Transcription of VETERINARY PRACTICE GUIDELINES ...
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VETERINARY PRACTICE GUIDELINES ...
VETERINARY PRACTICE GUIDELINES2020 AAHA Anesthesia and Monitoring Guidelinesfor Dogs and Cats*Tamara Grubb, DVM, PhD, DACVAAy, Jennifer Sager, BS, CVT, VTS (Anesthesia/Analgesia, ECC)y,James S. Gaynor, DVM, MS, DACVAA, DAIPM, CVA, CVPP, Elizabeth Montgomery, DVM, MPH,Judith A. Parker, DVM, DABVP, Heidi Shafford, DVM, PhD, DACVAA, Caitlin Tearney, DVM, DACVAAABSTRACTRisk for complications and even death is inherent to anesthesia. However, the use of GUIDELINES , checklists, and trainingcan decrease the risk of anesthesia-related adverse events. These tools should be used not only during the time thepatient is unconscious but also before and after this phase. The framework for safe anesthesia delivered as a continuum ofcare from home to hospital and back to home is presented in these GUIDELINES . The critical importance of client commu-nication and staff training have been highlighted. The role of perioperative analgesia, anxiolytics, and proper handling offractious/fearful/aggressive patients as components of anesthetic safety are stressed.
Step 1:Preanesthetic Evaluation and PlanConsiderations Preanesthetic Evaluation The preanesthetic patient evaluation is critical for patient safety as it promotes identification of individual risk factors and underlying physiologic changes or pathologic compromise that will impact the anesthetic plan. Factors to be evaluated include the following:
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