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The Changing World Of Veterinary Anesthesia Guidelines And Monitoring

UPDATE: AAHA released its anesthesia guidelines in early November. The American Animal Hospital Association is poised to release the first-of-its-kind small animal anesthesia guidelines. A task force comprising six board-certified veterinary anesthesiologists and a certified technician specializing in anesthesia created the approximately 10-page document in an 11-month timeframe. The AAHA guidelines is an all-inclusive, easily digestible document created for use by the entire veterinary team. With expanding anesthesia capabilities for the profession, Jason Merrihew, associate public relations manager at AAHA, says the association recognized the need to develop guidelines for veterinary professionals. He attributes the multitude of factors to consider when sedating or anesthetizing a healthy dog or cat, as well as the pet with one or more medical conditions a leading incentive. “AAHA’s guidelines include information on pre-anesthesia bloodwork, examination, equipment, staffing recommendations, monitoring from induction through recovery, pain management, drug choices, drug combinations, what drugs to use according to patients’ age, body type and temperament,” says Richard Bednarski, DVM, Dipl. ACVA, associate professor (anesthesia) at The Ohio State University in Columbus and chair for AAHA anesthesia guidelines. “These guidelines differ from the American College of Veterinary Anesthesiologists’ (ACVA) anesthesia monitoring guidelines because their …

AAHA Releases Anesthesia Guidelines

The American Animal Hospital Association stressed the importance of comprehensive, individualized anesthetic plans to minimize perioperative morbidity and optimize perioperative conditions in its new guidelines for anesthetizing dogs and cats. AAHA convened a task force of experts for the express purpose of producing the guidelines, which include recommendations for preanesthetic patient evaluation and examination; selection of premedication, induction and maintenance drugs; monitoring, equipment, and recovery. The guidelines are not intended to establish a universal anesthetic plan or legal standard of care. The guidelines broach areas of controversy such as the administration of certain perianesthetic drugs. The authors say there is no evidence to show that acepromazine increases the risk of seizures in epileptic patients or patients with other seizure disorders. The authors also advise that the use of anticholinergic drug drugs, such as atropine and glycopyrrolate, should be based on individual patient risk factors and monitored parameters such as heart rate and blood pressure. Members of the task force that created the guidelines include: Richard Bednarski, M.S., DVM, D.A.C.V.A. (Chair); Kurt Grimm, DVM, M.S., Ph.D., D.A.C.V.A., D.A.C.V.C.P.; Ralph Harvey, DVM, M.S., D.A.C.V.A.; Victoria Lukasik, DVM, D.A.C.V.A.; Sean Penn, DVM, D.A.B.V.P. (Canine/Feline); Brett Sargent, DVM, D.A.B.V.P. (Canine/Feline); Kim Spelts, C.V.T., V.T.S., …