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| ==Perianaesthetic Considerations== | | ==Perianaesthetic Considerations== |
− | Where possible, anaesthetised reptiles should be kept in sternal recumbancy, to help with circulation and prevention of hypotension developing. Monitoring the depth of anaesthesia can be difficult in reptiles but may of the same reflexes and response can be monitored as in other domestic species. These include: - | + | Isoflurane is the agent of choice for maintenance of anaesthesia. Propofol by slow intravenous or intraosseous administration can also be used. |
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| + | Where possible, anaesthetised reptiles should be kept in sternal recumbancy, to help with circulation and prevention of hypotension developing. Monitoring the depth of anaesthesia can be difficult in reptiles but may of the same reflexes and response can be monitored as in other domestic species. These include: |
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| *Toe and tail pinch. | | *Toe and tail pinch. |
| *Head withdrawl - Toe is pinched and head is slightly withdrawn. | | *Head withdrawl - Toe is pinched and head is slightly withdrawn. |
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| *Corneal response. | | *Corneal response. |
| *Jaw tone. | | *Jaw tone. |
− | As in other species, cardiovascular and respiratory systems should also be closely monitored. This can be done using oesophageal stethoscopes, ECGs and blood gas analysis. As previously mentioned it is also important to maintain the patient at its ideal temperature throughout the anaesthetic. | + | |
| + | Intermittent positive pressure ventilation (IPPV) is necessary. As in other species, cardiovascular and respiratory systems should also be closely monitored. This can be done using oesophageal stethoscopes, ECGs and blood gas analysis. As previously mentioned it is also important to maintain the patient at its ideal temperature throughout the anaesthetic. |
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| ==Postanaesthetic Considerations== | | ==Postanaesthetic Considerations== |
| Recovery can take between 10-30 minutes on average in reptiles. The patient should be minimally handled or stimulated as to prevent cardiovascular problems. Hypothermia can be a major cause of prolonged recovery as previously discussed. However, care should be taken to make sure that the patient is not overheated as this may lead to necosis and metabolic disturbances. Monitoring of the patient should continue until full normal function is obtained, and provision of oxygen or room air via assisted ventilation may be necessary until spontaneous breathing has returned. The patient may appear to of recovered and then gone back to an "re-anaesthetised" state and rest for periods during recovery. Full recovery may take up to 24 hours. | | Recovery can take between 10-30 minutes on average in reptiles. The patient should be minimally handled or stimulated as to prevent cardiovascular problems. Hypothermia can be a major cause of prolonged recovery as previously discussed. However, care should be taken to make sure that the patient is not overheated as this may lead to necosis and metabolic disturbances. Monitoring of the patient should continue until full normal function is obtained, and provision of oxygen or room air via assisted ventilation may be necessary until spontaneous breathing has returned. The patient may appear to of recovered and then gone back to an "re-anaesthetised" state and rest for periods during recovery. Full recovery may take up to 24 hours. |