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News Article

Anesthesia guidelines for cats


New guidelines, authored by an expert panel, aim to make anesthesia and sedation safer for the feline patient

The American Association of Feline Practitioners (AAFP) has released the first feline-specific anesthesia guidelines, which are published in the Journal of Feline Medicine and Surgery.

Due to their unique physiology and small size, cats undergoing anesthesia are at a relatively greater risk of complications and mortality than many other species.

Relying on a standardized, evidence-based approach for administering anesthesia is especially useful for ensuring the patient's safe and predictable perioperative response and recovery. These Guidelines address specific causes of disparities and ways of avoiding perioperative complications associated with monitoring, airway management, fluid therapy, and recovery. Additionally, the Guidelines discuss other important aspects of feline anesthesia, including perianesthetic anxiety and stress, perianesthetic monitoring by physical and electronic means, the role of underlying diseases such as hypertrophic cardiomyopathy (HCM), the correct use of anesthesia equipment, and total injectable anesthesia.

Content has been organized in the following areas: use and care of equipment, preanesthetic assessment, comorbidities, critical patient emergencies, anesthesia and sedation, perioperative complications, and anesthesia recovery.

The Guidelines were authored by an expert panel and include visuals and other information designed to minimize risks associated with anesthesia; namely, tables, charts, and algorithms that are very useful resources for veterinary teams. These invaluable tips and techniques for the practice team start even before the patient leaves home and goes through the critical recovery period. The associated client brochure provides cat caregivers with digestible information that enables them to understand anesthesia, what to expect, properly prepare their cat for a procedure, and care for them during recovery.

"By proactively developing an individualized anesthetic plan that considers the uniqueness of each feline patient and recognizing that 'one size does not fit all,' the experience for the cat can be improved and the outcome successful. It is our hope that these Guidelines will become the practice's go-to resource and each team member will have a new awareness of all the tools and techniques available to them," said Guidelines Co-Chairs Susan M. Gogolski and Sheilah A. Robertson in an accompanying editorial.

It is recommended that these Guidelines - endorsed by the International Society of Feline Medicine (ISFM) - be used in conjunction with other previously published guidelines from the AAFP and ISFM such as those on feline friendly handling, feline friendly nursing care, senior care, pain management, and fluid therapy, as they each contain specific information that should be considered when sedating and/or anesthetizing cats.

The Anesthesia Guidelines and associated supplemental resources are also available for download on the AAFP website: www.catvets.com/guidelines/practice-guidelines/anesthesia-guidelines

Articles:

AAFP Feline Anesthesia Guidelines by Sheilah A Robertson, Susan M Gogolski, Peter Pascoe, Heidi L Shafford, Jennifer Sager and Gregg M Griffenhagen, published in Journal of Feline Medicine and Surgery (2018) vol. 20, no. 7, pp. 602-634, doi: 10.1177/1098612X18781391

To sleep, perchance to dream . . . of better anesthesia for our feline patients (Editorial) by Susan Gogolski and Sheilah Robertson, published in Journal of Feline Medicine and Surgery (2018) vol. 20, no. 7, pp. 601 doi: 10.1177/1098612X18781387

Article details

  • Date
  • 11 July 2018
  • Source
  • AAFP
  • Subject(s)
  • Dogs, Cats, and other Companion Animals