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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.

· Physical examination: A thorough physical examination should be completed and documented within 12–24 hr previous to anesthesia and repeated just prior to anesthesia if acute clinical changes occur. Failure to record a physical exam was reported to increase the odds for death in dogs.4 · Age: Although age is not a disease, disease ...

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