scary incident anaesthesia cpd required

Re: scary incident anaesthesia cpd required

SmegSlayer — Thu, 27 Mar 2014 12:05:00 GMT

From what you say you performed fantastically well and your initiative in wanting to know more really shows a great attitude to your work.

I agree with all the suggestions that have been mentioned so don't feel I can really add to it and I haven't done any anaesthesia cpd so can't suggest any good ones but agree that improve international do some great ones, having done some on other areas.

You don't mention whether you mentioned your concerns to the vet or not, I am presuming that you did. If you didn't- always, always tell the vet or another senior nurse at the time. I only say this because I was very scared about raising concerns after being horribly berated by a vet when I did ask questions relating to the anaesthetic i was monitoring. It took me a long time to regain my confidence as i just thought I was rubbish at my job.

Any vet worth their salt would rather be alerted over nothing than not over something. There was one occasion when a vet and I did 3 dog procedures in quick succession- 2 young castrates and 1 elderly staff pet (meep!). All went bradycardic when on the anaesthetic machine in theatre. The 2 young dogs coped but the older dog needed medical intervention on recovery but was fine in the end. This vet had a great deal of trust in my abilities as a nurse so investigated and we found out that the vapouriser in theatre was not giving the % gas that it was set to- 2% was actually 4% when the engineer came out.

Believe in yourself and your abilities but never be afraid to raise a concerns, no matter how trivial.

Re: scary incident anaesthesia cpd required

Amy Homer. RVN. NCert A&CC — Thu, 27 Mar 2014 11:12:01 GMT

hi there.

agree with the above comments. sounds like you did the right thing. if i was in this situation i would shave done bp reading. were pulses ok?? i would have turned down gas as you did, and maybe suggested some iv fluids to the vet.

improve international do a anaesthesia certificate which is amazing. its ways to fit in around your family life, althoughh you do have to goto 8 days of lectures. hope this helps x

Re: scary incident anaesthesia cpd required

Alison Clare Hickman — Thu, 27 Mar 2014 10:18:19 GMT

Hiya,

Well you did absolutely the right thing in reducing the anaesthetic agent! It is a guess but it's likely he was hypotensive (hence the mm colour); which once he had recovered his b/pressure returned back to normal parameters and so his colour returned to normal as well. Perhaps his pre-medication affected this... ACP can induce hypotension... What did your vet say when you alerted him/her to the dog's colour/tardy CRT? Did you mention it/keepmentioning it to the vet? (Always, always point out your observations to the vet...my apologies if you did do...!)

You are also doing the right thing by questioning your knowledge; so relax a bit, you're a great nurse for reflecting on, and wanting to resolve, this area of development...

I would also ask your colleagues at work what they think too; they'll each have encountered this/similar experience and be able to guide you.

You might find the attached links useful reading...

Code Blue! How To Avoid Anesthetic Complications & Disasters

www.dcavm.org/12octtechnotes.pdf

https://www.aahanet.org/PublicDocuments/Anesthesia_Guidelines_for_Dogs_and_Cats.pdf

http://www.veterinariamachado.com/wp-content/uploads/2013/07/complicaciones-anest%C3%A9sicas.pdf

Hope this helps.

Ali h