Before the surgery
The day before we will ask you to withhold food and treats after midnight the night before and the pet may have access to water. We aim for an empty stomach to reduce nausea and vomiting post op.
Drop off /Surgery day
The pet is normally dropped off prior to 9 am for a monitoring period and pre-surgical bloodwork, if not previously done!
We require bloodwork be performed within 3 months of any sedation procedure. This gives an idea of how healthy the pet is on the inside. Bloodwork also helps the doctor choose any necessary protocol changes. Certain sedative medications are processed and eliminated by the liver or kidneys we choose these medications based on bloodwork. Lab work shows dysfunctions. It allows us to be prepared for example with IV fluid therapy, or even a transfusion if needed.
IV fluid therapy
The pets foreleg will be shaved for clean IV catheter placement!
IV catheter placement and supportive fluid therapy will be chosen based on the bloodwork, animals age, and length of the procedure. For routine surgical procedures on young healthy animals such as a spay or neuter IV fluids may not be necessary. As well an IV catheter will provide venous access in the event of an emergency!
Sedation and intubation
Sedation will be performed intravenously in the saphenous vein on one of your pets forelegs. Followed directly by intubation to secure your pets airway. Your pet’s sedation will maintained on inhaled isoflurane(anesthetic gas) carried by a constant supple of oxygen.
Your pet will never be alone while sedated, a trained staff member will monitor respirations and pulse rate physically. Your pet will be hooked up to monitoring machines including a heart rate monitor and pulse oximeter to measure and confirm the amount of oxygen your pet is getting.
Preparation and surgery
Your pet will be prepped for the surgical procedure quickly to reduce anesthesia time, surgical areas will be shaved and scrubbed. The surgery will then be performed by our doctor.
Extubation and waking up
The doctor’s assistant will turn off the isoflurane sedative, but leave oxygen on as your pet is waking up. They will monitor closely for signs of alertness and swallowing so that the pets endotracheal tube may be extubated. Your pet will be safely awake at this point and be monitored for a number of hours postoperatively before going home with specific instructions for his or her surgical recovery.
An important part of anesthesia is heat therapy as pets loose body heat while under sedation. We monitor and apply heat therapy as needed when the body temperature drops or if the patient experiences blood loss.
Much like our anesthesia protocol our pain protocols change to fit our patients needs. It is our intention that our surgical patient experience no pain and relatively little discomfort as possible post operatively.
If your pet has surgery it is very likely to go home with an accessory such as an e-collar, surgical shirt, or bandage. We know as pet owners sometimes the hardest part of surgery is post operative care. Often times your pets new accessories are annoying and inconvenient, but they are very necessary!
Most surgical procedures are day procedure and pets will be sent home after
3 pm unless further monitoring or care is required.