Feline Anesthesia Richard M. Bednarski, DVM, MSc The Ohio State University College of Veterinary Medicine Current Issues in Feline Anesthesia

Size: px
Start display at page:

Download "Feline Anesthesia Richard M. Bednarski, DVM, MSc The Ohio State University College of Veterinary Medicine Current Issues in Feline Anesthesia"

Transcription

1 Feline Anesthesia Richard M. Bednarski, DVM, MSc The Ohio State University College of Veterinary Medicine Current Issues in Feline Anesthesia Chemical Restraint Protocols Trap, Neuter, Release Anesthetic Protocols Early age spay/castration protocols Analgesia and Analgesics Sedation/Moderate Restraint Acepromazine Alpha 2 agonists: Medetomidine, Xylazine Neuroleptanalgesia Ketamine (low dose) Telazol (low dose) Acepromazine Mild sedation Vasodilation Antiarrhythmic Antiemetic Combines well with opioids to produce moderate sedation and restraint mg/kg No antagonist available

2 Alpha 2 Agonists: Xylazine, Medetomidine Moderate sedation and chemical restraint Reversible Combine well with opioids Vomiting Cardiovascular alterations Medetomidine (Domitor) Cardiovascular effects make it best for use in young, healthy cats 30 minute -1.5 hour duration Reversible with Atipamezole (Antiseden) Can be combined with opioids and/or ketamine for moderate restraint to surgical anesthesia Medetomidine (Domitor) in Cats Dosage: µg/kg for moderate to significant restraint Duration of action: minutes Midazolam Water soluble benzodiazepine Very similar pharmacokinetics and pharmacodynamics to Diazepam Minimal cardio-respiratory side-effects Rarely useful by itself for sedation Best when combined with an opioid for mild sedation/restraint Midazolam Useful when acepromazine is contraindicated Most useful in middle aged to older animals

3 Sedation generally better than in young healthy animals Useful in sick or debilitated animals Neuroleptanalgesia One of the following Acepromazine, Alpha 2 Agonist, Midazolam combined with one of the following Morphine, Hydromorphone, Oxymorphone, Buprenorphine, Butorphanol Opioids Agonists Morphine, hydromorphone, oxymorphone, fentanyl, meperidine Agonist/Antagonists Butorphanol, Buprenorphine, Pentazocine Antagonists Naloxone Parenteral Opioid Dosages (mg/kg) Morphine: Hydromorphone: Fentanyl: Fentanyl Infusion: 1-6 µg/kg/hr Oxymorphone:

4 Parenteral Opioid Dosages (mg/kg) Butorphanol: minutes duration Buprenorphine: hrs duration Tiletamine/Zolazepam 50:50 combination of a benzodiazepine tranquilizer and a dissociative anesthetic Variable dosages for mild sedation to surgical anesthesia (2-6 mg/kg) Prolonged recovery at the higher dosages Useful prior to gas anesthesia or combined with other chemical restraint drugs Short Term Injectable Anesthesia in Cats Acepromazine, Opioid, Ketamine Diazepam and Ketamine Propofol Thiopental Feral Cat Trap/Neuter/Return (TNR) Anesthesia IM administration Rapid and predictable surgical anesthetic duration and effect Economical Reversible Wide safety margin Provide post-operative analgesia

5 Feral Cat TNR Anesthesia Telazol, Xylazine, Ketamine (TKX) Medetomidine, Ketamine, Butorphanol Telazol/Ketamine/Xylazine To one vial of Telazol add 4 ml ketamine and 1 ml 10% (LA) Xylazine Dose ml/lb body weight Note: Accurate body weight is essential to safe dosing Medetomidine, Ketamine, Butorphanol Medetomidine: 60 µg/kg, IM Ketamine: 5 mg/kg, IM Butorphanol: 0.2 mg/kg, IM Can be mixed in same syringe Atipamezol to reverse medetomidine Wait at least 45 minutes after medetomidine Early Age Spay/Neuter Anesthesia IM administration Rapid and predictable surgical anesthetic duration and effect Economical Reversible Wide safety margin Provide post-operative analgesia

6 Early Age Spay/Neuter Anesthesia Tiletamine/Zolazepam Useful alone in most males but occasionally must be supplemented with inhalants Must be supplemented with inhalants for ovariohysterectomy Recovery can be prolonged Early Age Spay/Neuter Anesthesia Mask with isoflurane or sevoflurane followed by intubation Uncuffed tube provides relatively larger diameter airway Can administer butorphanol for post operative analgesia Advantage is relatively quick and predictable recovery time Behavioral Response to Pain Anxiety and Fear Depression and lethargy Sleeplessness Quiet and withdrawn Especially Cats Inappetence Vocalization Pain Assessment Subjective Anthropomorphism: We assume if it would be painful to us it would be painful to the animal Obvious examples of painful procedures Ear ablations, fractures, joint invasion, extensive tissue

7 excisions, amputations (including onychectomy) Analgesic Drugs Opioids NSAID s Local Anesthetics Alpha 2 agonists Ketamine Others Buprenorphine Oral administration 10 µg/kg BID Approximately 0.1 ml from a TB syringe per 3 kg body weight Excellent acceptance by cats Good owner compliance Transdermal Fentanyl Dog VS. Cat Location of Patch Warm water blankets, forced air warmers Abuse Potential Transdermal Fentanyl Duragesic Patch - Janssen Pharmaceutica 25, 50, 75, 100 µg/hr strength Onset Cats: hrs Dogs: hrs

8 Duration: 3 days/patch NSAID S Inhibit cyclooxygenase Prostaglandin synthesis is reduced COX - 1 (constitutive): Normally present Involved in normal renal, GI, platelet function COX -2 (inducible): Induced by tissue damage Inflammation and pain NSAID S Dosages (mg/kg) Carprofen: 4.0 given once Ketoprofen: 2.0 SC, p.o. initially followed by 1.0 daily for 5 days Meloxicam: 0.2 SC, p.o. initially followed by 0.1 daily for 2-3 days Local Anesthetic for Declaw Procedure Subcutaneous injection just proximal to carpus Palmar and Dorsal surfaces Ropivacaine (Naropin) or Bupivacaine Use the 0.2 % or 0.25% preparation Dosage = 2.0 mg/kg Approximately 1.5 ml per leg per 3 kg cat Short-term Injectable Anesthesia in Cats Acepromazine/Opioid and Ketamine Diazepam and Ketamine

9 Thiopental Propofol Long-term Injectable Anesthesia in Cats High dose ketamine High dose ketamine with acepromazine Medetomidine and ketamine Medetomidine and ketamine with opioid Telazol Telazol/Ketamine/Xylazine Propofol Infusion Isoflurane Sevoflurane Halothane Desflurane Nitrous Oxide Inhalation Anesthetics Anesthetic Induction Mask or Chamber Thiopental Diazepam or Midazolam and Ketamine Propofol Feline Intubation Laryngoscope Straight Blade is preferable Stylet

10 0.1 ml 2% topical Lidocaine via TB syringe

IACUC Guideline LARGE ANIMAL FORMULARY

IACUC Guideline LARGE ANIMAL FORMULARY The intention behind the development of a University of Pennsylvania IACUC-endorsed drug formulary for the larger species used in biomedical research was to provide guidance for anesthetic and analgesic

More information

IACUC Guideline RODENT ANESTHESIA & ANALGESIA FORMULARY

IACUC Guideline RODENT ANESTHESIA & ANALGESIA FORMULARY Background This guideline is designed to provide a single source of information for investigators that use rodents models of biomedical disease and discovery. The following tables reference contemporary

More information

SUNY UPSTATE MEDICAL UNIVERSITY DEPARTMENT OF LABORATORY ANIMAL RESOURCES GUIDELINES FOR ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS MOUSE

SUNY UPSTATE MEDICAL UNIVERSITY DEPARTMENT OF LABORATORY ANIMAL RESOURCES GUIDELINES FOR ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS MOUSE SUNY UPSTATE MEDICAL UNIVERSITY DEPARTMENT OF LABORATORY ANIMAL RESOURCES GUIDELINES FOR ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS MOUSE Anesthesia in Mice Dose & Route Comments Thiopental 35 mg/kg

More information

ANESTHETIC AGENTS PRE-ANESTHETICS AND ANALGESICS

ANESTHETIC AGENTS PRE-ANESTHETICS AND ANALGESICS ANESTHETIC AGENTS The following provides a very brief overview of the anesthetic agents most commonly used in HSVMA- RAVS small animal protocols. This is NOT a detailed monograph on the listed drugs. Consult

More information

Passionate concerns about welfare and ethics have created an environment where discussions about

Passionate concerns about welfare and ethics have created an environment where discussions about M e d i c a t i o n s P A I N M A N A G E M E N T Lysa Pam Posner, DVM, Diplomate ACVA North Carolina State University Analgesia for Declaw Patients Onychectomy in cats is controversial both within and

More information

Veterinary Anesthetic and Analgesic Formulary 3 rd Edition, Version G

Veterinary Anesthetic and Analgesic Formulary 3 rd Edition, Version G Veterinary Anesthetic and Analgesic Formulary 3 rd Edition, Version G I. Introduction and Use of the UC Denver Veterinary Formulary II. Anesthetic and Analgesic Considerations III. Species Specific Veterinary

More information

Understanding Your Clinic s Recipes: High Volume Anesthesia and Analgesia

Understanding Your Clinic s Recipes: High Volume Anesthesia and Analgesia Understanding Your Clinic s Recipes: High Volume Anesthesia and Analgesia Emily McCobb DVM MS DACVAA Director, Tufts Shelter Medicine Program Assistant Director, Center for Animals and Public Policy Cummings

More information

Equine Sedation, Anesthesia and Analgesia

Equine Sedation, Anesthesia and Analgesia Equine Sedation, Anesthesia and Analgesia Janyce Seahorn, DACVAA, DACVIM-LA, DACVECC Lexington Equine Surgery and Sports Medicine Equine Veterinary Specialists Georgetown, KY The need for equine field

More information

CANINE & FELINE ANESTHESIA

CANINE & FELINE ANESTHESIA Canine Anesthesia Introduction CANINE & FELINE ANESTHESIA Lyon Lee DVM PhD DACVA A general anesthetic to a healthy dog should bear little risk to the animal s life. However, although the mortality rate

More information

Sick, Sicker, Sickest: Anesthesia in the Critically Ill Patient

Sick, Sicker, Sickest: Anesthesia in the Critically Ill Patient Sick, Sicker, Sickest: Anesthesia in the Critically Ill Patient Kim Spelts, CVT, VTS (Anesthesia), CCRP, CCMT Peak Performance Veterinary Group No anesthetic procedure is entirely safe, but critically

More information

HOWS AND WHYS OF CRI ANALGESIA IN SMALL ANIMALS Luisito S. Pablo, DVM, MS, Diplomate ACVA University of Florida, Gainesville, Florida

HOWS AND WHYS OF CRI ANALGESIA IN SMALL ANIMALS Luisito S. Pablo, DVM, MS, Diplomate ACVA University of Florida, Gainesville, Florida HOWS AND WHYS OF CRI ANALGESIA IN SMALL ANIMALS Luisito S. Pablo, DVM, MS, Diplomate ACVA University of Florida, Gainesville, Florida Management of severe pain in small animals continues to be a challenge

More information

PAIN MANAGEMENT Alison Deputy, LVT

PAIN MANAGEMENT Alison Deputy, LVT VCA Veterinary Specialty Center of Seattle Continuing Education Seminar 2011 PAIN MANAGEMENT Alison Deputy, LVT The process in which the brain receives, interprets and reacts to pain is extremely complicated

More information

Perioperative Anesthetic & Pain Management in Small Animal Practice

Perioperative Anesthetic & Pain Management in Small Animal Practice Perioperative Anesthetic & Pain Management in Small Animal Practice Objective: To introduce anesthetic and pain management options in: Elective surgery Trauma Major surgery Objectives Of This Lecture Present

More information

ABSTRACT: The purpose of this article is to introduce readers to a brief overview of the

ABSTRACT: The purpose of this article is to introduce readers to a brief overview of the Demystifying Anesthesia By William E. Feeman III, DVM ABSTRACT: The purpose of this article is to introduce readers to a brief overview of the process of anesthesia and the various options available. A

More information

UNDERSTANDING THE UNWANTED SIDE EFFECTS OF THE ANESTHESIA DRUGS Victoria M. Lukasik, DVM, DACVAA

UNDERSTANDING THE UNWANTED SIDE EFFECTS OF THE ANESTHESIA DRUGS Victoria M. Lukasik, DVM, DACVAA UNDERSTANDING THE UNWANTED SIDE EFFECTS OF THE ANESTHESIA DRUGS Victoria M. Lukasik, DVM, DACVAA All of the anesthetic drugs produce desired effects and can positively contribute to patient care. Unfortunately,

More information

SUMMARY OF PRODUCT CHARACTERISTICS. Buprenovet 0.3 mg/ml Solution for Injection for Dogs and Cats (AT, DE)

SUMMARY OF PRODUCT CHARACTERISTICS. Buprenovet 0.3 mg/ml Solution for Injection for Dogs and Cats (AT, DE) SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE VETERINARY MEDICINAL PRODUCT Buprecare 0.3 mg/ml Solution for Injection for Dogs and Cats (UK, BE, FR, IE, LU, NL, ES) Buprenovet 0.3 mg/ml Solution for

More information

Yamaguchi University, Japan

Yamaguchi University, Japan Yamaguchi University, Japan The United Graduate School of Veterinary Science The Stress Related Neuroendocrine and Metabolic Effects of Alpha-2 Adrenergic Agents and Their Combinations with Injectable

More information

Drugs & Everything Else

Drugs & Everything Else Pain Relief, Common Drugs & Everything Else Henrik Jörnvall MD, PhD MKAIC November 11 2011 Lidocaine Noradrenaline Isoflurane Morphine Ropivacaine Platelets l t Pethidine Dobutamine Propofol Normal Saline

More information

Pain Relief & Common Drugs. Henrik Jörnvall MD, PhD

Pain Relief & Common Drugs. Henrik Jörnvall MD, PhD Pain Relief & Common Drugs Henrik Jörnvall MD, PhD MKAIC May 5 2010 Pain Definition An unpleasant sensory and emotional experience assocated with actual or potential tissue damage or described in terms

More information

Practical Pain Management in Animals

Practical Pain Management in Animals Practical Pain Management in Animals Martin Pearson South Tamworth Animal Hospital Abstract Assessment of the degree of acute pain being suffered by an animal is difficult; diagnosis of chronic pain is

More information

RADIOGRAPHIC TECHNIQUES AND POSITIONING OF EXOTIC COMPANION ANIMALS

RADIOGRAPHIC TECHNIQUES AND POSITIONING OF EXOTIC COMPANION ANIMALS RADIOGRAPHIC TECHNIQUES AND POSITIONING OF EXOTIC COMPANION ANIMALS Jody Nugent-Deal, RVT, VTS (Anesthesia) and (Clinical Practice Exotic Companion Animal) Veterinary Medical Teaching Hospital University

More information

Guidelines for Spay/Neuter

Guidelines for Spay/Neuter Guidelines for Standards of Care in Animal Shelters Guidelines for Spay/Neuter Cynthia Barker Cox, DVM MSPCA Boston, MA Natalie Isaza, DVM College of Veterinary Medicine University of Florida Guidelines

More information

Opioid Analgesics. Week 19

Opioid Analgesics. Week 19 Opioid Analgesics Week 19 Analgesic Vocabulary Analgesia Narcotic Opiate Opioid Agonist Antagonist Narcotic Analgesics Controlled substances Opioid analgesics derived from poppy Opiates include morphine,

More information

Some material from this lecture is taken from a publication by Wagner et al in 2003, which is referenced at the end of these proceedings notes.

Some material from this lecture is taken from a publication by Wagner et al in 2003, which is referenced at the end of these proceedings notes. BREED CONSIDERATIONS AND MYTHS AND MISCONCEPTIONS IN SMALL ANIMAL ANESTHESIA Lesley J. Smith DVM, DACVA Department of Surgical Sciences, University of Wisconsin, Madison Key Points There are few true breed

More information

GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS

GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS GUIDELINES ON THE MANAGEMENT OF PAIN DUE TO CANCER IN ADULTS Bristol Palliative Care Collaborative Contact Numbers: Hospital Specialist Palliative Care Teams: Frenchay 0117 340 6692 Southmead 0117 323

More information

Anaesthesia and Analgesia in Ellegaard Göttingen minipigs

Anaesthesia and Analgesia in Ellegaard Göttingen minipigs Anaesthesia and Analgesia in Ellegaard Göttingen minipigs Author: Aage Kristian Olsen Alstrup, D.V.M., Ph.D. PET Centre, Aarhus University Hospital, Nørrebrogade 44, 10G, DK-8000 Aarhus C, Denmark. aage@pet.auh.dk

More information

Naloxone treatment of opioid overdose

Naloxone treatment of opioid overdose Naloxone treatment of opioid overdose Opioids Chemicals that act in the brain to relieve pain, often use to suppress cough, treat addiction, and provide comfort After prolonged use of opioids, increasing

More information

Options for Managing Colic Pain. Hagyard Equine Medical Institute s Pain Management Seminar October 2009

Options for Managing Colic Pain. Hagyard Equine Medical Institute s Pain Management Seminar October 2009 Options for Managing Colic Pain Hagyard Equine Medical Institute s Pain Management Seminar October 2009 Introduction Guest Speaker: Eric J. Abrahamsen, DVM, DACVA Ocala Equine Hospital 10855 NW US Hwy

More information

Surgery: Setup and Supplies

Surgery: Setup and Supplies THE SURGERY SUITE Surgeries other than routine neuters and treatment of abscesses are performed in the surgery suite. We keep a chart with the preferences of our various surgeons, including which side

More information

Making our pets comfortable. A modern approach to pain and analgesia.

Making our pets comfortable. A modern approach to pain and analgesia. Making our pets comfortable. A modern approach to pain and analgesia. What is pain? Pain is an unpleasant sensory and emotional experience with awareness by an animal to damage or potential damage to its

More information

WITHDRAWAL OF ANALGESIA AND SEDATION

WITHDRAWAL OF ANALGESIA AND SEDATION WITHDRAWAL OF ANALGESIA AND SEDATION Patients receiving analgesia and/or sedation for longer than 5-7 days may suffer withdrawal if these drugs are suddenly stopped. To prevent this happening drug doses

More information

KEY CONCEPTS IN ACUTE PAIN MANAGEMENT. John Penning MD FRCPC Director Acute Pain Service

KEY CONCEPTS IN ACUTE PAIN MANAGEMENT. John Penning MD FRCPC Director Acute Pain Service KEY CONCEPTS IN ACUTE PAIN MANAGEMENT John Penning MD FRCPC Director Acute Pain Service Objectives Why is acute pain management important? Clinical concepts not readily found in texts COX-inhibitors, the

More information

Who Should Participate*

Who Should Participate* earn 25 contact hours! For as little as $49. 95 Announcing: Sedation Clinical Competency Program Finally A practical solution to satisfy formal training, credentialing, and competency-based educational

More information

POST-TEST Pain Resource Professional Training Program University of Wisconsin Hospital & Clinics

POST-TEST Pain Resource Professional Training Program University of Wisconsin Hospital & Clinics POST-TEST University of Wisconsin Hospital & Clinics True/False/Don't Know - Circle the correct answer T F D 1. Changes in vital signs are reliable indicators of pain severity. T F D 2. Because of an underdeveloped

More information

WHO Analgesic Ladder. + non opioid. Step 2. Mild to Moderate Pain Weak Opioid: Codeine, Dihydrocodeine, Tramadol

WHO Analgesic Ladder. + non opioid. Step 2. Mild to Moderate Pain Weak Opioid: Codeine, Dihydrocodeine, Tramadol Pain Management This guidance covers: WHO Analgesic Ladder Reducing dosing errors with opioids Opioid toxicity General Pain Management Acute General Pain Management Postoperative (excluding obstetrics)

More information

CAT AND DOG ANESTHESIA

CAT AND DOG ANESTHESIA Document: ACUP104.02 Issue Date: 05 MAY 16; Effective Date: 05 MAY 16 Authorization: Dr. D. Winkler, IACUC Chair Author: E. Hildebrand (Revision) CAT AND DOG ANESTHESIA 1. PURPOSE 1.1. The intent of this

More information

GUIDELINES ON ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS

GUIDELINES ON ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS GUIDELINES ON ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS University of South Florida provides the following guidelines for use by IACUC-certified faculty and staff. CONTENTS PAGE A. Background. 1 B.

More information

STANDARD OPERATING PROCEDURE #401 CONTROLLED SUBSTANCES

STANDARD OPERATING PROCEDURE #401 CONTROLLED SUBSTANCES STANDARD OERATING ROCEDURE #401 CONTROLLED SUBSTANCES 1. UROSE This Standard Operating rocedure (SO) describes procedures for acquiring, storing, using and discarding controlled substances. 2. RESONSIBILITY

More information

Total intravenous anesthesia (TIVA) in infants and children. Gregory B. Hammer, M.D.

Total intravenous anesthesia (TIVA) in infants and children. Gregory B. Hammer, M.D. Total intravenous anesthesia (TIVA) in infants and children Gregory B. Hammer, M.D. Table of Contents Table of Contents... List of Tables... Introduction... 2 Intravenous anesthetic agents... 2 Acquisition

More information

GUIDELINES ON ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS

GUIDELINES ON ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS GUIDELINES ON ANESTHESIA AND ANALGESIA IN LABORATORY ANIMALS University of South Florida provides the following guidelines for use by IACUC-certified faculty and staff. CONTENTS PAGE A. Background. 1 B.

More information

PROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice

PROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice PROCEDURAL SEDATION/ANALGESIA NCBON Position Statement for RN Practice P.O. BOX 2129 Raleigh, NC 27602 (919) 782-3211 FAX (919) 781-9461 Nurse Aide II Registry (919) 782-7499 www.ncbon.com Issue: Administration

More information

STANDARD OPERATING PROCEDURE #201 RODENT SURGERY

STANDARD OPERATING PROCEDURE #201 RODENT SURGERY STANDARD OPERATING PROCEDURE #201 RODENT SURGERY 1. PURPOSE The intent of this Standard Operating Procedure (SOP) is to describe procedures for survival rodent surgery. 2. RESPONSIBILITY Principal investigators

More information

Analgesics Dosage/Frequency/Duration Max Volume/A/S Route

Analgesics Dosage/Frequency/Duration Max Volume/A/S Route Animal Care Unit Pharmaceuticals For Use In Laboratory Animals NOTES: 1. Where appropriate, dilute all medications to an appropriate workable volume based on species. 2. Refer to a published formulary

More information

Clinical Algorithm & Preferred Medications to Treat Pain in Dialysis Patients

Clinical Algorithm & Preferred Medications to Treat Pain in Dialysis Patients Clinical Algorithm & Preferred Medications to Treat Pain in Dialysis Patients Developed by the Mid Atlantic Renal Coalition and the Kidney End of Life Coalition September 2009 This project was supported,

More information

Lumbar Fusion. Reference Guide for PACU CLINICAL PATHWAY. All patient variances to the pathway are to be circled and addressed in the progress notes.

Lumbar Fusion. Reference Guide for PACU CLINICAL PATHWAY. All patient variances to the pathway are to be circled and addressed in the progress notes. Reference Guide for PACU Lumbar Fusion CLINICAL PATHWAY All patient variances to the pathway are to be circled and addressed in the progress notes. This Clinical Pathway is intended to assist in clinical

More information

MODERATE SEDATION RECORD (formerly termed Conscious Sedation)

MODERATE SEDATION RECORD (formerly termed Conscious Sedation) (POLICY #DOC-051) Page 1 of 6 WELLSPAN HEALTH - YORK HOSPITAL NURSING POLICY AND PROCEDURE Dates: Original Issue: September 1998 Annual Review: March 2012 Revised: March 2010 Submitted by: Brenda Artz

More information

Recommended Methods of Anesthesia, Analgesia, and Euthanasia for Laboratory Animal Species

Recommended Methods of Anesthesia, Analgesia, and Euthanasia for Laboratory Animal Species Albert Einstein College of Medicine Institute for Animal Studies Van Etten 460 (718) 839-7100 Recommended Methods of Anesthesia, Analgesia, and for Laboratory Animal Species Note: The following list has

More information

MUSC Opioid Analgesic Comparison Chart

MUSC Opioid Analgesic Comparison Chart MUSC Opioid Analgesic Comparison Chart Approved by the Pharmacy and Therapeutics Committee (February 2006, November 2009, March 2010, December 2011) Prepared by the MUSC Department of Pharmacy Services

More information

Patient Care Services Policy & Procedure Title: No. 8720-0059

Patient Care Services Policy & Procedure Title: No. 8720-0059 Page: 1 of 8 I. SCOPE: This policy applies to Saint Francis Hospital, its employees, medical staff, contractors, patients and visitors regardless of service location or category of patient. This policy

More information

CRI TEHCNIQUES FOR MANAGEMENT OF SEVERE PAIN Eric J. Abrahamsen, DVM, DACVA Kalamazoo, MI

CRI TEHCNIQUES FOR MANAGEMENT OF SEVERE PAIN Eric J. Abrahamsen, DVM, DACVA Kalamazoo, MI CRI TEHCNIQUES FOR MANAGEMENT OF SEVERE PAIN Eric J. Abrahamsen, DVM, DACVA Kalamazoo, MI Key Points Intermittent opioid +/- an NSAID does not provide sufficient relief of severe pain. Analgesic infusion

More information

7. We often use Marcaine in tonsillectomies for longer acting analgesia. What is the dose? What are the particular side effects?

7. We often use Marcaine in tonsillectomies for longer acting analgesia. What is the dose? What are the particular side effects? 7. We often use Marcaine in tonsillectomies for longer acting analgesia. What is the dose? What are the particular side effects? Marcaine dosing per uptodate is Local anesthesia: Infiltration: 0.25% infiltrated

More information

Postoperative Pain Management in Children

Postoperative Pain Management in Children Postoperative Pain Management in Children Franklyn Cladis MD The Children s Hospital of Pittsburgh Department of Anesthesiology University of Pittsburgh Objectives Describe the use of opioids for postop

More information

Ketamine in Tactical Combat Casualty Care. DHB Decision Briefing. John Gandy, MD Trauma and Injury Subcommittee

Ketamine in Tactical Combat Casualty Care. DHB Decision Briefing. John Gandy, MD Trauma and Injury Subcommittee Ketamine in Tactical Combat Casualty Care DHB Decision Briefing John Gandy, MD Trauma and Injury Subcommittee Agenda Importance of Early Pain Control History of Battlefield Analgesia Current State of Battlefield

More information

Targeting patients for use of dexmedetomidine

Targeting patients for use of dexmedetomidine Targeting patients for use of dexmedetomidine H a n n a h W u n s c h, M D M S c H e r b e r t I r v i n g A s s i s t a n t P r o f e s s o r o f A n e s t h e s i o l o g y & E p i d e m i o l o g y

More information

DRAFT 7/17/07. Procedural Sedation and Rapid Sequence Intubation (RSI) Consensus Statement

DRAFT 7/17/07. Procedural Sedation and Rapid Sequence Intubation (RSI) Consensus Statement Procedural Sedation and Rapid Sequence Intubation (RSI) Consensus Statement Many patients with emergency medical conditions in emergency and critical care settings frequently experience treatable pain,

More information

Basic End of Life Drugs for Qualified Nurses

Basic End of Life Drugs for Qualified Nurses Basic End of Life Drugs for Qualified Nurses (Please note that this booklet is intended as a training resource and therefore the information contained within it should not replace the medical advice of

More information

Nurses Self Paced Learning Module on Pain Management

Nurses Self Paced Learning Module on Pain Management Nurses Self Paced Learning Module on Pain Management Dominican Santa Cruz Hospital Santa Cruz, California Developed by: Strategic Planning Committee Dominican Santa Cruz Hospital 1555 Soquel Drive Santa

More information

Pharmacotherapy: opioids, NSAIDs, adjuvants, and analgesic e...

Pharmacotherapy: opioids, NSAIDs, adjuvants, and analgesic e... 1. : opioids, NSAIDs, adjuvants, and analgesic e... 2. of Pain Page - 1 3. Mechanisms of Pain and Medication Activity Sites 4. Classes of analgesics Page - 2 5. Severity: WHO analgesic ladder 6. Pain Source

More information

Acute Pain Management in the Opioid Dependent Patient. Maripat Welz-Bosna MSN, CRNP-BC

Acute Pain Management in the Opioid Dependent Patient. Maripat Welz-Bosna MSN, CRNP-BC Acute Pain Management in the Opioid Dependent Patient Maripat Welz-Bosna MSN, CRNP-BC Relieving Pain in America (IOM) More then 116 Million Americans have pain the persists for weeks to years $560-635

More information

Lyon Lee DVM PhD DACVA

Lyon Lee DVM PhD DACVA Introduction EQUINE ANESTHESIA Lyon Lee DVM PhD DACVA Higher morbidity and mortality associated with general anesthesia (1:100) in comparison to small animals (1:1000) or human (1: 200,000) No change of

More information

Pain Management. Introduction

Pain Management. Introduction Pain Management Authors: David R Patterson PhD, Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington; Helma Hoflund RN, SCRN, MScN, Queen Elizabeth Central

More information

Narcotic drugs used for pain treatment Version 4.3

Narcotic drugs used for pain treatment Version 4.3 Narcotic drugs used for pain treatment Version 4.3 Strategy to restrict the pack sizes or the type of packaging available in public pharmacies. 1. Introduction The document describing the strategy of the

More information

The American Society of Anesthesiologists (ASA) has defined MAC as:

The American Society of Anesthesiologists (ASA) has defined MAC as: Medical Coverage Policy Monitored Anesthesia Care (MAC) sad EFFECTIVE DATE: 09 01 2004 POLICY LAST UPDATED: 11 04 2014 OVERVIEW The intent of this policy is to address anesthesia services for diagnostic

More information

EMS Branch / Office of the Medical Director. Active Seziures (d) Yes Yes Yes Yes. Yes Yes No No. Agitation (f) No Yes Yes No.

EMS Branch / Office of the Medical Director. Active Seziures (d) Yes Yes Yes Yes. Yes Yes No No. Agitation (f) No Yes Yes No. M07 Medications 2015-07-15 All ages EMS Branch / Office of the Medical Director Benzodiazepines Primary Intermediate Advanced Critical INDICATIONS Diazepam (c) Lorazepam (c) Midazolam (c) Intranasal Midazolam

More information

Medical Coverage Policy Monitored Anesthesia Care (MAC)

Medical Coverage Policy Monitored Anesthesia Care (MAC) Medical Coverage Policy Monitored Anesthesia Care (MAC) Device/Equipment Drug Medical Surgery Test Other Effective Date: 9/1/2004 Policy Last Updated: 1/8/2013 Prospective review is recommended/required.

More information

FACTSHEET 6 ON PALLIATIVE CARE PRINCIPLES OF PAIN CONTROL 1: OPIOID ANALGESICS

FACTSHEET 6 ON PALLIATIVE CARE PRINCIPLES OF PAIN CONTROL 1: OPIOID ANALGESICS FACTSHEET 6 ON PALLIATIVE CARE PRINCIPLES OF PAIN CONTROL 1: OPIOID ANALGESICS Pain remains the most feared symptom among cancer patients. Many patients with non-malignant, life-threatening disease also

More information

IV Oxycodone: An alternative to IV Morphine for post-operative PCA use?

IV Oxycodone: An alternative to IV Morphine for post-operative PCA use? IV Oxycodone: An alternative to IV Morphine for post-operative PCA use? Damien Polioudakis Anaesthetic Registrar 25-09-2008 Acknowledgements Spiro Raftopoulos Hospital Specialist Representative - VIC What

More information

GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT (estimated glomerular filtration rate<30)

GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT (estimated glomerular filtration rate<30) GUIDELINES FOR PRESCRIBING AT THE END OF LIFE FOR PATIENTS WITH RENAL IMPAIRMENT (estimated glomerular filtration rate

More information

The Pharmacological Management of Cancer Pain in Adults. Clinical Audit Tool

The Pharmacological Management of Cancer Pain in Adults. Clinical Audit Tool The Pharmacological Management of Cancer Pain in Adults Clinical Audit Tool 2015 This clinical audit tool accompanies the Pharmacological Management of Cancer Pain in Adults NCEC National Clinical Guideline

More information

Appendix 1 - Anticipatory Medications for End of Life Patients Doses must be proportional to the current analgesic medication

Appendix 1 - Anticipatory Medications for End of Life Patients Doses must be proportional to the current analgesic medication Appendix 1 - Anticipatory Medications for End of Life Patients Doses must be proportional to the current analgesic medication For patients on Methadone or Ketamine, or to convert from other strong opioids,

More information

Anesthesia and Renal Failure

Anesthesia and Renal Failure Anesthesia and Renal Failure In renal failure, the induction dose of which of the following should be decreased? Propofol Ketamine Thiopental Etomidate Induction Anesthetics Propofol: undergoes hepatic

More information

9/16/2010. Contact Information. Objectives. Analgesic Ketamine (Ketalar )

9/16/2010. Contact Information. Objectives. Analgesic Ketamine (Ketalar ) Analgesic Ketamine (Ketalar )..the long and winding road to clinical practice Contact Information Lois Pizzi BSN, RN-BC Inpatient Pain Management Clinician UPMC Presbyterian Shadyside pizzilj@upmc.edu

More information

Pain management. The WHO analgesic ladder

Pain management. The WHO analgesic ladder Pain management Successful treatment requires an accurate diagnosis of the cause and a rational approach to therapy. Most pains arise by stimulation of nociceptive nerve endings; the characteristics may

More information

ANIMAL MEDICAL CENTER OF THE VILLAGE

ANIMAL MEDICAL CENTER OF THE VILLAGE SURGICAL RELEASE FORM Owner s Name Pet Name Address Dog Cat Other City State Zip Age Sex: M F N S Phone Email Breed Color Pet Health Insurance Carrier Phone number where you can be reached today: Work

More information

Review of Pharmacological Pain Management

Review of Pharmacological Pain Management Review of Pharmacological Pain Management CHAMP Activities are possible with generous support from The Atlantic Philanthropies and The John A. Hartford Foundation The WHO Pain Ladder The World Health Organization

More information

Opioid Conversion Ratios - Guide to Practice 2013

Opioid Conversion Ratios - Guide to Practice 2013 Opioid s - Guide to Practice 2013 Released 1 st October 2013 2013. The EMR PCC grants permission to reproduce parts of this publication for clinical and educational use only, provided that the Eastern

More information

*Reflex withdrawal from a painful stimulus is NOT considered a purposeful response.

*Reflex withdrawal from a painful stimulus is NOT considered a purposeful response. Analgesia and Moderate Sedation This Nebraska Board of Nursing advisory opinion is issued in accordance with Nebraska Revised Statute (NRS) 71-1,132.11(2). As such, this advisory opinion is for informational

More information

Blueprint for Prescriber Continuing Education Program

Blueprint for Prescriber Continuing Education Program CDER Final 10/25/11 Blueprint for Prescriber Continuing Education Program I. Introduction: Why Prescriber Education is Important Health care professionals who prescribe extended-release (ER) and long-acting

More information

October 2012. We hope that our tool will be a useful aid in your efforts to improve pain management in your setting. Sincerely,

October 2012. We hope that our tool will be a useful aid in your efforts to improve pain management in your setting. Sincerely, October 2012 he Knowledge and Attitudes Survey Regarding Pain tool can be used to assess nurses and other professionals in your setting and as a pre and post test evaluation measure for educational programs.

More information

Rotation Specific Guidelines CCFP - EM Residency Program

Rotation Specific Guidelines CCFP - EM Residency Program Rotation Specific Guidelines CCFP - EM Residency Program ANAESTHESIA To utilize the relevant competencies contained within the CanMEDS-FM roles to develop anesthesia skills relevant to the emergency physician

More information

Anticipatory Medications for End of Life Patients Doses must be proportional to the current analgesic medication

Anticipatory Medications for End of Life Patients Doses must be proportional to the current analgesic medication Anticipatory Medications for End of Life Patients Doses must be proportional to the current analgesic medication Please refer ALL patients on Methadone or Ketamine to palliative care team for advice. Patients

More information

SOP 001: POLYCLONAL ANTIBODY PRODUCTION IN RABBITS

SOP 001: POLYCLONAL ANTIBODY PRODUCTION IN RABBITS SOP 001: POLYCLONAL ANTIBODY PRODUCTION IN RABBITS PURPOSE: To describe the proper procedure to follow when injecting adjuvants into rabbits for the production of polyclonal antibodies. POLICY: The improper

More information

Inhalant Anesthesia. Horatiu V. Vinerean DVM, DACLAM Director, Laboratory Animal Research Attending Veterinarian

Inhalant Anesthesia. Horatiu V. Vinerean DVM, DACLAM Director, Laboratory Animal Research Attending Veterinarian Inhalant Anesthesia Horatiu V. Vinerean DVM, DACLAM Director, Laboratory Animal Research Attending Veterinarian 1 Inhalation Anesthesia - History 2 Inhalation Anesthesia This is the technique of administering

More information

Anticipatory prescribing for symptoms at the End of Life

Anticipatory prescribing for symptoms at the End of Life Anticipatory prescribing for symptoms at the End of Life What is anticipatory prescribing? Patients who are dying often experience new or worsening symptoms or become unable to swallow essential medication

More information

MODULE 3 THE LABORATORY RODENT

MODULE 3 THE LABORATORY RODENT LABORATORY ANIMAL BIOMETHODOLOGY WORKSHOP MODULE 3 THE LABORATORY RODENT Anesthesia and Analgesia Analgesia: 1. Definition of Analgesia and Pain 2. General Considerations 3. Pain Recognition and Assessment

More information

SELECTED OPIATES TOXICITY A MODERN DAY EPIDEMIC

SELECTED OPIATES TOXICITY A MODERN DAY EPIDEMIC SELECTED OPIATES TOXICITY A MODERN DAY EPIDEMIC Learning Objectives: 1. Identify the names and reasons/circumstances for additional toxicity of SELECTED OPIATES hydromorphone DILAUDID Methadone Fentanyl/DURAGESIC

More information

Guidelines for the Use of Naloxone in Palliative Care in Adult Patients

Guidelines for the Use of Naloxone in Palliative Care in Adult Patients Guidelines for the Use of Naloxone in Palliative Care in Adult Patients Date Approved by Network Governance May 2012 Date for Review May 2015 Changes between Version 1 and 2 1. Guideline background 2.

More information

Lidocaine Infusion for Perioperative Pain Management. Marley Linder, PharmD Matt McEvoy, MD

Lidocaine Infusion for Perioperative Pain Management. Marley Linder, PharmD Matt McEvoy, MD Lidocaine Infusion for Perioperative Pain Management Marley Linder, PharmD Matt McEvoy, MD Perioperative Surgical Home: PCS Shared Goals Improved Outcomes (pain, PONV, LOS, SSI) Improve Throughput (Clinic

More information

Safely Unobstructing the Urethra of Male Cats

Safely Unobstructing the Urethra of Male Cats Safely Unobstructing the Urethra of Male Cats Jody P. Lulich, DVM, PhD, DACVIM Carl Osborne, DVM, PhD, DACVIM Minnesota Urolith Center University of Minnesota Saint Paul, Minnesota Key Points When admitting

More information

Naloxone Hydrochloride Injection PRODUCT INFORMATION

Naloxone Hydrochloride Injection PRODUCT INFORMATION Naloxone Hydrochloride Injection PRODUCT INFORMATION DESCRIPTION Naloxone hydrochloride is 17-allyl-4,5α-epoxy-3,14-dihydroxymorphinan-6-one hydrochloride; C 19 H 21 NO 4.HCl. It is an off-white powder

More information

Pulmonary diseases are common in dogs and cats. Although some patients are treated with

Pulmonary diseases are common in dogs and cats. Although some patients are treated with Procedures Pro Pulmonology / Diagnostics Peer Reviewed Transoral Tracheal & Transtracheal Airway Wash Elizabeth Rozanski, DVM, DACVIM, DACVECC Tufts University Pulmonary diseases are common in dogs and

More information

Objectives. Important Principles

Objectives. Important Principles Management of the Intubated Patient Christopher J. Edwards, PharmD, BCPS Clinical Pharmacist - Emergency Medicine March 19 th, 2013 REPS EC SAG 2 Objectives Describe the rationale for post intubation analgesia

More information

Anesthetic Management of Cattle (Last Updated: 15-Feb-2001 )

Anesthetic Management of Cattle (Last Updated: 15-Feb-2001 ) In: Recent Advances in Anesthetic Management of Large Domestic Animals, E. P. Steffey (Ed.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New York, USA. Anesthetic Management

More information

Medication Assisted Therapy and Pregnancy: An Introduction

Medication Assisted Therapy and Pregnancy: An Introduction Medication Assisted Therapy and Pregnancy: An Introduction Deborah A. Orr, Ph.D. The Center For Drug Free Living Adapted from the NIDA Blending Initiative Curriculum Presentation Objectives Define opioids

More information

GENERAL ANESTHESIA BASICS

GENERAL ANESTHESIA BASICS GENERAL ANESTHESIA BASICS INTRODUCTION The goal in the administration of general anesthesia is to provide a stage of reversible unconsciousness with adequate analgesia and muscle relaxation for surgical

More information

CH CONSCIOUS SEDATION

CH CONSCIOUS SEDATION Summary: CH CONSCIOUS SEDATION It is the policy of Carondelet Health that moderate conscious sedation of patients will be undertaken with appropriate evaluation and monitoring. Effective Date: 9/4/04 Revision

More information

Objectives. Dosing Methadone and Suboxone 2016. Methadone. Methadone

Objectives. Dosing Methadone and Suboxone 2016. Methadone. Methadone Objectives The Pharmacokinetics and Pharmacodynamics of methadone and buprenorphine Therapeutic implications Why we dose the way we do Dosing and Suboxone 2016 Does Not Have a Sense of Humor A long acting,

More information

Anesthesia for the Pregnant Cat and Dog

Anesthesia for the Pregnant Cat and Dog Anesthesia for the Pregnant Cat and Dog Kushnir, Y. and Epstein, A. The Koret School of Veterinary Medicine The Robert H. Smith Faculty of Agriculture, Food and Environment The Hebrew University of Jerusalem,

More information

Item 2 Guidelines for the Production of Polyclonal and Monoclonal Antibodies in Rodents and Rabbits

Item 2 Guidelines for the Production of Polyclonal and Monoclonal Antibodies in Rodents and Rabbits Antibody Production/Neoplasia Item 2 Guidelines for the Production of Polyclonal and Monoclonal Antibodies in Rodents and Rabbits Monoclonal and polyclonal antibodies are important reagents utilized in

More information

Education Program for Prescribers and Pharmacists

Education Program for Prescribers and Pharmacists Transmucosal Immediate Release Fentanyl (TIRF) Products Risk Evaluation and Mitigation Strategy (REMS) Education Program for Prescribers and Pharmacists Products Covered Under This Program Abstral (fentanyl)

More information