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Anesthesia: Advancing Small Animal Procedures And Protocols Part Two

Anesthesia: Advancing Small Animal Procedures And Protocols Part Two

Anesthesia: Advancing Small Animal Procedures And Protocols Part Two

Mary Ellen Goldberg, BS, CVT, VMT, LAAS, SRA
Mary Ellen Goldberg, BS, CVT, VMT, LAAS, SRA
on behalf of VetMedTeam

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Launch date: 03 Sep 2015
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Last updated: 23 May 2017

Reference: 160585

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Anesthesia is required for most surgical procedures, rendering the patient immobile, unaware, and without pain. In addition, certain diagnostic procedures require anesthesia, notably stomach or airway endoscopy, bone marrow sampling, and occasionally ultrasound. Animals may require anesthesia for therapeutic procedures, such as urinary catheterization to relieve obstruction, injection into a mass, or removing fluid from the eye to treat glaucoma. Aggressive animals may require anesthesia in order to be safely and humanely handled for even the most general of procedures, such as a physical exam or blood draw.

In addition to anesthesia, analgesia is often managed by anesthesiologists and anesthetists and included in the considerations for anesthesia. A balanced anesthesia protocol can be utilized for different drugs with different effects so that a high dose of just one drug can be avoided. The movement to higher quality anesthetic management requires a commitment to our patients. We are not just adding medications and monitoring equipment. We must look at our patients as a separate individual. Is the patient young or old, calm or excitable, small or large, healthy or diseased?

By thinking of our patients as individuals, we can adjust a given protocol to achieve the best possible balance of safety and comfort. Through the application of advanced protocols, we can provide a much more valuable service to our clients and provide safer anesthesia for our patients. We need to forget the thought that anesthesia is giving so many mg per kg of drug, with the only question being the weight of the animal. This course can provide a basis for viewing anesthetic management as the essential of quality veterinary medicine that it should be.

Anesthesia: Advancing Small Animal Procedures and Protocols Part One is a 6-week open enrollment course; click on the preceding course title link to learn more about Part One. It is the first in a set of two courses addressing advanced anesthesia considerations. This page outlines the second course in the series, Anesthesia: Advancing Small Animal Procedures and Protocols: Part Two, which is also a 6-week open enrollment course. It is recommended that the courses be taken in order, after prior training in foundational anesthetic concepts.

Both courses utilize the same textbook. More information regarding the book will be found in the "Required Textbook" section below.

Some of the assignments in the course will require practice resources and/or personal practice experience to complete.


On completion of this course the learner will be able to:
1. Evaluate and develop a safe anesthetic protocol with sedatives, tranquilizers and anticholinergics for cardiovascular patients
2. Evaluate sedatives and tranquilizers for patients with respiratory disease and develop specific anesthetic protocols for patients with upper airway dysfunction and/or with lower airway dysfunction
3. Facilitate mechanical ventilation for patients with lower airway dysfunction
4. Evaluate sedatives, tranquilizers and analgesics for patients with neurological disease and identify neuromuscular blocking agents
5. Develop anesthetic protocols for patients undergoing specific neurological diagnostic procedures
6. Manage seizures perioperatively in patients with neurological disease
7. Identify disorders of the adrenal gland, pancreas, parathyroid and thyroid glands and develop anesthetic protocols to manage
8. Discuss renal physiology and pathophysiology, determine the effects of anesthesia on the renal system and develop anesthetic protocols for patients with renal disease
9. Identify the effects of drugs on the liver and develop safe anesthetic and analgesic protocols for patients with liver dysfunction
10. Evaluate candidates that are a high anesthetic risk
11. Identify cardiovascular emergencies, potential allergic drug reactions and acute abnormalities
12. Establish protocols for CPR
13. Assess equipment malfunction
14. Assess patients with delayed anesthetic recoveries including identifying and treating hypothermia and hyperthermia
15. Prepare for anesthetic injuries
Mary Ellen Goldberg, BS, CVT, VMT, LAAS, SRA

Author Information Play Video Bio

Mary Ellen Goldberg, BS, CVT, VMT, LAAS, SRA
on behalf of VetMedTeam

Mary Ellen Goldberg is a graduate of Harcum College and the University of Pennsylvania. She worked at Virginia Commonwealth University in the Division of Animal Resources and for Research Scientists advising on their choices for anesthesia and pain management on their protocols. She was a member of VCU’s IACUC for 10 years. She has been the instructor of Anesthesia and Pain Management at VetMedTeam, LLC since 2003.

Mary Ellen is a Certified Veterinary
Pain Practitioner through the International Veterinary Academy of Pain Management (IVAPM) and has been the Executive Secretary for IVAPM since 2008. In addition, she is a Surgical Research Anesthetist certified through the Academy of Surgical Research. She is on the Organizing Committee for APRVT (Academy of Physical Rehabilitation Veterinary Technicians). Currently, she is a staff member at the Canine Rehabilitation Institute, as a Certified Canine Rehabilitation Assistant. (CCRA). Mary Ellen is the Exam Chair for the Academy of Laboratory Animal Veterinary Technicians and Nurses.

Mary Ellen has written several books, and contributed to numerous chapters, regarding anesthesia, pain management and rehabilitation. She speaks at national meetings on these topics and gives private CE to organizational groups. She has worked in various aspects of veterinary medicine from small animal and equine to mixed practice, coccidiosis research for a pharmaceutical company, zoo animal medicine, and laboratory animal medicine.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s:

  • AAVSB-Registry of Approved Continuing Education (RACE)
  • 25.00 Hours -
    Exam Attempts: 3
    Exam Pass Rate: 70

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