Anesthesia Case Study
Skill 1 Add-On
Kirstin Krueger
21839116
C-Sections Dog/Cat
Patient preparation
All steps are done prior to any anesthesia. This will allow the surgical team to use less anesthesia for the actual procedure which is important to minimize any anesthesia that depresses the puppies. The mid-to caudal abdomen should be shaved and scrubbed.
Positioning
The patient is placed in dorsal recumbency with the legs securely fastened to the surgical table to prevent rotation during surgery.
Tools
Spay pack, Scalpel blade, Suture material, 1-2 extra packs of sterile hand towels for the surgeon to hand off puppies to the surgical assistant, A pre-warmed tub for puppies once they are stable, Bulb syringe and several pipettes to suction out nares and oral …show more content…
Patient is positioned in Dorsal recumbency leaning towards the doctor at a 40-45% angle with both front and hind feet tied to a wall or a gate.
5- Recumbent ventral paramedian celiotomy - Similar to the to ventral midline celiotomy except that the incision is placed more parallel to the linea alba like you would in a canine or feline.
6- Ventrolateral celiotomy- Similar again to the other ventral approaches is used more frequently on older patients. The patient is positioned in right lateral recumbency with the hind legs extended straight back and the front legs pulled out and forward. This position uses a curvilinear incision that is placed parallel to the last rib lateral to the umbilicus and goes at an angle backwards towards the patients inguinal area. This is helpful when trying to cut around a patient with large udders.
7/8- Standing or recumbent left oblique celiotomy - Very similar to the left paralumbar celiotomy except that the incision begins in front of and ventrally to the tuber coxae and goes at an angle forward and up at a 45% angle to the last rib. This technique allows for a larger incision then the others. The patient must be able to stand through the whole procedure or placed in left recumbency with proper restraint …show more content…
If the horse is to be standing during the castration, the horse has to be in good health with both testicles descended, and the patient must be big enough for the doctor to be able to lean under the horses abdomen to remove the testicles. So this can not be done on miniature horses. The patient also has to be well enough trained to be able to be restrained properly with a twitch without fighting the technician and the doctor to ensure that he does not hurt himself or anyone involved, but this allows the patient to forego full anesthesia and can be done in the field instead of in a clinic. If the horse needs to be sedated or the doctor feels like it is safer to do so, the patient is placed in lateral recumbency with the hind legs tied straight down so they are out of the
Kirstin Krueger
21839116
C-Sections Dog/Cat
Patient preparation
All steps are done prior to any anesthesia. This will allow the surgical team to use less anesthesia for the actual procedure which is important to minimize any anesthesia that depresses the puppies. The mid-to caudal abdomen should be shaved and scrubbed.
Positioning
The patient is placed in dorsal recumbency with the legs securely fastened to the surgical table to prevent rotation during surgery.
Tools
Spay pack, Scalpel blade, Suture material, 1-2 extra packs of sterile hand towels for the surgeon to hand off puppies to the surgical assistant, A pre-warmed tub for puppies once they are stable, Bulb syringe and several pipettes to suction out nares and oral …show more content…
Patient is positioned in Dorsal recumbency leaning towards the doctor at a 40-45% angle with both front and hind feet tied to a wall or a gate.
5- Recumbent ventral paramedian celiotomy - Similar to the to ventral midline celiotomy except that the incision is placed more parallel to the linea alba like you would in a canine or feline.
6- Ventrolateral celiotomy- Similar again to the other ventral approaches is used more frequently on older patients. The patient is positioned in right lateral recumbency with the hind legs extended straight back and the front legs pulled out and forward. This position uses a curvilinear incision that is placed parallel to the last rib lateral to the umbilicus and goes at an angle backwards towards the patients inguinal area. This is helpful when trying to cut around a patient with large udders.
7/8- Standing or recumbent left oblique celiotomy - Very similar to the left paralumbar celiotomy except that the incision begins in front of and ventrally to the tuber coxae and goes at an angle forward and up at a 45% angle to the last rib. This technique allows for a larger incision then the others. The patient must be able to stand through the whole procedure or placed in left recumbency with proper restraint …show more content…
If the horse is to be standing during the castration, the horse has to be in good health with both testicles descended, and the patient must be big enough for the doctor to be able to lean under the horses abdomen to remove the testicles. So this can not be done on miniature horses. The patient also has to be well enough trained to be able to be restrained properly with a twitch without fighting the technician and the doctor to ensure that he does not hurt himself or anyone involved, but this allows the patient to forego full anesthesia and can be done in the field instead of in a clinic. If the horse needs to be sedated or the doctor feels like it is safer to do so, the patient is placed in lateral recumbency with the hind legs tied straight down so they are out of the