Anesthesia
Anesthesia is an important part of our multidisciplinary team. Due to the capabilities for performing complex surgical procedures and also in diagnostic imaging, the demands on anesthesia have increased. We have a department of anesthesia that takes care of the planning and execution of anesthesia, as well as perioperative monitoring and pain management for our patients.
Individual care
With us, every patient requiring general anesthesia is examined by an anesthesiologist, and the sedation and anesthesia protocol, as well as the pain therapy, is tailored to each individual patient. Before the anesthesia, it is determined whether a blood test or stabilization, e.g., with infusion therapy, is necessary.
Continuous monitoring
All patients are continuously monitored during and after anesthesia. We use modern equipment to ensure the safest possible anesthesia and continuous monitoring of the anesthesia (cardiovascular system and respiration with the option for mechanical ventilation) as well as the recovery phase.
Anesthesia
We use inhalation anesthesia and work with modern anesthesia machines that allow us to optimally control the depth of anesthesia and perform mechanical ventilation if indicated or necessary.
Anesthesia monitoring
All patients are continuously monitored during and after anesthesia. We work here with modern equipment to ensure as safe anesthesia as possible and continuous monitoring of anesthesia (cardiovascular system and respiration, with the option of mechanical ventilation), as well as during the recovery phase.
Our anesthesia monitors, which ensure continuous monitoring of vital signs that are also documented, are an essential component of this monitoring.
Our standard anesthesia monitoring
Capnography
Capnography is a method for measuring the concentration of carbon dioxide (CO2) in the exhaled breath, which is also graphically represented as a capnogram. Capnography is used to monitor the patient’s respiration.
Electrocardiography
Electrocardiography (EKG) is a medical procedure in which the electrical signals generated during the contraction of the heart are measured. These signals are captured and recorded by special electrodes placed on the skin.
Pulse oximetry
Pulse oximetry is a non-invasive and easy-to-use method to determine the arterial oxygen saturation of the blood (hemoglobin). A pulse oximeter is used for this purpose, which is a clip sensor that can be attached to the tongue or ear, for example. In addition to oxygen saturation, the pulse rate is also displayed.
Blood pressure measurement
Blood pressure measurement in animals is similar to that in humans and involves measuring the systolic and diastolic pressures, which reflect the pressure of blood on the artery walls during the contraction and relaxation of the heart. The measurement can be performed either indirectly or directly.
In the indirect method, a cuff is placed around the limb of the animal and inflated until no blood flows through the artery. Then, the cuff is slowly deflated while simultaneously feeling the animal’s pulse. The point at which the pulse becomes palpable again indicates the systolic pressure. The diastolic pressure is determined by continuing to deflate the cuff until no pulse is palpable.
In the direct method, a catheter is inserted into an artery of the animal to measure blood pressure directly. This method is more accurate than the indirect method but requires specialized training and equipment.
Blood pressure measurement in animals is an important diagnostic method in the examination of cardiovascular diseases or in monitoring patients during surgery or in intensive care.
Body temperature measurement
Monitoring body temperature during surgery is important because the animal’s body temperature can decrease during the procedure, especially when the animal is under anesthesia. A decrease in body temperature can lead to slowed recovery and prolonged anesthesia duration.
During surgery, the animal’s body temperature is continuously monitored to detect deviations early and respond accordingly. Special monitoring devices such as thermometers or temperature probes are used for this purpose.
Monitoring body temperature during surgery is an important part of animal anesthesia and contributes to the safety and successful outcome of the procedure.
Anesthetic gas monitoring
Anesthetic gas monitoring in animals is a method to monitor the anesthesia state of an animal during surgery and ensure it is adequately supplied with anesthetic gas. This is crucial for maintaining the animal’s stability during the operation and avoiding potential complications.
Anesthetic gas monitoring includes monitoring the animal’s respiration and cardiovascular system, as well as measuring the concentration of anesthetic gases in the exhaled breath. Special monitoring devices such as capnographs, pulse oximeters, and gas analyzers are used for this purpose.
A capnograph measures the carbon dioxide concentration in the animal’s exhaled breath and displays the respiratory rate and depth. This allows for monitoring of respiration and early detection of anomalies.
A pulse oximeter measures the oxygen saturation in the blood and the pulse rate of the animal. Deviations can be detected early with this device as well.
A gas analyzer measures the concentration of anesthetic gases in the inhaled air and the amount of gases exhaled. This helps in controlling the amount of anesthetic gases administered.
Anesthetic gas monitoring is an important component of animal anesthesia and contributes to the safety and successful outcome of the procedure.
Pain management
Perioperative pain therapy for our patients is very important to us. We adjust it individually and for inpatients daily according to their needs. Decisions for our patients are made as a team, involving multiple specialties in the management of patients to provide the best possible treatment and therapy.
Among the techniques of pain therapy that we use here are regional and local anesthesia, which we also administer under ultrasound guidance to ensure more targeted application of medications.
Regional and local anesthesia
In local or regional anesthesia, the goal is to block the transmission of pain signals from nerves in a specific body region using medications (local anesthetics). Advantages of regional anesthesia include better and more targeted pain control during and after surgery, a pain-free recovery phase, and reduced stress on the overall organism.
Dr. Heide Klöppel
Senior Physician Anesthesia
MRCVS CertVA
Please do not hesitate to contact us if you have any questions or need assistance. We are happy to help you.
e-Mail: info@frontier.vet
phone: +49 (0) 89 904 29 56-0