VA Case: Cervical Ventral Slot - intervertebral disc herniation.
When doing the anaesthesia for a ventral slot, I always scribble down doses for #analgesia
and IV fluids if needed urgently. It means one less thing I have to do under high stress - calculate! Why might there be high stress or the need for quick actions with this procedure?
With a #ventral
, the access to the #vertebrae
means the #trachea
trunk are moved to the side. Not only are some nerves moved (think vagal response; low HR and BP) but also some very important blood vessels are operated around. This can mean that #haemorrhage
is a potential complication. .
Because of the risk of bleeding, invasive #arterial #blood
pressure is performed. It gives a continuous reading of the blood pressure so any changes can be seen immediately. I always calculate the approximate blood volume of the patient (60ml/kg for cats and 90ml/kg in dogs) so I can use the suction container and the weight of bloody swabs to estimate what percentage of blood loss the patient has undergone.
As with any #spinal
anaesthesia, analgesia is very important. Here a #ketamine
CRI is given, with a bolus dose of different dose ranges already worked out.
What can you take away from this? Well, in the words of Benjamin Franklin, "by failing to prepare, you are preparing to fail".
#veterinary #nurse #whatvnsdo #anaesthesia #anesthesia #anursethesia