesthesia. This is where we just numb a specific area.
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where we just numb a specific area.
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where we just numb a specific area. Think of it like when you go to the
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Think of it like when you go to the
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Think of it like when you go to the dentist and they numb one tooth. The dog
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dentist and they numb one tooth. The dog
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dentist and they numb one tooth. The dog is awake, but that one spot is
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is awake, but that one spot is
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is awake, but that one spot is completely desensitized.
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completely desensitized.
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completely desensitized. >> So, for like a small skin lump removal
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>> So, for like a small skin lump removal
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>> So, for like a small skin lump removal or something.
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or something.
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or something. >> Exactly. Or, and this is really
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>> Exactly. Or, and this is really
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>> Exactly. Or, and this is really important, we often use it with general
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important, we often use it with general
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important, we often use it with general anesthesia. It's called multimodal pain
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anesthesia. It's called multimodal pain
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anesthesia. It's called multimodal pain management. If we can block the pain
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management. If we can block the pain
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management. If we can block the pain locally, we can use a lower level of the
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locally, we can use a lower level of the
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locally, we can use a lower level of the general anesthetic gas, which makes the
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general anesthetic gas, which makes the
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general anesthetic gas, which makes the whole procedure even safer and recovery
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whole procedure even safer and recovery
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whole procedure even safer and recovery much more comfortable.
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much more comfortable.
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much more comfortable. >> That's a great point. And the third
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>> That's a great point. And the third
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>> That's a great point. And the third type,
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type,
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type, >> the third is sedation. This is a much
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>> the third is sedation. This is a much
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>> the third is sedation. This is a much lighter approach. The dog's just very
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lighter approach. The dog's just very
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lighter approach. The dog's just very relaxed and drowsy, but not fully
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relaxed and drowsy, but not fully
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relaxed and drowsy, but not fully unconscious. We'd use this for things
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unconscious. We'd use this for things
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unconscious. We'd use this for things like X-rays on a nervous dog or treating
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like X-rays on a nervous dog or treating
4:06
like X-rays on a nervous dog or treating a minor wound. It avoids the full
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a minor wound. It avoids the full
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a minor wound. It avoids the full commitment of general anesthesia when
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commitment of general anesthesia when
4:10
commitment of general anesthesia when it's just not needed.
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it's just not needed.
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it's just not needed. >> So, it seems like a huge part of the
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>> So, it seems like a huge part of the
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>> So, it seems like a huge part of the safety is just choosing the right tool
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safety is just choosing the right tool
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safety is just choosing the right tool for the job.
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for the job.
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for the job. >> That's the first step. And the second,
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>> That's the first step. And the second,
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>> That's the first step. And the second, which is maybe even more critical, is
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which is maybe even more critical, is
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which is maybe even more critical, is the prep work that happens before any
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the prep work that happens before any
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the prep work that happens before any drugs are even drawn up,
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drugs are even drawn up,
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drugs are even drawn up, >> right? The pre-anesthetic assessment,
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>> right? The pre-anesthetic assessment,
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>> right? The pre-anesthetic assessment, the source really hammers this home. It
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the source really hammers this home. It
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the source really hammers this home. It says modern vet practices have moved way
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says modern vet practices have moved way
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says modern vet practices have moved way beyond a one-sizefits-all approach.
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beyond a one-sizefits-all approach.
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beyond a one-sizefits-all approach. Every single protocol is tailored. has
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Every single protocol is tailored. has
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Every single protocol is tailored. has to be tailored to the dog's age, breed,
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to be tailored to the dog's age, breed,
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to be tailored to the dog's age, breed, weight, and their specific health
4:39
weight, and their specific health
4:39
weight, and their specific health status. And that tailoring all starts
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status. And that tailoring all starts
4:41
status. And that tailoring all starts with a really detailed assessment.
4:43
with a really detailed assessment.
4:43
with a really detailed assessment. >> And that assessment has three main
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>> And that assessment has three main
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>> And that assessment has three main parts, as I understand it,
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parts, as I understand it,
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parts, as I understand it, >> three core non-negotiable parts. The
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>> three core non-negotiable parts. The
4:48
>> three core non-negotiable parts. The first is a really comprehensive physical
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first is a really comprehensive physical
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first is a really comprehensive physical examination. The vet listens carefully
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examination. The vet listens carefully
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examination. The vet listens carefully to the heart and lungs. They're looking
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to the heart and lungs. They're looking
4:55
to the heart and lungs. They're looking for murmurss or arhythmias or any sign
4:57
for murmurss or arhythmias or any sign
4:57
for murmurss or arhythmias or any sign of breathing issues because the heart
4:58
of breathing issues because the heart
4:58
of breathing issues because the heart and lungs are doing the heavy lifting
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and lungs are doing the heavy lifting
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and lungs are doing the heavy lifting during anesthesia.
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during anesthesia.
5:01
during anesthesia. >> Okay, so that's the hands-on part. Then
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>> Okay, so that's the hands-on part. Then
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>> Okay, so that's the hands-on part. Then comes the part that I think a lot of
5:05
comes the part that I think a lot of
5:05
comes the part that I think a lot of owners get a bit wary of, the blood
5:09
owners get a bit wary of, the blood
5:09
owners get a bit wary of, the blood tests.
5:09
tests.
5:09
tests. >> The pre-anesthetic blood work.
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>> The pre-anesthetic blood work.
5:11
>> The pre-anesthetic blood work. >> Yes, it can feel like an extra cost,
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>> Yes, it can feel like an extra cost,
5:13
>> Yes, it can feel like an extra cost, especially if your dog seems perfectly
5:15
especially if your dog seems perfectly
5:15
especially if your dog seems perfectly healthy. So, why is this blood work so
5:18
healthy. So, why is this blood work so
5:18
healthy. So, why is this blood work so vital?
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vital?
5:19
vital? >> That is such a critical question. And
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>> That is such a critical question. And
5:21
>> That is such a critical question. And the answer is all about how the dog's
5:24
the answer is all about how the dog's
5:24
the answer is all about how the dog's body gets rid of the anesthetic drugs.
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body gets rid of the anesthetic drugs.
5:26
body gets rid of the anesthetic drugs. It's all about metabolism.
5:28
It's all about metabolism.
5:28
It's all about metabolism. >> Okay.
5:28
>> Okay.
5:28
>> Okay. >> The drugs are broken down primarily by
5:30
>> The drugs are broken down primarily by
5:30
>> The drugs are broken down primarily by the liver. Then the waste products are
5:33
the liver. Then the waste products are
5:33
the liver. Then the waste products are flushed out by the kidneys. The blood
5:35
flushed out by the kidneys. The blood
5:35
flushed out by the kidneys. The blood tests tell us exactly how well those two
5:37
tests tell us exactly how well those two
5:37
tests tell us exactly how well those two organs are working.
5:38
organs are working.
5:38
organs are working. >> So it's like a road map for the drugs.
5:39
>> So it's like a road map for the drugs.
5:39
>> So it's like a road map for the drugs. >> It's the perfect road map. If the blood
5:41
>> It's the perfect road map. If the blood
5:41
>> It's the perfect road map. If the blood work shows, say, elevated liver enzymes,
5:44
work shows, say, elevated liver enzymes,
5:44
work shows, say, elevated liver enzymes, we know that dog will break down the
5:45
we know that dog will break down the
5:45
we know that dog will break down the drugs more slowly. If it shows high
5:48
drugs more slowly. If it shows high
5:48
drugs more slowly. If it shows high kidney values, we know they'll have
5:50
kidney values, we know they'll have
5:50
kidney values, we know they'll have trouble clearing the drugs from their
5:51
trouble clearing the drugs from their
5:51
trouble clearing the drugs from their system.
5:51
system.
5:51
system. >> And if that happens,
5:52
>> And if that happens,
5:52
>> And if that happens, >> the drugs hang around for longer, the
5:54
>> the drugs hang around for longer, the
5:54
>> the drugs hang around for longer, the recovery is rougher, slower, and the
5:56
recovery is rougher, slower, and the
5:56
recovery is rougher, slower, and the risk of complications goes way up. But
5:59
risk of complications goes way up. But
5:59
risk of complications goes way up. But if we know about that sluggish liver or
6:01
if we know about that sluggish liver or
6:01
if we know about that sluggish liver or kidney function beforehand, we can
6:03
kidney function beforehand, we can
6:03
kidney function beforehand, we can change the whole plan. We can choose
6:05
change the whole plan. We can choose
6:05
change the whole plan. We can choose different drugs that are kinder to those
6:07
different drugs that are kinder to those
6:07
different drugs that are kinder to those organs. We can adjust the dose. We can
6:10
organs. We can adjust the dose. We can
6:10
organs. We can adjust the dose. We can give them extra IV fluids to support
6:12
give them extra IV fluids to support
6:12
give them extra IV fluids to support their kidneys. It turns a potential
6:14
their kidneys. It turns a potential
6:14
their kidneys. It turns a potential crisis into a simple, manageable
6:16
crisis into a simple, manageable
6:16
crisis into a simple, manageable adjustment.
6:17
adjustment.
6:17
adjustment. >> That makes so much sense. It's not just
6:19
>> That makes so much sense. It's not just
6:19
>> That makes so much sense. It's not just a screening test. It's proactive risk
6:21
a screening test. It's proactive risk
6:21
a screening test. It's proactive risk management. And the third part of the
6:23
management. And the third part of the
6:23
management. And the third part of the assessment
6:23
assessment
6:23
assessment >> is the medical history review. And this
6:25
>> is the medical history review. And this
6:25
>> is the medical history review. And this is where you, the owner, play a massive
6:27
is where you, the owner, play a massive
6:27
is where you, the owner, play a massive role. We need to know everything.
6:30
role. We need to know everything.
6:30
role. We need to know everything. >> Everything.
6:30
>> Everything.
6:30
>> Everything. >> Any pre-existing conditions, sure, but
6:32
>> Any pre-existing conditions, sure, but
6:32
>> Any pre-existing conditions, sure, but also every single medication or even
6:35
also every single medication or even
6:35
also every single medication or even supplement the dog is on. A lot of
6:37
supplement the dog is on. A lot of
6:37
supplement the dog is on. A lot of common drugs can interact with
6:38
common drugs can interact with
6:38
common drugs can interact with anesthetics affecting things like blood
6:40
anesthetics affecting things like blood
6:40
anesthetics affecting things like blood pressure or clotting. Honesty and
6:43
pressure or clotting. Honesty and
6:43
pressure or clotting. Honesty and completeness here are an essential part
6:45
completeness here are an essential part
6:45
completeness here are an essential part of the safety net. So when you put all
6:47
of the safety net. So when you put all
6:47
of the safety net. So when you put all three together, the physical exam, the
6:49
three together, the physical exam, the
6:49
three together, the physical exam, the blood work road map, and the medical
6:50
blood work road map, and the medical
6:50
blood work road map, and the medical history, you get this incredibly
6:52
history, you get this incredibly
6:52
history, you get this incredibly detailed picture of that one specific
6:55
detailed picture of that one specific
6:55
detailed picture of that one specific dog.
6:55
dog.
6:55
dog. >> Exactly. And that is what allows the vet
6:58
>> Exactly. And that is what allows the vet
6:58
>> Exactly. And that is what allows the vet to build a truly customized and
7:00
to build a truly customized and
7:00
to build a truly customized and therefore truly safe anesthetic protocol
7:02
therefore truly safe anesthetic protocol
7:02
therefore truly safe anesthetic protocol from the ground up.
7:03
from the ground up.
7:03
from the ground up. >> Okay, let's shift gears and talk about
7:05
>> Okay, let's shift gears and talk about
7:05
>> Okay, let's shift gears and talk about one of the procedures that, as we
7:07
one of the procedures that, as we
7:07
one of the procedures that, as we mentioned, causes a lot of this anxiety,
7:09
mentioned, causes a lot of this anxiety,
7:09
mentioned, causes a lot of this anxiety, the dental cleaning. I think we've all
7:11
the dental cleaning. I think we've all
7:11
the dental cleaning. I think we've all heard the question, does my dog really
7:14
heard the question, does my dog really
7:14
heard the question, does my dog really need to go under for a simple teeth
7:15
need to go under for a simple teeth
7:15
need to go under for a simple teeth cleaning
7:16
cleaning
7:16
cleaning >> all the time? And the answer from every
7:19
>> all the time? And the answer from every
7:19
>> all the time? And the answer from every veterary standard is an absolute
7:22
veterary standard is an absolute
7:22
veterary standard is an absolute unequivocal yes. And the reasons go so
7:25
unequivocal yes. And the reasons go so
7:25
unequivocal yes. And the reasons go so much deeper than just, you know, keeping
7:27
much deeper than just, you know, keeping
7:27
much deeper than just, you know, keeping the dog still,
7:28
the dog still,
7:28
the dog still, >> right? Because obviously you can't just
7:29
>> right? Because obviously you can't just
7:29
>> right? Because obviously you can't just ask them to open wide and hold still for
7:31
ask them to open wide and hold still for
7:31
ask them to open wide and hold still for an hour.
7:32
an hour.
7:32
an hour. >> Of course not. But it's what happens
7:33
>> Of course not. But it's what happens
7:33
>> Of course not. But it's what happens during that hour that matters. A real
7:36
during that hour that matters. A real
7:36
during that hour that matters. A real professional dental cleaning isn't just
7:38
professional dental cleaning isn't just
7:38
professional dental cleaning isn't just scraping the stuff you can see. The real
7:41
scraping the stuff you can see. The real
7:41
scraping the stuff you can see. The real danger, the periodontal disease is
7:43
danger, the periodontal disease is
7:43
danger, the periodontal disease is hiding below the gum line.
7:45
hiding below the gum line.
7:45
hiding below the gum line. >> So, you have to get under the gums.
7:46
>> So, you have to get under the gums.
7:46
>> So, you have to get under the gums. >> You have to. We use specialized tools to
7:48
>> You have to. We use specialized tools to
7:48
>> You have to. We use specialized tools to clean out those pockets where infection
7:50
clean out those pockets where infection
7:50
clean out those pockets where infection lives. We take dental x-rays because
7:53
lives. We take dental x-rays because
7:53
lives. We take dental x-rays because about 60% of the tooth is invisible,
7:55
about 60% of the tooth is invisible,
7:55
about 60% of the tooth is invisible, hidden in the jawbone. We have to polish
7:57
hidden in the jawbone. We have to polish
7:57
hidden in the jawbone. We have to polish the teeth to prevent plaque from
7:58
the teeth to prevent plaque from
7:58
the teeth to prevent plaque from sticking again.
7:59
sticking again.
7:59
sticking again. >> And trying to do any of that on a dog
8:00
>> And trying to do any of that on a dog
8:00
>> And trying to do any of that on a dog that's awake would be.
8:02
that's awake would be.
8:02
that's awake would be. >> It would be impossible, painful,
8:04
>> It would be impossible, painful,
8:04
>> It would be impossible, painful, incredibly stressful for the dog, and
8:07
incredibly stressful for the dog, and
8:07
incredibly stressful for the dog, and frankly unsafe for everyone involved. it
8:10
frankly unsafe for everyone involved. it
8:10
frankly unsafe for everyone involved. it just wouldn't be effective. You'd miss
8:11
just wouldn't be effective. You'd miss
8:11
just wouldn't be effective. You'd miss the entire point of the procedure.
8:13
the entire point of the procedure.
8:13
the entire point of the procedure. >> And the source material is very clear
8:15
>> And the source material is very clear
8:15
>> And the source material is very clear that ignoring that need, skipping those
8:17
that ignoring that need, skipping those
8:18
that ignoring that need, skipping those cleanings can have really serious
8:20
cleanings can have really serious
8:20
cleanings can have really serious consequences that go way beyond just bad
8:22
consequences that go way beyond just bad
8:22
consequences that go way beyond just bad breath.
8:22
breath.
8:22
breath. >> Oh, absolutely. It's a direct link. Poor
8:25
>> Oh, absolutely. It's a direct link. Poor
8:25
>> Oh, absolutely. It's a direct link. Poor oral hygiene leads to plaque, then
8:27
oral hygiene leads to plaque, then
8:27
oral hygiene leads to plaque, then tartar, then gum disease. And the
8:29
tartar, then gum disease. And the
8:29
tartar, then gum disease. And the bacteria in those infected gums don't
8:31
bacteria in those infected gums don't
8:31
bacteria in those infected gums don't just stay in the mouth,
8:32
just stay in the mouth,
8:32
just stay in the mouth, >> they get into the bloodstream.
8:34
>> they get into the bloodstream.
8:34
>> they get into the bloodstream. >> They get into the bloodstream every
8:35
>> They get into the bloodstream every
8:35
>> They get into the bloodstream every single day. And from there, they travel
8:38
single day. And from there, they travel
8:38
single day. And from there, they travel all over the body. It's a chronic source
8:40
all over the body. It's a chronic source
8:40
all over the body. It's a chronic source of inflammation
8:41
of inflammation
8:41
of inflammation >> and they can cause damage to major
8:43
>> and they can cause damage to major
8:43
>> and they can cause damage to major organs. Right.
8:43
organs. Right.
8:44
organs. Right. >> Yes. The source highlights this very
8:45
>> Yes. The source highlights this very
8:45
>> Yes. The source highlights this very clearly. Those bacteria often lodge on
8:47
clearly. Those bacteria often lodge on
8:48
clearly. Those bacteria often lodge on the valves of the heart causing serious
8:49
the valves of the heart causing serious
8:49
the valves of the heart causing serious heart disease or they get filtered out
8:51
heart disease or they get filtered out
8:51
heart disease or they get filtered out by the kidneys causing long-term kidney
8:53
by the kidneys causing long-term kidney
8:53
by the kidneys causing long-term kidney damage. So, a dental cleaning isn't
8:55
damage. So, a dental cleaning isn't
8:55
damage. So, a dental cleaning isn't cosmetic. It's a medical necessity to
8:58
cosmetic. It's a medical necessity to
8:58
cosmetic. It's a medical necessity to protect their whole body.
8:59
protect their whole body.
8:59
protect their whole body. >> Okay. So, anesthesia is what allows for
9:01
>> Okay. So, anesthesia is what allows for
9:01
>> Okay. So, anesthesia is what allows for that truly comprehensive deep cleaning.
9:04
that truly comprehensive deep cleaning.
9:04
that truly comprehensive deep cleaning. the scaling, the polishing, and if
9:06
the scaling, the polishing, and if
9:06
the scaling, the polishing, and if needed, pulling a bad tooth without any
9:08
needed, pulling a bad tooth without any
9:08
needed, pulling a bad tooth without any pain.
9:09
pain.
9:09
pain. >> Precisely. It makes a critical procedure
9:12
>> Precisely. It makes a critical procedure
9:12
>> Precisely. It makes a critical procedure safe, painless, and effective.
9:14
safe, painless, and effective.
9:14
safe, painless, and effective. >> And then, of course, there are the more
9:16
>> And then, of course, there are the more
9:16
>> And then, of course, there are the more obvious surgical necessities where I
9:18
obvious surgical necessities where I
9:18
obvious surgical necessities where I think owners understand the need for
9:19
think owners understand the need for
9:19
think owners understand the need for anesthesia, even if they're still
9:21
anesthesia, even if they're still
9:21
anesthesia, even if they're still nervous about it.
9:22
nervous about it.
9:22
nervous about it. >> Right? There are some procedures where
9:24
>> Right? There are some procedures where
9:24
>> Right? There are some procedures where complete immobility is just an absolute
9:26
complete immobility is just an absolute
9:26
complete immobility is just an absolute requirement. The most common ones are
9:28
requirement. The most common ones are
9:28
requirement. The most common ones are spaying and neutering,
9:30
spaying and neutering,
9:30
spaying and neutering, >> a major abdominal surgery. In the case
9:32
>> a major abdominal surgery. In the case
9:32
>> a major abdominal surgery. In the case of spaying,
9:33
of spaying,
9:33
of spaying, >> it is removing the ovaries and uterus or
9:36
>> it is removing the ovaries and uterus or
9:36
>> it is removing the ovaries and uterus or the testicles in a male requires deep
9:38
the testicles in a male requires deep
9:38
the testicles in a male requires deep muscle relaxation and total
9:40
muscle relaxation and total
9:40
muscle relaxation and total unconsciousness. And it's worth
9:42
unconsciousness. And it's worth
9:42
unconsciousness. And it's worth remembering that besides population
9:44
remembering that besides population
9:44
remembering that besides population control, these surgeries dramatically
9:46
control, these surgeries dramatically
9:46
control, these surgeries dramatically reduce the risk of certain cancers down
9:48
reduce the risk of certain cancers down
9:48
reduce the risk of certain cancers down the line. So that one-time anesthetic
9:50
the line. So that one-time anesthetic
9:50
the line. So that one-time anesthetic event is a huge investment in their
9:52
event is a huge investment in their
9:52
event is a huge investment in their long-term health.
9:53
long-term health.
9:53
long-term health. >> And then you have the really complex
9:55
>> And then you have the really complex
9:55
>> And then you have the really complex stuff like orthopedic surgeries.
9:57
stuff like orthopedic surgeries.
9:57
stuff like orthopedic surgeries. >> Yes. Things like fixing a broken bone or
9:59
>> Yes. Things like fixing a broken bone or
9:59
>> Yes. Things like fixing a broken bone or repairing a torn cruciate ligament in
10:01
repairing a torn cruciate ligament in
10:01
repairing a torn cruciate ligament in the knee. These are incredibly precise
10:03
the knee. These are incredibly precise
10:03
the knee. These are incredibly precise procedures. The surgeon is aligning
10:05
procedures. The surgeon is aligning
10:05
procedures. The surgeon is aligning bones, placing plates and screws.
10:08
bones, placing plates and screws.
10:08
bones, placing plates and screws. >> There's zero margin for error.
10:09
>> There's zero margin for error.
10:10
>> There's zero margin for error. >> Zero. The dog has to be perfectly
10:12
>> Zero. The dog has to be perfectly
10:12
>> Zero. The dog has to be perfectly reliably still for the entire time.
10:15
reliably still for the entire time.
10:15
reliably still for the entire time. General anesthesia is the only way to
10:17
General anesthesia is the only way to
10:17
General anesthesia is the only way to guarantee the safety and the success of
10:19
guarantee the safety and the success of
10:19
guarantee the safety and the success of that kind of intricate repair work.
10:21
that kind of intricate repair work.
10:21
that kind of intricate repair work. >> Okay, so we've established the
10:22
>> Okay, so we've established the
10:22
>> Okay, so we've established the necessity. Now, let's get into the part
10:24
necessity. Now, let's get into the part
10:24
necessity. Now, let's get into the part I think listeners are most keen to
10:26
I think listeners are most keen to
10:26
I think listeners are most keen to understand. Managing the risks. While
10:30
understand. Managing the risks. While
10:30
understand. Managing the risks. While it's generally safe, owners need to know
10:32
it's generally safe, owners need to know
10:32
it's generally safe, owners need to know what factors can elevate the risk for
10:34
what factors can elevate the risk for
10:34
what factors can elevate the risk for their specific dog.
10:35
their specific dog.
10:35
their specific dog. >> This is so important. This is what
10:37
>> This is so important. This is what
10:37
>> This is so important. This is what empowers you to have that really
10:39
empowers you to have that really
10:39
empowers you to have that really productive conversation with your vet.
10:41
productive conversation with your vet.
10:41
productive conversation with your vet. And the source identifies a few key
10:43
And the source identifies a few key
10:43
And the source identifies a few key factors. The first one is breed
10:44
factors. The first one is breed
10:44
factors. The first one is breed predisposition.
10:46
predisposition.
10:46
predisposition. >> Meaning, some breeds just handle
10:47
>> Meaning, some breeds just handle
10:47
>> Meaning, some breeds just handle anesthesia differently.
10:48
anesthesia differently.
10:48
anesthesia differently. >> That's right. And the classic example,
10:49
>> That's right. And the classic example,
10:49
>> That's right. And the classic example, the one that requires the most
10:50
the one that requires the most
10:50
the one that requires the most specialized care is the brachyphalic or
10:53
specialized care is the brachyphalic or
10:53
specialized care is the brachyphalic or flatfaced breeds.
10:54
flatfaced breeds.
10:54
flatfaced breeds. >> So we're talking about our pugs, our
10:56
>> So we're talking about our pugs, our
10:56
>> So we're talking about our pugs, our French bulldogs, boxers, that group.
10:58
French bulldogs, boxers, that group.
10:58
French bulldogs, boxers, that group. >> Exactly. Their anatomy is their biggest
11:00
>> Exactly. Their anatomy is their biggest
11:00
>> Exactly. Their anatomy is their biggest risk factor. They often have very narrow
11:02
risk factor. They often have very narrow
11:02
risk factor. They often have very narrow nostrils, an elongated soft pallet, a
11:05
nostrils, an elongated soft pallet, a
11:05
nostrils, an elongated soft pallet, a smaller than normal windpipe. Their
11:07
smaller than normal windpipe. Their
11:07
smaller than normal windpipe. Their whole airway is compromised from the
11:09
whole airway is compromised from the
11:09
whole airway is compromised from the start.
11:09
start.
11:09
start. >> And anesthesia makes that worse.
11:10
>> And anesthesia makes that worse.
11:10
>> And anesthesia makes that worse. >> It can because the drugs cause muscle
11:13
>> It can because the drugs cause muscle
11:13
>> It can because the drugs cause muscle relaxation. So those already floppy
11:16
relaxation. So those already floppy
11:16
relaxation. So those already floppy tissues in the back of their throat can
11:17
tissues in the back of their throat can
11:17
tissues in the back of their throat can relax even further and block their
11:19
relax even further and block their
11:19
relax even further and block their airway. This makes breathing and
11:21
airway. This makes breathing and
11:21
airway. This makes breathing and ventilation a real challenge.
11:23
ventilation a real challenge.
11:23
ventilation a real challenge. >> So what does that mean in practice? How
11:25
>> So what does that mean in practice? How
11:25
>> So what does that mean in practice? How do vets manage that?
11:26
do vets manage that?
11:26
do vets manage that? >> It requires a very specific protocol.
11:29
>> It requires a very specific protocol.
11:29
>> It requires a very specific protocol. These dogs must be preoxygenated, given
11:32
These dogs must be preoxygenated, given
11:32
These dogs must be preoxygenated, given pure oxygen for several minutes before
11:34
pure oxygen for several minutes before
11:34
pure oxygen for several minutes before any drugs are administered. The
11:36
any drugs are administered. The
11:36
any drugs are administered. The intubation placing the breathing tube
11:39
intubation placing the breathing tube
11:39
intubation placing the breathing tube has to be done very quickly and
11:40
has to be done very quickly and
11:40
has to be done very quickly and carefully.
11:41
carefully.
11:41
carefully. >> And recovery is different too, I'd
11:42
>> And recovery is different too, I'd
11:42
>> And recovery is different too, I'd imagine. critically different. The
11:45
imagine. critically different. The
11:45
imagine. critically different. The breathing tube stays in place much
11:46
breathing tube stays in place much
11:46
breathing tube stays in place much longer than with other breeds. We wait
11:48
longer than with other breeds. We wait
11:48
longer than with other breeds. We wait until they are almost fully awake and
11:51
until they are almost fully awake and
11:51
until they are almost fully awake and actively trying to swallow and push the
11:53
actively trying to swallow and push the
11:53
actively trying to swallow and push the tube out. Pulling that tube even a
11:55
tube out. Pulling that tube even a
11:55
tube out. Pulling that tube even a minute too early could cause their
11:57
minute too early could cause their
11:57
minute too early could cause their airway to collapse. It's a huge area of
11:59
airway to collapse. It's a huge area of
11:59
airway to collapse. It's a huge area of focus.
11:59
focus.
11:59
focus. >> That's such a crucial detail. Okay. The
12:01
>> That's such a crucial detail. Okay. The
12:01
>> That's such a crucial detail. Okay. The second big factor you mentioned is age.
12:03
second big factor you mentioned is age.
12:03
second big factor you mentioned is age. >> Yes. And it's a factor of both ends of
12:05
>> Yes. And it's a factor of both ends of
12:05
>> Yes. And it's a factor of both ends of the spectrum. Let's start with older
12:07
the spectrum. Let's start with older
12:07
the spectrum. Let's start with older geriatric dogs.
12:08
geriatric dogs.
12:08
geriatric dogs. >> So why are they at higher risk even if
12:10
>> So why are they at higher risk even if
12:10
>> So why are they at higher risk even if they seem pretty healthy for their age?
12:12
they seem pretty healthy for their age?
12:12
they seem pretty healthy for their age? It all comes back to that organ function
12:13
It all comes back to that organ function
12:13
It all comes back to that organ function we talked about. Even in a healthy older
12:16
we talked about. Even in a healthy older
12:16
we talked about. Even in a healthy older dog, the liver and kidneys just don't
12:18
dog, the liver and kidneys just don't
12:18
dog, the liver and kidneys just don't work as efficiently as they did when
12:20
work as efficiently as they did when
12:20
work as efficiently as they did when they were younger. They have diminished
12:21
they were younger. They have diminished
12:22
they were younger. They have diminished clearance.
12:22
clearance.
12:22
clearance. >> So, they can't process the drugs as
12:24
>> So, they can't process the drugs as
12:24
>> So, they can't process the drugs as quickly.
12:24
quickly.
12:24
quickly. >> Exactly. So, if you give them a standard
12:26
>> Exactly. So, if you give them a standard
12:26
>> Exactly. So, if you give them a standard dose, the drug stays in their system for
12:28
dose, the drug stays in their system for
12:28
dose, the drug stays in their system for longer at a higher concentration.
12:31
longer at a higher concentration.
12:31
longer at a higher concentration. This makes them more susceptible to side
12:33
This makes them more susceptible to side
12:33
This makes them more susceptible to side effects like low blood pressure or low
12:35
effects like low blood pressure or low
12:35
effects like low blood pressure or low body temperature. And it just makes for
12:37
body temperature. And it just makes for
12:37
body temperature. And it just makes for a much slower, tougher recovery. which
12:39
a much slower, tougher recovery. which
12:39
a much slower, tougher recovery. which is why that preo blood work is even more
12:42
is why that preo blood work is even more
12:42
is why that preo blood work is even more critical for them.
12:43
critical for them.
12:43
critical for them. >> It's non-negotiable for a senior pet.
12:46
>> It's non-negotiable for a senior pet.
12:46
>> It's non-negotiable for a senior pet. >> And on the flip side, you have very
12:47
>> And on the flip side, you have very
12:47
>> And on the flip side, you have very young puppies.
12:48
young puppies.
12:48
young puppies. >> What are the risks there?
12:50
>> What are the risks there?
12:50
>> What are the risks there? >> Their systems are just immature. Their
12:53
>> Their systems are just immature. Their
12:53
>> Their systems are just immature. Their organs aren't fully developed yet. They
12:55
organs aren't fully developed yet. They
12:55
organs aren't fully developed yet. They have hard time regulating their own
12:57
have hard time regulating their own
12:57
have hard time regulating their own blood sugar and body temperature. So,
12:59
blood sugar and body temperature. So,
12:59
blood sugar and body temperature. So, for them, it's all about super precise
13:01
for them, it's all about super precise
13:01
for them, it's all about super precise dosing, active warming throughout the
13:03
dosing, active warming throughout the
13:03
dosing, active warming throughout the procedure, and sometimes even glucose
13:05
procedure, and sometimes even glucose
13:05
procedure, and sometimes even glucose monitoring to make sure they're stable.
13:07
monitoring to make sure they're stable.
13:07
monitoring to make sure they're stable. So with age and breed as known factors,
13:10
So with age and breed as known factors,
13:10
So with age and breed as known factors, the next step is looking for those
13:11
the next step is looking for those
13:12
the next step is looking for those hidden problems, the underlying health
13:14
hidden problems, the underlying health
13:14
hidden problems, the underlying health conditions.
13:15
conditions.
13:15
conditions. >> Yes, a dog might seem fine at home, but
13:18
>> Yes, a dog might seem fine at home, but
13:18
>> Yes, a dog might seem fine at home, but if they have a condition that
13:19
if they have a condition that
13:19
if they have a condition that compromises their heart, their lungs, or
13:22
compromises their heart, their lungs, or
13:22
compromises their heart, their lungs, or their metabolic system, that really
13:25
their metabolic system, that really
13:25
their metabolic system, that really shrinks their margin of safety under
13:26
shrinks their margin of safety under
13:26
shrinks their margin of safety under anesthesia,
13:27
anesthesia,
13:27
anesthesia, >> like what kind of conditions?
13:29
>> like what kind of conditions?
13:29
>> like what kind of conditions? >> We're talking about even mild heart
13:30
>> We're talking about even mild heart
13:30
>> We're talking about even mild heart disease, diabetes, or chronic
13:32
disease, diabetes, or chronic
13:32
disease, diabetes, or chronic respiratory issues. For these dogs, a
13:35
respiratory issues. For these dogs, a
13:36
respiratory issues. For these dogs, a small drop in blood pressure that a
13:37
small drop in blood pressure that a
13:37
small drop in blood pressure that a healthy dog would barely notice could
13:39
healthy dog would barely notice could
13:40
healthy dog would barely notice could become a serious problem.
13:41
become a serious problem.
13:41
become a serious problem. >> And this loops right back to the
13:42
>> And this loops right back to the
13:42
>> And this loops right back to the pre-anesthetic screening being the
13:44
pre-anesthetic screening being the
13:44
pre-anesthetic screening being the solution.
13:45
solution.
13:45
solution. >> If it's the only solution, the screening
13:46
>> If it's the only solution, the screening
13:46
>> If it's the only solution, the screening isn't just about finding problems. It's
13:49
isn't just about finding problems. It's
13:49
isn't just about finding problems. It's about predicting how the dog will react.
13:51
about predicting how the dog will react.
13:51
about predicting how the dog will react. If we find, say, early kidney disease on
13:54
If we find, say, early kidney disease on
13:54
If we find, say, early kidney disease on the blood work, the whole plan changes,
13:56
the blood work, the whole plan changes,
13:56
the blood work, the whole plan changes, >> right?
13:56
>> right?
13:56
>> right? >> The vet will immediately select
13:57
>> The vet will immediately select
13:57
>> The vet will immediately select different kidney safe drugs. They'll run
13:59
different kidney safe drugs. They'll run
13:59
different kidney safe drugs. They'll run IV fluids more aggressively to support
14:01
IV fluids more aggressively to support
14:01
IV fluids more aggressively to support blood flow to the kidneys. They'll
14:03
blood flow to the kidneys. They'll
14:03
blood flow to the kidneys. They'll monitor blood pressure even more
14:05
monitor blood pressure even more
14:05
monitor blood pressure even more closely. It's all about knowing the
14:07
closely. It's all about knowing the
14:07
closely. It's all about knowing the vulnerability ahead of time so you can
14:08
vulnerability ahead of time so you can
14:08
vulnerability ahead of time so you can build a plan to protect it.
14:10
build a plan to protect it.
14:10
build a plan to protect it. >> So, let's do a deeper dive into those
14:12
>> So, let's do a deeper dive into those
14:12
>> So, let's do a deeper dive into those safety protocols themselves. We've
14:14
safety protocols themselves. We've
14:14
safety protocols themselves. We've talked about the pre-procedure
14:15
talked about the pre-procedure
14:15
talked about the pre-procedure evaluation. Let's really get into the
14:17
evaluation. Let's really get into the
14:17
evaluation. Let's really get into the details of what those tests are telling
14:19
details of what those tests are telling
14:19
details of what those tests are telling the vet.
14:20
the vet.
14:20
the vet. >> Okay. So, the blood work is usually two
14:22
>> Okay. So, the blood work is usually two
14:22
>> Okay. So, the blood work is usually two main panels. The first is the complete
14:24
main panels. The first is the complete
14:24
main panels. The first is the complete blood count or CBC. This tells us about
14:27
blood count or CBC. This tells us about
14:27
blood count or CBC. This tells us about all the blood cells.
14:28
all the blood cells.
14:28
all the blood cells. >> Red cells, white cells.
14:29
>> Red cells, white cells.
14:29
>> Red cells, white cells. >> Exactly. Red cells tell us about oxygen
14:32
>> Exactly. Red cells tell us about oxygen
14:32
>> Exactly. Red cells tell us about oxygen carrying capacity. White cells can flag
14:34
carrying capacity. White cells can flag
14:34
carrying capacity. White cells can flag a hidden infection. And platelets tell
14:36
a hidden infection. And platelets tell
14:36
a hidden infection. And platelets tell us if the dog's blood can clot properly,
14:38
us if the dog's blood can clot properly,
14:38
us if the dog's blood can clot properly, which is obviously vital before surgery.
14:40
which is obviously vital before surgery.
14:40
which is obviously vital before surgery. >> And the second panel,
14:41
>> And the second panel,
14:41
>> And the second panel, >> that's the biochemistry panel. That's
14:43
>> that's the biochemistry panel. That's
14:43
>> that's the biochemistry panel. That's the one that looks at organ function. It
14:45
the one that looks at organ function. It
14:45
the one that looks at organ function. It gives us those key values for the liver
14:46
gives us those key values for the liver
14:46
gives us those key values for the liver and kidneys we discussed, but it also
14:48
and kidneys we discussed, but it also
14:48
and kidneys we discussed, but it also checks electrolytes like potassium,
14:50
checks electrolytes like potassium,
14:50
checks electrolytes like potassium, which is critical for heart rhythm, and
14:52
which is critical for heart rhythm, and
14:52
which is critical for heart rhythm, and blood glucose for metabolic status. It's
14:55
blood glucose for metabolic status. It's
14:55
blood glucose for metabolic status. It's a snapshot of the entire body's internal
14:57
a snapshot of the entire body's internal
14:57
a snapshot of the entire body's internal engine. And again, the owner's role in
14:59
engine. And again, the owner's role in
14:59
engine. And again, the owner's role in providing that health history is just as
15:01
providing that health history is just as
15:01
providing that health history is just as important as the blood work.
15:03
important as the blood work.
15:03
important as the blood work. >> It's a critical piece of the puzzle. You
15:05
>> It's a critical piece of the puzzle. You
15:05
>> It's a critical piece of the puzzle. You have to tell the vet about every single
15:07
have to tell the vet about every single
15:07
have to tell the vet about every single medication because so many common drugs
15:09
medication because so many common drugs
15:09
medication because so many common drugs can interact with the anesthetic agents.
15:11
can interact with the anesthetic agents.
15:11
can interact with the anesthetic agents. Even something simple like an NSAID for
15:14
Even something simple like an NSAID for
15:14
Even something simple like an NSAID for arthritis can affect kidney function or
15:16
arthritis can affect kidney function or
15:16
arthritis can affect kidney function or blood clotting under anesthesia.
15:18
blood clotting under anesthesia.
15:18
blood clotting under anesthesia. >> So, the vet needs that info to adjust
15:20
>> So, the vet needs that info to adjust
15:20
>> So, the vet needs that info to adjust the plan.
15:21
the plan.
15:21
the plan. >> They do. They might ask you to withhold
15:23
>> They do. They might ask you to withhold
15:23
>> They do. They might ask you to withhold a certain medication for a day or two or
15:25
a certain medication for a day or two or
15:25
a certain medication for a day or two or they might choose a different anesthetic
15:27
they might choose a different anesthetic
15:27
they might choose a different anesthetic to avoid a negative interaction. It's
15:29
to avoid a negative interaction. It's
15:29
to avoid a negative interaction. It's all part of building that safety net.
15:31
all part of building that safety net.
15:31
all part of building that safety net. >> Okay, so the assessment is done, the
15:33
>> Okay, so the assessment is done, the
15:33
>> Okay, so the assessment is done, the plan is made, and the dog is safely
15:35
plan is made, and the dog is safely
15:35
plan is made, and the dog is safely under anesthesia. Now we get to the
15:37
under anesthesia. Now we get to the
15:37
under anesthesia. Now we get to the monitoring. What exactly are they
15:39
monitoring. What exactly are they
15:39
monitoring. What exactly are they watching on all those machines that are
15:41
watching on all those machines that are
15:41
watching on all those machines that are beeping?
15:41
beeping?
15:42
beeping? >> This is the most active part of the
15:43
>> This is the most active part of the
15:43
>> This is the most active part of the safety protocol. And in modern practice,
15:45
safety protocol. And in modern practice,
15:45
safety protocol. And in modern practice, there should always be a dedicated
15:47
there should always be a dedicated
15:47
there should always be a dedicated person, a trained veterinary technician
15:49
person, a trained veterinary technician
15:50
person, a trained veterinary technician or another vet whose only job is to be
15:52
or another vet whose only job is to be
15:52
or another vet whose only job is to be the anesthetist. Their eyes are glued to
15:54
the anesthetist. Their eyes are glued to
15:54
the anesthetist. Their eyes are glued to the monitors and the patient.
15:56
the monitors and the patient.
15:56
the monitors and the patient. >> And what are they tracking?
15:57
>> And what are they tracking?
15:57
>> And what are they tracking? >> The core vital signs, heart rate and
16:00
>> The core vital signs, heart rate and
16:00
>> The core vital signs, heart rate and rhythm,
16:01
rhythm,
16:01
rhythm, >> respiratory rate,
16:02
>> respiratory rate,
16:02
>> respiratory rate, >> and the oxygen saturation of the blood,
16:04
>> and the oxygen saturation of the blood,
16:04
>> and the oxygen saturation of the blood, which should stay up around 98 to 100%.
16:07
which should stay up around 98 to 100%.
16:07
which should stay up around 98 to 100%. Any little dip in those numbers prompts
16:09
Any little dip in those numbers prompts
16:09
Any little dip in those numbers prompts an immediate adjustment.
16:11
an immediate adjustment.
16:11
an immediate adjustment. >> And they're using advanced equipment to
16:12
>> And they're using advanced equipment to
16:12
>> And they're using advanced equipment to track this. Oh yeah, every patient
16:15
track this. Oh yeah, every patient
16:15
track this. Oh yeah, every patient should be hooked up to an ECG to watch
16:17
should be hooked up to an ECG to watch
16:17
should be hooked up to an ECG to watch the heart's electrical rhythm for any
16:19
the heart's electrical rhythm for any
16:19
the heart's electrical rhythm for any abnormalities.
16:20
abnormalities.
16:20
abnormalities. A blood pressure monitor is crucial for
16:23
A blood pressure monitor is crucial for
16:23
A blood pressure monitor is crucial for making sure the vital organs are getting
16:24
making sure the vital organs are getting
16:24
making sure the vital organs are getting enough blood flow. And a pulse oximter,
16:27
enough blood flow. And a pulse oximter,
16:27
enough blood flow. And a pulse oximter, which is that little clip that measures
16:28
which is that little clip that measures
16:28
which is that little clip that measures the oxygen in the blood.
16:30
the oxygen in the blood.
16:30
the oxygen in the blood. >> But the source material, and I've heard
16:31
>> But the source material, and I've heard
16:31
>> But the source material, and I've heard this from specialists, too, points to
16:34
this from specialists, too, points to
16:34
this from specialists, too, points to one piece of equipment as being maybe
16:36
one piece of equipment as being maybe
16:36
one piece of equipment as being maybe the most important of all,
16:38
the most important of all,
16:38
the most important of all, >> the capnograph. Yes. If there's one
16:41
>> the capnograph. Yes. If there's one
16:41
>> the capnograph. Yes. If there's one question an owner should ask, it's do
16:42
question an owner should ask, it's do
16:42
question an owner should ask, it's do you use a capnograph on every patient?
16:44
you use a capnograph on every patient?
16:44
you use a capnograph on every patient? >> So, what does it do that's so special?
16:46
>> So, what does it do that's so special?
16:46
>> So, what does it do that's so special? >> It measures the amount of carbon dioxide
16:48
>> It measures the amount of carbon dioxide
16:48
>> It measures the amount of carbon dioxide the dog exhales with every single
16:49
the dog exhales with every single
16:49
the dog exhales with every single breath. And that number is the single
16:52
breath. And that number is the single
16:52
breath. And that number is the single best real-time indicator of how well
16:54
best real-time indicator of how well
16:54
best real-time indicator of how well they are breathing and how well their
16:55
they are breathing and how well their
16:56
they are breathing and how well their blood is circulating.
16:56
blood is circulating.
16:56
blood is circulating. >> Wow.
16:57
>> Wow.
16:57
>> Wow. >> If that number starts to creep up, it
16:59
>> If that number starts to creep up, it
16:59
>> If that number starts to creep up, it means they're not breathing effectively
17:00
means they're not breathing effectively
17:00
means they're not breathing effectively enough. If it suddenly drops, it's often
17:03
enough. If it suddenly drops, it's often
17:03
enough. If it suddenly drops, it's often the very first sign of a serious drop in
17:05
the very first sign of a serious drop in
17:05
the very first sign of a serious drop in blood pressure. It's our earliest
17:07
blood pressure. It's our earliest
17:07
blood pressure. It's our earliest warning system for the two most common
17:09
warning system for the two most common
17:09
warning system for the two most common and serious anesthetic complications. It
17:12
and serious anesthetic complications. It
17:12
and serious anesthetic complications. It lets us intervene before a problem
17:14
lets us intervene before a problem
17:14
lets us intervene before a problem becomes a crisis.
17:15
becomes a crisis.
17:15
becomes a crisis. >> That is incredibly reassuring. It's
17:17
>> That is incredibly reassuring. It's
17:17
>> That is incredibly reassuring. It's amazing how technology has pushed the
17:19
amazing how technology has pushed the
17:19
amazing how technology has pushed the safety margin so far forward.
17:21
safety margin so far forward.
17:21
safety margin so far forward. >> It really has. And it's not just the
17:23
>> It really has. And it's not just the
17:23
>> It really has. And it's not just the monitoring equipment. The drugs
17:25
monitoring equipment. The drugs
17:25
monitoring equipment. The drugs themselves are so much better than they
17:26
themselves are so much better than they
17:26
themselves are so much better than they used to be.
17:27
used to be.
17:27
used to be. >> How so?
17:28
>> How so?
17:28
>> How so? >> Well, the modern gas anesthetics we use
17:29
>> Well, the modern gas anesthetics we use
17:30
>> Well, the modern gas anesthetics we use today like sevil florane are hardly
17:32
today like sevil florane are hardly
17:32
today like sevil florane are hardly metabolized by the body at all. They're
17:34
metabolized by the body at all. They're
17:34
metabolized by the body at all. They're mostly just breathed out. This means
17:36
mostly just breathed out. This means
17:36
mostly just breathed out. This means when we turn the gas off, they wake up
17:38
when we turn the gas off, they wake up
17:38
when we turn the gas off, they wake up very quickly and very smoothly with
17:40
very quickly and very smoothly with
17:40
very quickly and very smoothly with fewer side effects like groggginess or
17:42
fewer side effects like groggginess or
17:42
fewer side effects like groggginess or nausea.
17:43
nausea.
17:43
nausea. >> And the delivery is more precise now,
17:44
>> And the delivery is more precise now,
17:44
>> And the delivery is more precise now, too.
17:45
too.
17:45
too. >> So much more precise. Instead of just
17:47
>> So much more precise. Instead of just
17:47
>> So much more precise. Instead of just drawing up a drug in a syringe, we use
17:48
drawing up a drug in a syringe, we use
17:48
drawing up a drug in a syringe, we use sophisticated infusion pumps that
17:51
sophisticated infusion pumps that
17:51
sophisticated infusion pumps that deliver a continuous exact micro doed
17:54
deliver a continuous exact micro doed
17:54
deliver a continuous exact micro doed amount of medication over time. This
17:56
amount of medication over time. This
17:56
amount of medication over time. This avoids the peaks and valleys you get
17:57
avoids the peaks and valleys you get
17:57
avoids the peaks and valleys you get with single injections and keeps the dog
17:59
with single injections and keeps the dog
18:00
with single injections and keeps the dog in a much more stable anesthetic plane.
18:02
in a much more stable anesthetic plane.
18:02
in a much more stable anesthetic plane. And the source even mentioned imaging
18:03
And the source even mentioned imaging
18:04
And the source even mentioned imaging technology as a safety advancement. How
18:06
technology as a safety advancement. How
18:06
technology as a safety advancement. How does that fit in?
18:07
does that fit in?
18:07
does that fit in? >> Well, this is about preparation. If we
18:08
>> Well, this is about preparation. If we
18:08
>> Well, this is about preparation. If we can get a CT scan or an MRI before a
18:10
can get a CT scan or an MRI before a
18:10
can get a CT scan or an MRI before a complex surgery, the surgeon can see the
18:13
complex surgery, the surgeon can see the
18:13
complex surgery, the surgeon can see the problem in 3D. They can plan their every
18:15
problem in 3D. They can plan their every
18:15
problem in 3D. They can plan their every move.
18:15
move.
18:15
move. >> So, the surgery itself is faster and
18:17
>> So, the surgery itself is faster and
18:17
>> So, the surgery itself is faster and less invasive.
18:19
less invasive.
18:19
less invasive. >> Exactly. And the less time a dog has to
18:20
>> Exactly. And the less time a dog has to
18:20
>> Exactly. And the less time a dog has to spend under anesthesia, the lower the
18:23
spend under anesthesia, the lower the
18:23
spend under anesthesia, the lower the overall risk. So, better planning leads
18:25
overall risk. So, better planning leads
18:25
overall risk. So, better planning leads directly to a safer procedure.
18:27
directly to a safer procedure.
18:27
directly to a safer procedure. >> Okay. So, let's move into the final
18:28
>> Okay. So, let's move into the final
18:28
>> Okay. So, let's move into the final phase, post anesthesia care. The
18:31
phase, post anesthesia care. The
18:31
phase, post anesthesia care. The procedure is done. The dog is waking up.
18:35
procedure is done. The dog is waking up.
18:35
procedure is done. The dog is waking up. What should an owner expect to see when
18:37
What should an owner expect to see when
18:37
What should an owner expect to see when they go for pickup?
18:38
they go for pickup?
18:38
they go for pickup? >> The first thing to know is that they
18:40
>> The first thing to know is that they
18:40
>> The first thing to know is that they probably won't be their normal bouncy
18:42
probably won't be their normal bouncy
18:42
probably won't be their normal bouncy self right away. That's totally normal.
18:44
self right away. That's totally normal.
18:44
self right away. That's totally normal. They might seem a little disoriented,
18:46
They might seem a little disoriented,
18:46
They might seem a little disoriented, maybe a bit whiny or shaky.
18:47
maybe a bit whiny or shaky.
18:47
maybe a bit whiny or shaky. >> Just going to add of it.
18:48
>> Just going to add of it.
18:48
>> Just going to add of it. >> Exactly. They're emerging from a very
18:51
>> Exactly. They're emerging from a very
18:51
>> Exactly. They're emerging from a very deep sleep. The vet team's job is to
18:54
deep sleep. The vet team's job is to
18:54
deep sleep. The vet team's job is to manage that transition in a quiet, warm,
18:57
manage that transition in a quiet, warm,
18:57
manage that transition in a quiet, warm, comfortable space where they can be
18:58
comfortable space where they can be
18:58
comfortable space where they can be monitored closely until they're steady
19:00
monitored closely until they're steady
19:00
monitored closely until they're steady on their feet and fully aware.
19:02
on their feet and fully aware.
19:02
on their feet and fully aware. >> The source has a great example of this
19:03
>> The source has a great example of this
19:03
>> The source has a great example of this with an older dog. Right.
19:04
with an older dog. Right.
19:04
with an older dog. Right. >> It does. It talks about Max, a
19:06
>> It does. It talks about Max, a
19:06
>> It does. It talks about Max, a 10-year-old dachshund who needed a tooth
19:08
10-year-old dachshund who needed a tooth
19:08
10-year-old dachshund who needed a tooth pulled. His owner, John, was very
19:10
pulled. His owner, John, was very
19:10
pulled. His owner, John, was very nervous because of his age, but the
19:12
nervous because of his age, but the
19:12
nervous because of his age, but the clinic did the full workup, used FARV
19:14
clinic did the full workup, used FARV
19:14
clinic did the full workup, used FARV fluids, tailored the drugs,
19:15
fluids, tailored the drugs,
19:15
fluids, tailored the drugs, >> and his recovery was smooth.
19:17
>> and his recovery was smooth.
19:17
>> and his recovery was smooth. >> Perfectly smooth. It's a great
19:18
>> Perfectly smooth. It's a great
19:18
>> Perfectly smooth. It's a great illustration of how proper preparation
19:20
illustration of how proper preparation
19:20
illustration of how proper preparation can make a high-risisk patient have a
19:22
can make a high-risisk patient have a
19:22
can make a high-risisk patient have a totally routine and safe outcome.
19:24
totally routine and safe outcome.
19:24
totally routine and safe outcome. >> So then Max goes home with John and the
19:26
>> So then Max goes home with John and the
19:26
>> So then Max goes home with John and the responsibility shifts. What should you
19:28
responsibility shifts. What should you
19:28
responsibility shifts. What should you as the owner be looking for in that
19:30
as the owner be looking for in that
19:30
as the owner be looking for in that first 24 to 48 hours?
19:33
first 24 to 48 hours?
19:33
first 24 to 48 hours? >> Your job becomes active medical manager
19:35
>> Your job becomes active medical manager
19:35
>> Your job becomes active medical manager and priority number one is pain
19:37
and priority number one is pain
19:37
and priority number one is pain management. You have to give the
19:38
management. You have to give the
19:38
management. You have to give the prescribed pain medication on schedule
19:41
prescribed pain medication on schedule
19:41
prescribed pain medication on schedule even if they seem okay
19:42
even if they seem okay
19:42
even if they seem okay >> and you need to know the more subtle
19:44
>> and you need to know the more subtle
19:44
>> and you need to know the more subtle signs of pain.
19:45
signs of pain.
19:45
signs of pain. >> Yes, it's not always whining. It could
19:47
>> Yes, it's not always whining. It could
19:47
>> Yes, it's not always whining. It could be restlessness, panting when it's not
19:49
be restlessness, panting when it's not
19:49
be restlessness, panting when it's not hot, a tucked up belly, or just an
19:51
hot, a tucked up belly, or just an
19:51
hot, a tucked up belly, or just an inability to get comfortable. If you see
19:53
inability to get comfortable. If you see
19:53
inability to get comfortable. If you see that, you need to call your vet.
19:55
that, you need to call your vet.
19:55
that, you need to call your vet. >> Okay, so pain meds first. What's next?
19:57
>> Okay, so pain meds first. What's next?
19:57
>> Okay, so pain meds first. What's next? >> You need to be checking the surgical
19:58
>> You need to be checking the surgical
19:58
>> You need to be checking the surgical site. A little bit of redness or
20:00
site. A little bit of redness or
20:00
site. A little bit of redness or bruising can be normal, but you're
20:02
bruising can be normal, but you're
20:02
bruising can be normal, but you're looking for excessive swelling, any
20:04
looking for excessive swelling, any
20:04
looking for excessive swelling, any active bleeding, or any kind of color
20:06
active bleeding, or any kind of color
20:06
active bleeding, or any kind of color discharge. That warrants a call.
20:08
discharge. That warrants a call.
20:08
discharge. That warrants a call. >> And what about eating and drinking? A
20:09
>> And what about eating and drinking? A
20:09
>> And what about eating and drinking? A lot of dogs seem a bit nauseous after.
20:11
lot of dogs seem a bit nauseous after.
20:12
lot of dogs seem a bit nauseous after. >> They can be. It's best to offer a small
20:14
>> They can be. It's best to offer a small
20:14
>> They can be. It's best to offer a small amount of water first, then a few hours
20:16
amount of water first, then a few hours
20:16
amount of water first, then a few hours later, a small bland meal like some
20:19
later, a small bland meal like some
20:19
later, a small bland meal like some boiled chicken and rice. What you're
20:21
boiled chicken and rice. What you're
20:21
boiled chicken and rice. What you're watching for is a refusal to eat or
20:23
watching for is a refusal to eat or
20:23
watching for is a refusal to eat or drink for more than 24 hours or more
20:25
drink for more than 24 hours or more
20:25
drink for more than 24 hours or more importantly, repeated vomiting.
20:27
importantly, repeated vomiting.
20:27
importantly, repeated vomiting. >> One and two times might be okay, but
20:29
>> One and two times might be okay, but
20:29
>> One and two times might be okay, but more than that is a problem.
20:31
more than that is a problem.
20:31
more than that is a problem. >> Exactly. More than that, and you need to
20:33
>> Exactly. More than that, and you need to
20:33
>> Exactly. More than that, and you need to call the vet right away. And the last
20:35
call the vet right away. And the last
20:35
call the vet right away. And the last thing, which can be the hardest, is
20:38
thing, which can be the hardest, is
20:38
thing, which can be the hardest, is activity restriction.
20:39
activity restriction.
20:39
activity restriction. >> No running, no jumping, no stairs,
20:41
>> No running, no jumping, no stairs,
20:41
>> No running, no jumping, no stairs, >> none of it.
20:42
>> none of it.
20:42
>> none of it. They need to be kept quiet to allow
20:44
They need to be kept quiet to allow
20:44
They need to be kept quiet to allow their body to heal.
20:46
their body to heal.
20:46
their body to heal. >> This means short, calm, leashed walks
20:50
>> This means short, calm, leashed walks
20:50
>> This means short, calm, leashed walks for bathroom breaks only. I know it's
20:52
for bathroom breaks only. I know it's
20:52
for bathroom breaks only. I know it's tough with an energetic dog, but it's
20:54
tough with an energetic dog, but it's
20:54
tough with an energetic dog, but it's absolutely essential to prevent them
20:56
absolutely essential to prevent them
20:56
absolutely essential to prevent them from damaging the surgical repair.
20:58
from damaging the surgical repair.
20:58
from damaging the surgical repair. >> This brings up a really important point.
21:00
>> This brings up a really important point.
21:00
>> This brings up a really important point. While we know complications are rare,
21:02
While we know complications are rare,
21:02
While we know complications are rare, what are the absolute emergency
21:04
what are the absolute emergency
21:04
what are the absolute emergency symptoms? When do you stop watching and
21:06
symptoms? When do you stop watching and
21:06
symptoms? When do you stop watching and call the vet immediately?
21:07
call the vet immediately?
21:07
call the vet immediately? >> Okay, this is crucial. There are a few
21:08
>> Okay, this is crucial. There are a few
21:08
>> Okay, this is crucial. There are a few red flags. The first is any difficulty
21:10
red flags. The first is any difficulty
21:10
red flags. The first is any difficulty breathing, gasping, labored breaths, or
21:13
breathing, gasping, labored breaths, or
21:13
breathing, gasping, labored breaths, or if their gums look pale or bluish,
21:15
if their gums look pale or bluish,
21:15
if their gums look pale or bluish, that's a true emergency.
21:16
that's a true emergency.
21:16
that's a true emergency. >> Okay.
21:16
>> Okay.
21:16
>> Okay. >> The second is sudden collapse or
21:18
>> The second is sudden collapse or
21:18
>> The second is sudden collapse or profound weakness where they can't stand
21:19
profound weakness where they can't stand
21:20
profound weakness where they can't stand up.
21:20
up.
21:20
up. >> Third would be that persistent
21:21
>> Third would be that persistent
21:21
>> Third would be that persistent uncontrollable vomiting we just
21:23
uncontrollable vomiting we just
21:23
uncontrollable vomiting we just mentioned. And finally, if they're just
21:25
mentioned. And finally, if they're just
21:25
mentioned. And finally, if they're just unusually unresponsive or lethargic, you
21:27
unusually unresponsive or lethargic, you
21:27
unusually unresponsive or lethargic, you know, way beyond what you'd expect. If
21:29
know, way beyond what you'd expect. If
21:29
know, way beyond what you'd expect. If you can't rouse them 12 hours later,
21:31
you can't rouse them 12 hours later,
21:31
you can't rouse them 12 hours later, something is wrong. It's so important to
21:33
something is wrong. It's so important to
21:33
something is wrong. It's so important to have those in your mind, but also to
21:34
have those in your mind, but also to
21:34
have those in your mind, but also to remember, as the source points out, that
21:36
remember, as the source points out, that
21:36
remember, as the source points out, that the vast majority of cases go perfectly
21:39
the vast majority of cases go perfectly
21:39
the vast majority of cases go perfectly well.
21:39
well.
21:39
well. >> They really do. And the source gives us
21:41
>> They really do. And the source gives us
21:41
>> They really do. And the source gives us another great example with Bella, a
21:43
another great example with Bella, a
21:43
another great example with Bella, a 5-year-old golden retriever.
21:45
5-year-old golden retriever.
21:45
5-year-old golden retriever. >> Her first dental cleaning.
21:46
>> Her first dental cleaning.
21:46
>> Her first dental cleaning. >> Yes. And her owner, Sarah, was really
21:49
>> Yes. And her owner, Sarah, was really
21:49
>> Yes. And her owner, Sarah, was really nervous. But she had a long talk with
21:51
nervous. But she had a long talk with
21:51
nervous. But she had a long talk with her vet, who explained all the
21:53
her vet, who explained all the
21:53
her vet, who explained all the monitoring they'd be using, the specific
21:55
monitoring they'd be using, the specific
21:55
monitoring they'd be using, the specific drugs.
21:55
drugs.
21:55
drugs. >> Mhm.
21:56
>> Mhm.
21:56
>> Mhm. >> And it put her at ease. Bella had the
21:58
>> And it put her at ease. Bella had the
21:58
>> And it put her at ease. Bella had the procedure, woke up smoothly, and was
22:00
procedure, woke up smoothly, and was
22:00
procedure, woke up smoothly, and was back to normal the next day with much
22:02
back to normal the next day with much
22:02
back to normal the next day with much healthier teeth. That is the typical
22:05
healthier teeth. That is the typical
22:05
healthier teeth. That is the typical experience.
22:06
experience.
22:06
experience. >> And that brings us to the final and
22:08
>> And that brings us to the final and
22:08
>> And that brings us to the final and maybe most empowering part of this, the
22:11
maybe most empowering part of this, the
22:11
maybe most empowering part of this, the discussion with your veterinarian. Being
22:13
discussion with your veterinarian. Being
22:13
discussion with your veterinarian. Being prepared with the right questions is the
22:16
prepared with the right questions is the
22:16
prepared with the right questions is the ultimate layer of protection.
22:17
ultimate layer of protection.
22:17
ultimate layer of protection. >> It absolutely is. You are your dog's
22:19
>> It absolutely is. You are your dog's
22:19
>> It absolutely is. You are your dog's advocate. The source lays out some must
22:21
advocate. The source lays out some must
22:21
advocate. The source lays out some must ask questions for any pre-anesthetic
22:23
ask questions for any pre-anesthetic
22:23
ask questions for any pre-anesthetic consult.
22:24
consult.
22:24
consult. >> Hey, what's number one? First, ask about
22:25
>> Hey, what's number one? First, ask about
22:25
>> Hey, what's number one? First, ask about the specific anesthesia protocol. Why
22:27
the specific anesthesia protocol. Why
22:27
the specific anesthesia protocol. Why did they choose these particular drugs
22:29
did they choose these particular drugs
22:29
did they choose these particular drugs for your dog? This confirms that they've
22:31
for your dog? This confirms that they've
22:31
for your dog? This confirms that they've done that individual assessment we
22:32
done that individual assessment we
22:32
done that individual assessment we talked about.
22:33
talked about.
22:33
talked about. >> Okay. Number two,
22:34
>> Okay. Number two,
22:34
>> Okay. Number two, >> confirm the monitoring techniques. Ask,
22:36
>> confirm the monitoring techniques. Ask,
22:36
>> confirm the monitoring techniques. Ask, "Will my dog have a dedicated
22:38
"Will my dog have a dedicated
22:38
"Will my dog have a dedicated anesthetist? Will you be using an ECG,
22:41
anesthetist? Will you be using an ECG,
22:41
anesthetist? Will you be using an ECG, blood pressure, and a capnograph?" You
22:44
blood pressure, and a capnograph?" You
22:44
blood pressure, and a capnograph?" You want to hear a confident yes to all of
22:45
want to hear a confident yes to all of
22:45
want to hear a confident yes to all of those.
22:46
those.
22:46
those. >> And then you want to get specific about
22:47
>> And then you want to get specific about
22:48
>> And then you want to get specific about your dog's own risk factors. you do ask,
22:51
your dog's own risk factors. you do ask,
22:51
your dog's own risk factors. you do ask, "What are the specific risks for my
22:53
"What are the specific risks for my
22:53
"What are the specific risks for my dog's breed and age, and what are you
22:55
dog's breed and age, and what are you
22:55
dog's breed and age, and what are you doing to mitigate them?" If you have a
22:57
doing to mitigate them?" If you have a
22:57
doing to mitigate them?" If you have a pug, you want to hear them talk about
22:59
pug, you want to hear them talk about
22:59
pug, you want to hear them talk about their special airway protocol.
23:00
their special airway protocol.
23:00
their special airway protocol. >> That makes sense. What else?
23:01
>> That makes sense. What else?
23:01
>> That makes sense. What else? >> Ask them to explain the recommendation
23:03
>> Ask them to explain the recommendation
23:03
>> Ask them to explain the recommendation for the pre-anesthetic tests. What are
23:05
for the pre-anesthetic tests. What are
23:05
for the pre-anesthetic tests. What are they looking for in the blood work? And
23:07
they looking for in the blood work? And
23:07
they looking for in the blood work? And how would an abnormal result change
23:08
how would an abnormal result change
23:08
how would an abnormal result change their plan? This confirms they're
23:10
their plan? This confirms they're
23:10
their plan? This confirms they're thinking ahead,
23:11
thinking ahead,
23:11
thinking ahead, >> right? And finally, you want to look
23:13
>> right? And finally, you want to look
23:13
>> right? And finally, you want to look past the procedure itself.
23:15
past the procedure itself.
23:15
past the procedure itself. >> Yes. Ask for a full outline of the
23:17
>> Yes. Ask for a full outline of the
23:17
>> Yes. Ask for a full outline of the recovery process and the pain management
23:19
recovery process and the pain management
23:19
recovery process and the pain management plan. You want to walk out of that
23:21
plan. You want to walk out of that
23:21
plan. You want to walk out of that appointment knowing exactly what to
23:23
appointment knowing exactly what to
23:23
appointment knowing exactly what to expect and what to do when you get your
23:24
expect and what to do when you get your
23:24
expect and what to do when you get your dog home.
23:25
dog home.
23:25
dog home. >> So, if we pull this all together, what's
23:27
>> So, if we pull this all together, what's
23:27
>> So, if we pull this all together, what's the final takeaway here?
23:29
the final takeaway here?
23:29
the final takeaway here? >> I think the big picture is that
23:30
>> I think the big picture is that
23:30
>> I think the big picture is that anesthesia is an incredibly valuable and
23:33
anesthesia is an incredibly valuable and
23:33
anesthesia is an incredibly valuable and safe tool in modern veterinary medicine.
23:36
safe tool in modern veterinary medicine.
23:36
safe tool in modern veterinary medicine. The safety is built on a foundation of
23:37
The safety is built on a foundation of
23:38
The safety is built on a foundation of diligent preparation, constant
23:40
diligent preparation, constant
23:40
diligent preparation, constant monitoring, and attentive afterare by
23:42
monitoring, and attentive afterare by
23:42
monitoring, and attentive afterare by both the vet team and the owner. And the
23:44
both the vet team and the owner. And the
23:44
both the vet team and the owner. And the benefits, whether it's treating a
23:45
benefits, whether it's treating a
23:45
benefits, whether it's treating a painful condition or preventing future
23:47
painful condition or preventing future
23:47
painful condition or preventing future disease, almost always far outweigh that
23:49
disease, almost always far outweigh that
23:50
disease, almost always far outweigh that very small, very well-managed risk.
23:52
very small, very well-managed risk.
23:52
very small, very well-managed risk. >> Exactly. Your role in this is to be
23:54
>> Exactly. Your role in this is to be
23:54
>> Exactly. Your role in this is to be informed, to ask questions, and to work
23:57
informed, to ask questions, and to work
23:57
informed, to ask questions, and to work as a partner with your vet. That
23:59
as a partner with your vet. That
23:59
as a partner with your vet. That partnership is what ensures the absolute
24:00
partnership is what ensures the absolute
24:00
partnership is what ensures the absolute best and safest care for your dog.
24:03
best and safest care for your dog.
24:03
best and safest care for your dog. >> Right? So, since we're all about
24:04
>> Right? So, since we're all about
24:04
>> Right? So, since we're all about critical thinking here, let's end with a
24:06
critical thinking here, let's end with a
24:06
critical thinking here, let's end with a final thought for you to chew on. We
24:08
final thought for you to chew on. We
24:08
final thought for you to chew on. We talked about how advanced imaging like
24:10
talked about how advanced imaging like
24:10
talked about how advanced imaging like CT scans improves safety by allowing for
24:12
CT scans improves safety by allowing for
24:12
CT scans improves safety by allowing for better surgical planning. So consider
24:15
better surgical planning. So consider
24:15
better surgical planning. So consider this. As that imaging technology gets
24:17
this. As that imaging technology gets
24:17
this. As that imaging technology gets even faster and more precise, maybe even
24:19
even faster and more precise, maybe even
24:20
even faster and more precise, maybe even giving surgeons a real-time view inside
24:21
giving surgeons a real-time view inside
24:21
giving surgeons a real-time view inside the body during the procedure, how might
24:24
the body during the procedure, how might
24:24
the body during the procedure, how might that change our reliance on anesthesia
24:26
that change our reliance on anesthesia
24:26
that change our reliance on anesthesia in the future? Could we see a day where
24:28
in the future? Could we see a day where
24:28
in the future? Could we see a day where procedures become so efficient that the
24:30
procedures become so efficient that the
24:30
procedures become so efficient that the time a dog needs to be under is cut in
24:31
time a dog needs to be under is cut in
24:31
time a dog needs to be under is cut in half? Or even more, dramatically
24:34
half? Or even more, dramatically
24:34
half? Or even more, dramatically reducing that risk exposure even
24:35
reducing that risk exposure even
24:35
reducing that risk exposure even further? Something to think about.
24:37
further? Something to think about.
24:38
further? Something to think about. Thanks for listening the Burke Brigade
24:39
Thanks for listening the Burke Brigade
24:39
Thanks for listening the Burke Brigade podcast.
24:40
podcast.
24:40
podcast. >> If you want to continue exploring on
24:41
>> If you want to continue exploring on
24:41
>> If you want to continue exploring on this topic, visit Dogazilla magazine for
24:43
this topic, visit Dogazilla magazine for
24:43
this topic, visit Dogazilla magazine for healthy dog lifestyle at dogazilla.com.
24:46
healthy dog lifestyle at dogazilla.com.
24:46
healthy dog lifestyle at dogazilla.com. Wishing you and your healthy dog a happy