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Swine Anesthesia (L&J Ch50)
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Pigs are difficult to restrain because of their body shape and lack of appendages to be readily grasped by handlers. What are options for restraining adult pigs for PE/ injections? (4)
-Hog board to isolate in corner
-Guide into transport cart
-Pig sling (hammock w/ leg holes)
-Snout snare (uncomfortable!)
Pigs have limited superficial veins that can be accessed easily to inject drugs. What are your best options? (2)
-Marginal ear (auricular) veins are best
-Cephalic vein (usually blind stick)
(NB: Saphenous is usually NOT good option; Ext jugular can be cannulated but is often reserved for blood draws)
For IM injections in pigs, where should you aim in piglets? In adults?
-Piglets: Muscles of the thigh
-Adults: Behind the base of the ear (Layer of fat is thinner, tissues better perfused)(Going in thigh >> Abscess, needle breakage for adults)
For IM injections in pigs, why must you use a long needle?
So injection doesn't go intra-fat >> Delaying absorption/ distribution
(Gauge: Piglets 20, up to 14 for adults)
Presurgical fasting time should be at least ________ for adult pigs and should be inc to __________ when sx will manipulate GI or abdominal organs.
Neonates should only be fasted for ______ to prevent hypoglycemia.
When is water withheld?
-Fast adults at least
12 hrs
or
24-48hrs
for abdominal surgery
-Fast neonates for only
3hrs
-Water is
allowed until time of sx
UNLESS stomach/ upper GI sx then remove
4-6hrs
What is the normal HR of pigs?
60-120 bpm
Why is it not ideal to reverse benzos/ alpha 2 agonists during pig recovery BEFORE ketamine has been metabolized?
If ketamine is the only drug left on board >> Hyperkinesia of limbs, Ataxia, Distress vocalization, Hypersalivation, Hyperresponsiveness
What kind of drug is azaperone?
Butyrophenone neuroleptic agent
Specifically describe how you induce GA with inhalant
-Iso 3-5% or Sevo 4-6%
-O2 4-8L/min +/- N2O at 1:1 ratio w/ O2
-Face mask
Why do some recommend adding N2O at a 1:1 ratio with O2 to hasten inhalant induction?
The second gas effect:
-N2O gets rapidly transported from alveoli to blood >> Improves uptake of inhalant agent into blood
What are the benefits of maintaining anesthesia with a O2-N2O-inhalant mixture in pigs?
MAC values are additive, so adding N2O reduces the dose requirement of sevo >> Dec cardiopulm depression from sevo and makes more physiologically stable
(50-66% N2O in 50-35% O2 is common with sevo/ iso/ des)
Why is it important to intubate pigs for procedures lasting longer than a few mins or for procedures that require them to be unconscious and in dorsal recumbency? (4)
-Resp depression from sedatives/ GA
-High work of breathing d/t narrow upper airway
-Prone to laryngospasm
-Fluids accum in pharynx/ Regurg/ Asp
Why is intubation of pigs challenging?
-Difficult to visualize larynx (thick tongue, long/ narrow oropharynx, elongated soft palate)
-Pharyngeal diverticulum protrudes from wall of pharynx above esophagus
-Obtuse angle b/w floor of lateral ventricles and trachea
Why might inserting the ETT too far result in difficulty in maintaining inhalant anesthesia?
Too far >> Block
right cranial bronchus
Because intubation in pigs can be challenging and potentially result in a prolonged period of hypoventilation or apnea, what should you ideally do prior to induction?
Pre-oxygenate via tight-fitting face mask for 5-10 mins (unless pig struggles with restraint)
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