Anaesthesia induction disscusion on FB!

Re: Anaesthesia induction disscusion on FB!

Gillian Mostyn — Wed, 25 Mar 2009 14:26:59 GMT

I think this was a case where you perhaps had a duty to contact the RCVS about his methods. In general I am happy to accept that 'everyone does things differently.' However, where there is an obvious lack of knowledge or care shown, then that is different. In the end you would perhaps be doing him a favour - next time the owner might instigate investigations which would be a lot nastier than any checking the RCVS would do.

Re: Anaesthesia induction disscusion on FB!

Lisa Molyneaux — Wed, 25 Mar 2009 13:56:23 GMT

was just having a look through old posts and spotted this! LAST YEAR i locumed for a LA vet who sis a small bit of SA (his clinic was a converted chicken shed!!) and he used Rompun for LA and diluted it with TAP WATER and used it I/V!!!!!!!!!! Horrible Horrible thing to ever see!!

Surprise surprise the poor dog a HUGE GSD, who was spayed with that toxic mixture died while in recovery. Some vets really need to be struck off but the F*"!$ers always get away with it!!

Re: Anaesthesia induction disscusion on FB!

Mac Feather — Fri, 27 Feb 2009 00:13:18 GMT

[quote user="sal the 1st"]

yes we used to use 1ml local in 5 mls water for any thio 'blows' - I was told it corrects the ph from the blow so it doesnt slough and also has the benefit of stopping it stinging so dog is less likely to lick or chew at it - dont know if that is true or just another fairy tale i have been told

[/quote]

yes that seems to ring a bell with me too.

Re: Anaesthesia induction disscusion on FB!

Sal the 1st — Thu, 26 Feb 2009 23:36:17 GMT

Re: Anaesthesia induction disscusion on FB!

Sal the 1st — Thu, 26 Feb 2009 23:32:41 GMT

Do they still make Aserbine (bit like dermisol but less smell) - but still stings like hell

Re: Anaesthesia induction disscusion on FB!

Mac Feather — Thu, 26 Feb 2009 23:32:35 GMT

did it? i never knew that!

Re: Anaesthesia induction disscusion on FB!

Jacqueline Gallacher — Thu, 26 Feb 2009 23:32:23 GMT

yes sterile water or a little local would do the trick with peri vascular thio.

Re: Anaesthesia induction disscusion on FB!

Sal the 1st — Thu, 26 Feb 2009 23:29:24 GMT

dermisol liquid - lovely stuff! esp for getting ink stains out of white uniforms

Re: Anaesthesia induction disscusion on FB!

Mac Feather — Thu, 26 Feb 2009 23:28:36 GMT

and it nipped like mad! vile!

i think we used to inject local into perivascular thio pockets if i remember rightly.

Re: Anaesthesia induction disscusion on FB!

Sal the 1st — Thu, 26 Feb 2009 23:28:08 GMT

yes I remember the explosion risk with ether. I also remember my old boss saying that I had to make sure my underwear was antistatic because of the risk (why just my underwear and not the rest of my clothes was a mystery ) - he offered to check I was safe and wearing the correct attire - and I offered to tell his wife!

We didnt have a scavenger either but we did have the window that opened wire meshed so we could open that and get some air through. I used to get some stonking headaches when we had a few ops in - and hit the deck a couple of times - my boss said it was because I hadnt had breakfast and I say it was because I had too much bloody ether. We didnt really use ether in cats we usually used saffan i/m because he was hopeless at i/vs.

Re: Anaesthesia induction disscusion on FB!

Jacqueline Gallacher — Thu, 26 Feb 2009 23:23:16 GMT

dermisol ear cleaner was disgusting that smell like mingin ear vinegar

Re: Anaesthesia induction disscusion on FB!

Mac Feather — Thu, 26 Feb 2009 23:21:11 GMT

i remember the ether days and the immobilon days and saffan days!

the first op i ever saw was an aural resection under immobilon on a very pongy cocker spaniel. the dog had the bad ear smell coupled with dermisol ear cleaner and the vet scrubbed with savlon!!!!!!!

Re: Anaesthesia induction disscusion on FB!

Jacqueline Gallacher — Thu, 26 Feb 2009 23:15:29 GMT

The scariest and most dangerous anaesthetics are the ones you are not familiar with ie anything that is new to you. Yes ether used to freeze and we had a couple of small explosions when de budding kids whilst using ether, also didnt have a scavenger so used to nearly anaesthetise ourselves, do you remember how much the cats hated it ? if you masked them down they would salivate like crazy. poor things, poor us too, it really smelled bad.

Re: Anaesthesia induction disscusion on FB!

Sal the 1st — Thu, 26 Feb 2009 23:07:25 GMT

- I started with a boyles bottle and ether too! can remember it used to freeze when it was really cold and first job in the morning when it was cold was making sure the ether was liquid, seems like an age ago! I used to work for this really old vet then and he used to drop horses with either ether or chloroform (cant remember which now but it was a hairy experience walking a horse round until it went down) - I can remember rapinovet coming out I think it was either 88 -89 . Non of the vets wanted to use it because of its colour primarily. I remember us getting a free vial of the stuff - and it was still there 5 years later when I left. Seem to remember there was the same problem when Domitor came out as well how things have changed.

Re: Anaesthesia induction disscusion on FB!

Jacqueline Gallacher — Thu, 26 Feb 2009 22:47:38 GMT

I have been nursing for 22 years and I started with a boyles bottle and ether, (oh dear I am a dinosaur), used saffan and thio for years but always at 2.5% and we were anaesthetising a high volume of animals daily and we didnt get sloughing problems. There definitely was a place for it as it was so cheap, propofol was a real luxury for us then.

Re: Anaesthesia induction disscusion on FB!

Nick Shackleton — Thu, 26 Feb 2009 14:23:27 GMT

yea I remember the days of Saffan reactions. We use Alfaxalone (same drug-ish) and its great. With regards to sloughing skin that's why its always recommended an ic cath. is placed for all GA cases. not much extra cost, can always add it to cost of anaesthesia.

Re: Anaesthesia induction disscusion on FB!

ginny — Thu, 26 Feb 2009 11:51:26 GMT

I've only ever seen one case of sloughing due to thio and that was with 5%. Never seen it with 2.5% solution. Absolutely agree that it has/had its place in practice. Remember saffan swellings well!!

Re: Anaesthesia induction disscusion on FB!

Claire Cameron — Thu, 26 Feb 2009 10:57:10 GMT

[quote user="Nick Shackleton"]

We were using Thio up until it was stopped being made, think it had it place to be honest. Every drugs has its Pro and Cons

[/quote]

I totally agree it had its place and i didnt mind using the drug itself it was just the sloughing that used to be awful

Re: Anaesthesia induction disscusion on FB!

Nick Shackleton — Wed, 25 Feb 2009 19:42:31 GMT

We were using Thio up until it was stopped being made, think it had it place to be honest. Every drugs has its Pro and Cons

Re: Anaesthesia induction disscusion on FB!

Claire Cameron — Wed, 25 Feb 2009 17:01:22 GMT

I remember using Thio until about 2/3 years ago at a previous practice and the vets would regularly inject sterile water when the new grads had ended up giving thio perivascular

poor animals i used to hate it

Re: Anaesthesia induction disscusion on FB!

Shane — Wed, 25 Feb 2009 16:43:48 GMT

We used to use thio on dogs and horses way back then. Used to knock them out for ages, especially the horses! lol.

Re: Anaesthesia induction disscusion on FB!

Fiona Leathers — Wed, 25 Feb 2009 13:51:33 GMT

I've been nursing for 10 years and have never used either saffan or thio. The vets I worked with, even right back at the beginning, didn't like either so its been propofol all the way for me!

Re: Anaesthesia induction disscusion on FB!

Sal the 1st — Wed, 25 Feb 2009 09:47:10 GMT

my first vet nursing job with an anaesthetic machine (yes I have worked places that didnt have them!) used thio in dogs and saffan in cats. We used to premed all cats with miniscule dose of rompun as a premed and then use half dose saffan and we never got any bad reactions.Tho have to admit we had some very bouncy recoveries esp in ferals.( was a rarity we needed anaesthetic machine with these cats - but always had it ready) Thio - yes I can remember having to inject water but to be honest it didnt happen that often - I had a vet that was good with veins

Re: Anaesthesia induction disscusion on FB!

Nick Shackleton — Wed, 25 Feb 2009 00:26:22 GMT

indeed Noodle. So glad that I work in a practice where I/v access is routine and are left in until patient is fully recovered in case of accidents. Remember anaesthesia is like flying a plane, the worst bits are induction (take off) and recovery (landing) althou there can be a few hairy points inbetween (who knows turbulance maybe??)

Re: Anaesthesia induction disscusion on FB!

Noodle — Wed, 25 Feb 2009 00:22:52 GMT

Eeek!

Now I am showing my age too - watching saffan cats ears/tongues with vigilance, and thinking why oh why do vets not put iv catheters in with thio!

And I'm not even qualified lol - just old school