Syllabus for Small Animal Advanced Anesthesia Elective
SAMS 5325
Coordinator: C. Egger, DVM, MVSc, DACVA
Room H374A; Telephone: 542-6369
E-mail: cegger@vet.uga.edu
Budget: $200.00 for photocopying class notes and examinations
$2600.00 Demonstration laboratory:
Six live Class II dogs (6 x $200.00) = $1,200.00
Per diem (60 days x 6 dogs x $4.00) = $1,400.00
Offered to: Junior Veterinary Students on the Small Animal or Mixed
Animal Track
Minimum Number: 10
Maximum Number: 90
Offered: Semester I (Fall) of the Junior Year (2003)
Prerequisites: Anesthesiology Didactic Course SAMS 5300 (sophomore year)
Credit Hours: One (1) = 15 contact hours
Objective: The objective of this elective is to allow veterinary students
to become more proficient in the anesthetic management of small animal patients (dogs, cats, small exotics, birds, etc.). This course will build on the basic pharmacology taught in the sophomore year didactic course and students will learn how to apply this information in order to provide safe anesthetic management of their patients. This course will include a demonstration laboratory in which students will have the opportunity to observe the effects of premedication, induction and maintenance of anesthesia in dogs. This laboratory will also introduce students to the principles of monitoring anesthetic depth and cardiopulmonary parameters, calculating drugs dosages and fluid therapy rates and placement of intravenous catheters.
Syllabus: Lectures will include a discussion of anesthetic protocols for small animals, anesthetic techniques (total intravenous anesthesia, balanced anesthesia, local and regional anesthesia, and inhalational anesthesia), monitoring and management of complications specific to small animals, pain management, anesthesia for specific disease conditions (heart disease, ophthalmic disease, neurological disease, endocrine disease, renal disease, GDV, etc.), pediatric and geriatric anesthesia, breed and species-specific anesthesia, and emergency anesthesia.
Some proportion of case-based teaching will be included.
Lecture Outline:
1. Review of Options for Anesthesia (TIVA), balanced anesthesia, inhalational anesthesia. Muscle relaxants. Common anesthetic protocols used in small animal patients.
(1 lecture = 1 contact hour)
2. Regional and Local Anesthesia/analgesia techniques (brachial plexus blocks, digit blocks, retrobulbar blocks, dental blocks, epidural blocks, IV regional). (1 lecture = 1 contact hour)
3. Monitoring under anesthesia. Causes and implications of complications occurring in veterinary patients under anesthesia. (2 lectures = 2 contact hours)
4. Management of complications under anesthesia and through recovery (anticholinergics, inotropic support, anti-arrhythmics, crystalloid and colloid administration, oxyglobin and blood transfusions, ventilation, oxygen therapy, etc.) (2 lectures = 2 contact hours)
5. Anesthesia for specific conditions in small animal patients: (2 lectures = 2 contact hours)
Cardiac disease
Pulmonary disease
Endocrine disease
Renal disease
Hepatic disease
Gastrointestinal disease
Neurological disease
Ophthalmic disease
Pediatric and geriatric patients
Dealing with aggressive patients
6. Anesthesia for small exotics: ferrets, rabbits, guinea pigs, birds, etc. (1 lecture = 1 contact hour)
7. Emergency anesthesia: stabilization, protocols, specific problems: Gastric dilation and volvulus, sepsis, trauma, ceasarian section, airway emergencies, etc.. (2 lectures = 2 contact hours)
8. Pain management. (1 lecture = 1 contact hour)
9. AQS – case-based (1 lecture; 2 contact hours)
10. Mid-term examination (1 lecture = 1 contact hour)
11. Anesthesia laboratory (= 1 lecture period; 2 laboratory hours)
The class will be broken up into 6 small groups (3 groups in the first 2 hour session and 3 groups in the second 2 hour session). Each group will have the opportunity to observe: the effects of premedication, induction and maintenance of general anesthesia, placement of intravenous catheters, fluid administration, placement and correct usage of monitoring devices and the principles of monitoring a patient under general anesthesia. In addition, students will be given an exercise to calculate drug dosages (to milligrams and milliliters) and fluid administration rates for their group’s dog. Small group sizes will allow students more “hands-on” experience for this laboratory.
Grading: Course grades will be determined by a mid-term test (42% of final grade) and a final examination (58% of final grade). Each examination is comprehensive and will contain questions drawn from material presented prior to that date. The format of the mid-term and of the final is a mixture of short answer and multiple choice questions, some of which will be case-based. The completed answers must be turned in at the end of the time allocated for the test or examination. Our policy is not to give retest written examinations. An unexcused absence from a test or examination will be recoded as zero. An excused absence from a test or examination will require that the student take a substitute test or examination within a reasonable time interval as determined by the course instructor. Specific grading is A > 90%, B > 80%, C > 70%, D > 60%, and Fail < 60%.