בית הספר לרפואה וטרינרית הפקולטה לחקלאות, מזון וסביבה ע"ש רוברט ה. סמית - האוניברסיטה העיברית בירושלים האוניברסיטה העברית בירושלים ביה"ס לרפואה וטרינרית ע"ש קורט

תמונות מתחלפות בפלאש

65786 - הרדמה

Staff:

Dr Ana Epstein
Dr Nathaly Swirsky
Dr Ayelet Adiv
Dr Yishai Kushnir
Ruti Zoler
Avner Ben Israel
Tal Bukner

Daily schedule:

07:30 - 08:30 morning meeting with clinicians

08:30 - until last dog - working on cases

Once a week student spays are performed after regular hours, you are required to anesthetize these patient's as well.

Schedule can change according to the case load and emergencies, but students have to be in hospital at 07:30.

Requirements of anesthesia rotation:

Each student will be expected to learn to set up and use the following pieces of equipment;

  1. The circle and non- rebreathing system for various small anesthetic machines.
  2. Blood pressure, capnography, pulse oximetry, ECG monitors etc.
  3. The small and large animal ventilator.

Each student must present a journal article from the recent literature on one
of the following subjects and submit a copy - anesthesia, intensive care, emergency care, cardiopulmonary resuscitation, pain control, wildlife capture.
By completion of the fourth year, each student must submit a list of the anesthetic cases seen during the block;

Responsibility of anesthesia student:

The anesthesia student is responsible for the animal from the premedication to sternal position. If schedule is busy, the student responsible for the case will be asked to take care for the animal after extubation so you can go to the next case. In any case, the student responsible for the case is obligated to be with the animal on induction and to take care of placement of the animal prior to extubation.

Pre - operative period:

  1. Review the patient’s record. Check that animal has all the exams needed before anesthesia. If not, it is the responsibility of the student that is responsible for the case to perform those exams. For the list of exams needed look in anesthesia protocols.
  2. Repeat the cardiopulmonary exam. Evaluate the patient’s general condition, temperament, airway, veins.
  3. Assign an ASA status
  4. Present the case to anesthesia clinician
  5. Consult with anesthesia clinician for any special problems and premedication orders
  6. Start the anesthetic record
  7. Prepare and check all the equipment and drugs needed for that case. That includes anesthesia machine, anesthesia circle, endothacheal tubes, IV fluids, induction and emergency drugs, monitors, heating, IV catheter and other if needed.
  8. The student responsible for the case should be present to help with induction
  9. Insert IV catheter
  10. Check that all the anesthesia equipment is ready
  11. Check heart and respiration rate, asses sedation of the animal

Induction period:

  1. INDUCTION IS PERFOMED JUST AND ONLY WITH CLINICIAN RESPONSIBLE FOR ANESTHESIA.
  2. Perform endotracheal intubation
  3. Connect animal to anesthesia circuit and oxygen
  4. Check respiratory and heart rate, anesthesia depth
  5. Start running anesthetic gas only if animal is breathing and heart beat present.
  6. Connect patient to monitors, (if used,) to IV line, etc.
  7. Start to fill anesthesia record.
  8. During anesthesia period anesthesia student have to stay with animal all the time.

Maintenance period:

Monitor vital signs
Monitor and adjust anesthetic depth
Take care of fluid balance
Estimate blood lost
Maintain body temperature
Protect patient from injury
Perform periodic lung inflation - sighing
Keep anesthetic record

Post - operative period:

Perform extubation when animal is ready.
Monitor patient until sternal recumbence ( extubation )
Monitor vital signs and body temperature
Monitor and treat post - operative pain and excitement
Place completed anesthetic record in patient’s file
Clean anesthetic equipment used

Anesthesia is performed by anesthesia department and we are responsible for it and for all the problems and questions during anesthesia and recovery turn to anesthesia clinician on duty.