Jun 2

The Recovery Danger Zone

Think the hard part is over once the last suture is tied? Think again. In this episode of The CARES VetMed Podcast, Travis, Maryann, and Tracey shine a light on the "Danger Zone"—that high-stakes window where even the most routine procedures can take a sudden, life-threatening turn. We’re diving into the "why" behind post-op complications, sharing clinical experiences and exploring specific strategies to keep patients safe once the monitors come off. In this episode, we explore: The Post-Op Statistic: Why do half of all anesthesia deaths happen after the surgery is finished? We talk about why "waking them up" is the most dangerous part of your day. The "Heavens to Betsy" Tray: We reveal what needs to be within arm’s reach when a recovery goes sideways—and why it isn't just about the breathing tube. The Science of "Flow-By": Why 100% oxygen isn't always the answer. We explain the "Nitrogen Skeleton" and how a simple Ambubag trick can help fix collapsed lungs. Pain vs. Panic: How can you tell if a patient is hurting or just confused? We look at the subtle physical cues that tell you exactly what your patient needs. Airway Brinkmanship: We discuss the high-wire act of recovering brachycephalic breeds and new tools that make it less stressful. Thermal Roadblocks: Why being "cold" is actually a form of sedation. We explore how temperature affects the body's ability to clear drugs, especially in exotic species. Questions to Think About While You Listen: Are you pulling the monitor off too early? We discuss the crucial "5-minute shift" that happens the moment you switch to room air. Is the "quiet" patient the most dangerous? Why the patient sleeping peacefully might actually be the one in the most trouble. Could your multitasking be a risk factor? We look at how 60% of techs who "double-task" might be missing the most important signs. Links mentioned in the episode for reference: The Post-Op Hypoxemia Data: C Piemontese et al. Noninvasive respiratory support in dogs Veterinary Anaesthesia and Analgesia 2026, 53, 101187 High-Flow Nasal Oxygen: Jagodich TA, Bersenas AME, Bateman SW, Kerr CL. Preliminary evaluation of the use of high-flow nasal cannula oxygen therapy during recovery from general anesthesia in dogs with obstructive upper airway breathing. J Vet Emerg Crit Care. 2020;30:487–492. Mila/Cook Airway Tools: Mila Cook The Feline Grimace Scale A Note on Our Content: The views, opinions, and personal experiences shared by the hosts on this podcast are for educational and entertainment purposes only. While our hosts are Veterinary Technician Specialists (VTS) in Anesthesia & Analgesia, the protocols, techniques, and case management styles discussed on this show should never take the place of direct veterinarian approval or institutional oversight. Every patient is unique. Always consult with the attending veterinarian and review your specific clinic protocols before implementing any new anesthesia or analgesia plans. As always, we sincerely thank all of you who took time out of your busy schedules to listen to this, as well as our other episodes. If you have any suggestions or feedback for us, we’d love to hear from you! You can send us a message on social media (@CARESVetMed) or email us at hello@caresvetmed.com. Let us know if you’d like to join us on a future episode! Take care, friends!

54 min

May 20

2025 ACVAA Monitoring Guidelines - What's New?

Welcome to another episode of The CARES VetMed Podcast! We're excited to be back with a deep dive into the updated 2025 American College of Veterinary Anesthesia and Analgesia (ACVAA) monitoring guidelines for small animals. Join Travis, Maryann, and Tracey as they discuss the significant changes since the 2009 version, focusing on the new minimum recommended monitoring standards and their implications for veterinary professionals. In each episode, we hope to continue spreading kindness and positive impact through our #CARESaction Challenge! NEW - Veterinary History Feature: Join us for a new recurring segment where we delve into historical veterinary texts! In this episode, we explore a quote from Leonard Conky's 1890 book, "Veterinary Medicine, Animal Castration Surgery, and Obstetrics Simplified." His intuitive observations on "natural pulse, temperature, and respirations" as keys to practice remain surprisingly relevant even in light of our modern advancements. This episode is a must-listen for anyone involved in veterinary anesthesia, offering insights into best practices, new requirements, and the enduring importance of attentive, skilled monitoring. Links mentioned in the episode for reference: ⁠⁠ACVAA Anesthesia Monitoring Guidelines (2025)⁠⁠ Referenced studies on Doppler vs. Invasive Blood Pressure in Veterinary Medicine: ⁠⁠da Cunha, A.F. ∙ Saile, K. ∙ Beaufrère, H. Measuring level of agreement between values obtained by directly measured blood pressure and ultrasonic Doppler flow detector in cats J Vet Emerg Crit Care. 2014; 24:272-278⁠⁠ ⁠⁠Kennedy, M.J. ∙ Barletta, M. Agreement between Doppler and invasive blood pressure monitoring in anesthetized dogs weighing 5 kg J Am Anim Hosp Assoc. 2015; 51:300-305⁠⁠ ⁠⁠Skelding, A. ∙ Valverde, A. Review of non-invasive blood pressure measurement in animals: part 2 – evaluation of the performance of non-invasive devices Can Vet J. 2020; 61:481-498⁠⁠ ⁠⁠Computed Tomography Assessment of Tidal Lung Overinflation in Domestic Cats Undergoing Pressure-Controlled Mechanical Ventilation During General Anesthesia⁠⁠ ⁠⁠Masimo (for information on plethysmograph variability and dynamic indices)⁠⁠ ⁠⁠Leonard Conky's "Veterinary Medicine, Animal Castration Surgery, and Obstetrics Simplified" (1890 text)⁠⁠ As always, we sincerely thank all of you who took the time out of your busy schedules to listen to this, as well as to our other episodes. If you have any suggestions or feedback for us, we’d love to hear from you! You can send us a message on social media (@CARESVetMed) or email us at hello@caresvetmed.com. Let us know if you’d like to join us on a future episode! Take care, friends!

52 min

09/30/2024

Episode 007: #SaveTheSmushies - A Conversation About Brachycephalics With Elisa Mazzaferro, MS, DVM, PhD, DACVECC

Join us for a fascinating discussion on brachycephalic breeds, featuring guest expert Elisa Mazzaferro, MS, DVM, PhD, DACVECC! In this episode, we delve deep into the unique challenges faced by these beloved breeds, from breeding practices and standards to their complex and often underestimated perianesthetic risks. Dr. Mazzaferro shares her expertise on: The current landscape of breeding testing and standards: Are we doing enough to ensure responsible breeding practices? Understanding the unique health concerns: From stenotic nares to elongated soft palates, we unpack the specific anatomical challenges that brachycephalic breeds face. Perianesthetic considerations: Why are brachycephalic breeds at a higher risk during anesthesia? What steps can veterinarians take to ensure their safety? The power of client education: Empowering pet owners with knowledge about their breed's potential health issues and the importance of preventative care. Implementing checklists into practice: A practical guide for veterinarians on improving patient safety and streamlining care for brachycephalic patients. This episode is essential listening for veterinarians, veterinary technicians, and pet owners who want to understand the complexities of caring for these adorable but often vulnerable breeds. Together, we can ensure a healthier future for brachycephalic dogs and #savethesmushies!

1h 6m

05/28/2024

Episode 006: Follow the MAP - It's Truly a Work of Heart

Welcome back to another episode of The CARES VetMed Podcast! Today, we're exploring the crucial role of mean arterial pressure (MAP) monitoring during general anesthesia. We all know monitoring blood pressure is essential, but why is MAP so crucial? How do we calculate it? And what can it tell us about our patients' perfusion and how they're handling anesthesia? In this episode, we'll cover: The importance of MAP monitoring: Why it's not just about a number, but a key indicator of organ perfusion and overall health. Calculating MAP: We'll review the factors that impact the MAP value. Anesthetic agents and their effects on MAP: Understanding how different anesthetic drugs can affect blood pressure and how to anticipate these changes. Common causes of hypotension during anesthesia: We'll discuss the most frequent culprits and how to identify them. Intervening in hypotension: From fluid therapy to medications, we'll explore the practical steps you can take to stabilize your patient's MAP. This episode is packed with practical tips and real-world insights, designed to empower you with the knowledge and confidence to monitor and manage MAP during anesthesia like a pro. So buckle up, grab your stethoscope, and let's follow the MAP!

49 min

02/19/2024

Episode 005: The Machine - Knowing Your Anesthesia Workhorse Inside and Out

Hey there, fellow anesthetists! It's time to get up close and personal with our trusty sidekick – the anesthesia machine! We rely on this machine to deliver safe and effective anesthesia to our patients, so understanding its ins and outs is crucial. In this episode, we're taking a look into: Anatomy of a Machine: From the oxygen source to the vaporizer, we'll examine each component and discuss its purpose. Flow Rates, Reservoir Bags, and More: Learn to select the right patient settings, from flowmeter rates to reservoir bag size. Troubleshooting Tips and Tricks: We'll tackle common machine hiccups and provide practical solutions to reduce those frustrating moments in the OR. Mastering the Leak Check: Keep your patients safe with a comprehensive guide to performing a thorough leak check. This episode is geared specifically towards small animal anesthesia, so buckle up and prepare to advance your comprehension of the (anesthesia) machine!

38 min

10/30/2023

Episode 004: Financial Talk with Andy Samoiloff

We're all about caring for our furry patients, but who cares for you?! This episode is dedicated to your financial future - a topic that often gets swept under the rug, especially for those in our field. If you put aside $24 a week, that would be $24,960 in 20 years, and in 40 years, it would be $49,920. What if I told you that in 20 years it could instead be $61,400 and in 40 years it could be $348,000, would you do it? Better yet, add in most companies' contributions, and that value will become $92,000 in 20 years and $522,000 in 40 years. If you increase your weekly contribution by 5% each year, the value will become $131,000 in 20 years and reach $1 million in the 40th year! This is the historical benefit of retirement planning and investing with the experts. Check out my conversation with Andy Samoiloff, where we discuss retirement planning and investing now to prepare ourselves for financial freedom in the future!

39 min

07/11/2023

Episode 003: Turn Up the Heat - Keeping Our Patients Warm (and Safe!)

In this episode, we’re discussing a topic that can sometimes be overlooked but is critically important: thermoregulation! We all know that our patients can get a bit chilly during surgery, but how much do we really understand about what's happening beneath the surface? In this episode, we're diving into the fascinating world of body temperature, exploring: The Body's Thermostat: How does the body regulate its temperature? We'll dissect the mechanisms of heat production and loss. The Peri-Anesthetic Chill: Why are our patients so susceptible to hypothermia during anesthesia? We'll uncover the contributing factors, from anesthetic agents to surgical procedures. Preventing the Shivers: More than just discomfort, hypothermia has serious consequences. We'll discuss the key strategies for preventing and treating this common complication. Get ready to heat up your knowledge and become the ultimate temperature champions for your patients!

31 min

05/17/2023

Episode 002: Passing Gas - Unmasking the Mystery of Inhalant Anesthetics

In this episode, we'll dissect inhalant anesthetics. We all know these gases are the backbone of general anesthesia, but have you ever stopped to think about how they work? Get ready to unmask the mystery behind those familiar bottles of isoflurane and sevoflurane! We'll be breaking down: The Nitty Gritty: What makes these agents unique and how do they influence our patients? Putting It to the Test: Let's talk about pharmacokinetics and pharmacodynamics - how these gases get in, what they do, and how they get out! Beyond the Basics: We'll tackle the pros and cons of each

21 min

04/23/2023

Episode 001: Intubation Blues - Is Cyanosis During Induction a Big Deal?

Have you ever seen a patient turn blue during anesthesia induction? We all have! But how worried should we be, and can we actually prevent it? In this episode, we're diving into the "Intubation Blues" and taking a closer look at cyanosis during induction. We'll break down what it means, why it happens, and, most importantly, how to keep your patients pink and healthy throughout the intubation process. Buckle up for some essential insights on managing your patient's oxygenation status and keeping them safe!

16 min

Trailer

Who CARES???

Comprehensive Anesthesia Review and Education Series for veterinary medicine (CARES VetMed) podcast is on it's way! Here's a sneak peak into the podcast's goals and what to expect with each upcoming episode. Let's do this!

3 min

The CARES VetMed Podcast

Episodes

The Recovery Danger Zone

2025 ACVAA Monitoring Guidelines - What's New?

Episode 007: #SaveTheSmushies - A Conversation About Brachycephalics With Elisa Mazzaferro, MS, DVM, PhD, DACVECC

Episode 006: Follow the MAP - It's Truly a Work of Heart

Episode 005: The Machine - Knowing Your Anesthesia Workhorse Inside and Out

Episode 004: Financial Talk with Andy Samoiloff

Episode 003: Turn Up the Heat - Keeping Our Patients Warm (and Safe!)

Episode 002: Passing Gas - Unmasking the Mystery of Inhalant Anesthetics

Episode 001: Intubation Blues - Is Cyanosis During Induction a Big Deal?

Who CARES???

Trailer

Who CARES???

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