AD134 – Advance25 How do I anaesthetise my…? Anaesthesia and co-existing diseases
This course commences on Tuesday 11th July 2023, with the last session taking place on Friday 18th August 2023. The forum will remain open for two weeks after the last session.
Advance25TM Courses help you to develop your knowledge and clinical skills in a defined area of small animal practice. These fully flexible online courses include tutor support and interaction via an interactive discussion forum you can ask questions and join the discussion at any time, wherever you are in the world. There are no ‘real time’ sessions that you need to be available for, so this course is suitable for you whatever your time zone. All of your course materials are all recorded, and you have full access for a 12 month period. The course runs for a six week period, and you’ll get tutor support for a further 2 weeks in case you need to catch up. After that, you’ll still have full access although the tutor support will end. Complete your learning and get your CPD Certificate for 25 Hours of CPD.
In this course we will explore anaesthetics from a different angle: the diseased dog and cat that requires general anaesthesia in small animal practice. This course for vets in general practice who want to advance their knowledge, understanding and skills in veterinary anaesthesia avoiding the “one size fits all” approach. You’ll gain insights and learn protocols that you can use with your small animal patients on a daily basis, for better outcomes and lower stress levels.
What you will learn :-
Each week we will discuss a different organ system from a physio-pathological point of view relevant to anaesthetising your small animal patients. We’ll discuss pharmacology of the drugs that you’ll need for the perioperative period and pain management in a practical way, relevant to specific cases. Two full sessions will be dedicated to common but challenging emergency cases and how to more confidently and safely stabilise and anaesthetise them. We’ll also discuss pregnant animals, neonates, and neutering procedures as they can offer challenges for anaesthesia in small animal practice.
In the forum we’ll discuss real-life scenarios including challenging cases, patient and personnel safety and how to respond to peri-operative emergencies to get the best outcomes.
Each session will include:
- A 45-50 minutes webinar focused on a body system and its diseases
- Answers to pre-submitted questions
- Course notes and recordings of each session
- A forum where you can ask the course tutors questions
- Weekly quiz in the forum: test your knowledge on the area that you’ve learned about and discuss real life scenarios
Session 1 – Cardiovascular Patients
Patients that have congenital or acquired CV diseases that require anesthesia. Examples include: hypertrophic cardiomyopathy, mitral valve disease, PDA, aortic stenosis, pulmonic stenosis.
We will discuss the importance of obtaining a full diagnosis and cardiac work up before anaesthesia to tailor the anaesthetic plan around your specific patient.
Session 2 – Respiratory Patients
Including: pneumonia, pulmonary contusion, asthma. We will discuss signs of respiratory distress and the importance of imaging the animal before anaesthesia so that you can formulate the best plan.
Session 3 – Endocrine system Part 1
Including: Cushing’s disease, pheochromocytoma, Addison’s disease, hyper and hypothyroidism. We will focus on reviewing the specific body system changes and how they might affect your anaesthetic plan. We’ll also look at how the treatment of these diseases can affect your anaesthetic management.
Session 4 – Endocrine system Part 2
Including patients with: Diabetes, insulinoma, hyperparathyroidism
Session 5- Neurological Patients
Including patients suffering from: seizures, intracranial masses and tumours, raised intra cranial pressure and intervertebral disc disease. We will look at how to manage the suspicion of raised intracranial pressure prior to and under anaesthesia. We will also discuss different options for your epileptic patients (including what we should not be scared about).
Session 6 – Pregnant and Neonatal Patients
Considerations you should make for pregnant animals requiring anaesthesia for caesarean sections or other procedures. Physiological differences of neonates and paediatric cases and how they can impact the peri-operative period will be discussed so that you can manage these patients effectively in your practice.
Session 7 – Renal and hepatic Patients
Renal failure or impairment, hepatic failure or impairment, porto-systemic shunts: we will discuss how you can stabilise the patient before anaesthesia and which drugs should be used and which you should avoid.
Session 8 – Head, Neck and Throat Patients
We’ll include mandibulectomy, maxillectomy, dental cases, brachycephalic breeds and laryngeal paralysis. All of these procedures may affect the airways. We’ll also discuss the challenges these cases can present in the post-operative period.
Session 9 – Emergencies 1
Including: sepsis and massive haemorrage. How can you stabilise these cases before anaesthesia and/or referral? What information do you really need before anaesthesia and how should you obtain it?
Session 10 – Emergencies 2
Including: GDV, trauma, pyometra. Is there anything you can do better or different for these emergency cases?
Session 11 – Urogenital Patients
Including: ovariohysterectomy, castration, urethral obstruction. These are commonly encountered cases in first opinion practice; this is your chance to discuss any issues or questions you have with these patients in the interactive forum.
Session 12 – Oncological cases
We will discuss sedation options, acute and chronic pain management. These cases often require a long term analgesic plan so we will present some specific cases for discussion and we will discuss further options and limitations in the forum to help you with the patients you’re likely to see in your practice.
Click here to view the full dates for this course
What do Vets Say About This Course?
‘Overall the course was comprehensive, useful and will look to use what learnt to change practice protocols.’
Philip Perry MRCVS
‘The information given in this course will help me improve anaesthetic management of my patients.’
Ana Bonache MRCVS
‘I found the quiz at the end very good as it get’s you to be more engaged and think about the material. I would recommend it to anyone in GP as it has a lot of usefull information and it was very well presented.’
Yvonne van der Veek MRCVS
‘Great that you can study in your own time but still have access to the tutors for asking questions via the discussion forum. Informative, good range of content, ability to ask questions but study do in your own time.’
Emma Tarrant MRCVS
‘The course was aimed at the right level – there was information that was new to me in all the lectures.’
Cliff Maw MRCVS
‘Very useful, good structure. The state-of-the-art information in regard to the latest doses and protocols was most useful.’
Aurora Zoff DVM MRCVS CertAVP (VA) Dipl. ACVAA
RCVS Specialist in Anaesthesia and Analgesia
American Specialist in Anaesthesia and Analgesia
Aurora graduated from Bologna Veterinary University in Italy in 2009. After spending some time in first opinion practice in Italy, she moved to the United Kingdom in the summer of 2011. She undertook a small animal anaesthesia internship and subsequently a European and American Veterinary Anaesthesia and Analgesia residency at the University of Liverpool. Aurora then worked in referral practices in the West Midlands and Hampshire before joining North Downs Specialist Referrals.
Aurora passed her American Diploma boards in 2017, and she is now a Diplomate of the American College of Anaesthesia and Analgesia. Her interests include treatment of chronic pain, peri-operative fluid therapy and critical care.
Stefania Scarabelli DVM, MRCVS, Cert (AVP) VA, Dip ECVAA, Dip ACVAA
Scarabelli Stefania graduated from the University of Parma (Italy) in 2005. After few years spent in first opinion practice, she completed an Internship in Veterinary Anaesthesia at the University of Liverpool (UK) followed by a residency both for the European and American College of Veterinary Anaesthesia and Analgesia. In 2017 she obtained the Certificate in Advanced Veterinary Practice (Veterinary Anaesthesia), in 2018 she became a Dipl ECVAA (European College of Veterinary Anaesthesia and Analgesia) and in 2019 she obtained the ACVAA (American College of Veterinary Anaesthesia and Analgesia) Diploma as well. Stefania is now head of service at Clinica Veterinaria Malpensa in Italy. Her main interest include anaesthesia for the cardiac patient and critical care.
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