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Anesthetic Complications

Views: 13836 - Comments: 9

During this hour of case studies, Kristin Spring, CVT, VTS(ECC, Anes.), CVPP, walks you through some of her toughest anesthetic cases. She explains the hows and whys of drug selection, monitoring, and emergencies during critical anesthesia.

This talk is RACE-approved for one Technician CE credit.

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Kristin Spring's picture
Kristin Spring

CVT CVPP, VTS(Anes.), VTS(ECC)

Enrolled: 08/2011

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Comments

Lori Pehling's picture

I could not read her anesthetic charts at all only the highlighted lines showed up on my computer screen, otherwise it was a good lecture.

Celina Raper's picture

I agree that it was very difficult to look at the anesthetic charts. Maybe include with the speaker's notes, actual copies of her power point slides.
But great information.

Sari Lieberman's picture

I agree with both of the above. Not only were the charts very hard to read/see, (they were blurry, too light and too distant), you could not see her laser pointer when she was pointing out specifics. Otherwise, very informative.

Rose Manduca's picture

I was really disappointed with this one! I thought I would be able to assign it to my students as we just covered this topic in class but the charts & graphs that are so important to the cases are completely illegible and the speaker didn't verbalize the numbers of the abnormalities either. At the very least she should have done that and certainly this info. should have been made available in the speaker notes. The use of a less fancy font for her slides in general would help with clarity for video also. Additionally, I found the excessive "Umms" during her talk distracting. I only watched/listened to half the presentation.

Megan Brashear's picture

Hey everyone, so sorry for the technical difficulties with the powerpoint in this lecture. We're looking for a fix for the charts to make it easier to see the specifics. Glad to see that you're still getting some good info from the lecture!

Kimberly Wilson's picture

I also foud this lecture to be very difficult. Charts were unvisible for me to see and she only verbally talked about it but we couldnt see any of the charts information.. made it all over the place.

Bethany Jarrett's picture

Great job, Kristin. Great talk and I learned alot.
I have a couple of questions: Case #1 4mL Fent bolus on a 3 kg cat? What dose were you using? Why did you not choose to add Ketamine when the Fent CRI wasn't helping? Also, same question for the lab with the foreign body.
Question about the sudden hypotension when the mass pressing on the great vessels, what do you do to correct this?
Thanks, Beth

Megan Brashear's picture

Hi Bethany, I'm stepping in to answer for Kristin (which I know just isn't the same!) That 4ml bolus of fentanyl she is talking about is a bolus of the CRI. We generally make those up so that 1ml=1mcg/kg, so a 4ml bolus would be a 4mcg/kg bolus. As far as the kentamine addition to multiple patients, I wasn't there for the decision making process on those patients but it's a GREAT thought and always a good idea to consider adding additional drugs to work towards TIVA in these patients who are not doing well under anesthesia. As far as the hypotension in those abdominal mass patients, there isn't anything to prevent it other than a controlled release of that pressure. Removing the fluid can be controlled at a slower pace if the patient is doing poorly, just communicate with the surgeon. Knowing the cause and then responding with crystalloids, colloids, and other drugs as needed are the best things the anesthetist can do; and monitor them through the crisis. Thanks for your questions!

Keri Lyn  Nilsen 's picture

HI! I work in a specialty practice, and mainly work in the surgery dept. I loved your anesthesia monitoring sheets! Where can i get a copy??? MUCH appreciated!