Anesthesia/Analgesia for Brachycephalic Patients

1.0 CE Credit Hour / Amanda M. Shelby, RVT, VTS (Anesthesia & Analgesia)

Amanda M. Shelby, RVT, VTS (Anesthesia & Analgesia)

Amanda M. Shelby, RVT, VTS (Anesthesia & Analgesia)

Like most veterinary professionals, my passion for animals was identified in early childhood. My career took shaped following a summer job at Vanderburgh Humane Society (Evansville, IN) while obtaining my Bachelor of Science at Murray State University in Animal Health Technology/Pre-Vet with a Minor in Equine Science (2006). My foundation in anesthesia began at the University of Florida, College of Veterinary Medicine Anesthesia Service. I acquired my veterinary technician specialty certification in anesthesia and analgesia in 2010. From there, I continued to develop as a Clinical Associate in Anesthesia at Louisiana State University College of Veterinary Medicine. Additionally, I served as an adjunctive professor at Baton Rouge Community College, an AVMA accredited veterinary technician program. Returning to my home state of Indiana, I joined Jurox Animal Health, now part of Zoetis, where I served as the Think Anesthesia Content Coordinator until fall of 2023. I maintain my clinical competencies as a relief anesthesia technician at IndyVet Emergency and Specialty Hospital (Indianapolis, IN) and surrounding specialty hospitals and entertain contracts for creating veterinary educational assets, speaking, editing and authorship opportunities. Recently I joined VETgirl as the Senior CE Specialist. My greatest accomplishments are my children, a supportive husband and publications including Small Animal Anesthesia Techniques (Wiley & Blackwell, 2014, 2022). My newest adventure is pursuit of a Master’s in Education (Instructional System's Design) to improve my ability to facilitate the exchange of knowledge in the veterinary profession. I have specific interest in opioid minimal/free pain management, anesthesia for critical patients, emergency and interventional cardiology procedures as well as changing the culture of the veterinary profession towards a sustainable, inclusive career for all. I believe all patients benefit from trained and dedicated anesthetists and through learning we can improve patient outcomes. My professional services include the AVMA Committee Veterinary Technology Education and Activity (CVTEA) as the Industry Representative, NAVAS President-Elect, and service on NAVTA committees.

Overview:

This 1-hour presentation details the common complications and anatomical differences that increase a brachycephalic patient’s risk under sedation or anesthesia. Feeding times, analgesic plans and methods for optimizing a brachycephalic patient’s outcome is explored. Learn about the differences and how anesthetists can prepare to anesthetize a brachycephalic patient as safely as a non-brachycephalic patient.

Learning Objectives:

  •  Review and understand anatomical differences between brachycephalic and non-brachycephalic breeds that place them at higher risk under sedation or anesthesia.
  • Review recommended fasting times specific for brachycephalic and incidences of gastrointestinal complications associated with sedation and anesthesia.
  •  Review how to optimize a brachycephalic’s experience through drug selection, patient positioning and handling, and equipment modification during the peri-anesthetic period.

      This course is RACE-approved for 1.0 continuing education credits hours in jurisdictions that accept RACE-approval.