ANES105-0911: Anesthesia and Acute Pain Management for the Small Animal Practitioner: Protocol Construction and Execution

INSTRUCTORS: Nancy Brock, DVM, DACVA (course coordinator)
Kris Kruse-Elliott, DVM, Ph.D, DACVA
Lydia Love, DVM, DACVA
COURSE OPEN: September 27 - November 4, 2011
REAL TIME SESSIONS (RTS): Tuesdays, October 4, 11, 18 and 25, 2011; 8:00-10:00pm ET (USA)
Course RTS Times in Your Area

Practice Sessions: In order to prepare you for a successful experience in your CE course, we request you attend a practice session prior to the first RTS. Times and dates will be listed in your course confirmation email. Expect to spend up to 1 hour at one of the 2-4 practice sessions held prior to the first RTS.

Level and Prerequisites: Participants in this course should have some prior clinical experience with anesthesia delivery to small companion animals. This course is geared toward veterinarians and licensed technicians with an interest in anesthesia delivery to and surgical pain relief for dogs and cats. All technicians enrolled must have a current license/credential.
VIN CE course: open to veterinarians and veterinary technicians/VSPN members. This course has been submitted for RACE approval for veterinarians and veterinary technicians.

Course Description:
Anesthesia fundamentals will be reviewed. These include patient pre-anesthetic evaluation and risk assessment, anesthesia drug effects, the function of basic monitoring tools, how to support and monitor a patient during anesthesia, troubleshooting common anesthesia-related adverse events and incorporating analgesia into an anesthesia protocol. Course participants will be given reading assignments prior to the real time sessions.

To provide the necessary context, discussion would be centered around 6 cases - 3 feline and 3 canine, with a variety of levels of complexity in terms of planned surgical procedures, pre exiting patient compromise.

This is a highly interactive course. Each week you will be presented with one hour of instructor led discussion --- slides with accompanying audio (and text transcription) - will be made available in the course library for review at any time.

This course consists of four (4) 2 hour Real Time Sessions; library materials; interactive message board discussions; and an end of course quiz (80% minimum score required) designed to enhance course effectiveness and material retention. The weekly real time sessions with the instructors will include one hour of discussion of the week's material and one hour of group exercises to reinforce the material presented. The instructor(s) for this course will be using audio for the majority of the real time sessions which will require you to have a headset or speakers to listen. If you have any concerns regarding your computer's audio capabilities, please be sure to attend a Practice Session. (Note: attendance at the real time sessions is optional, but viewing the material and participating in the exercises before the course ends is mandatory for CE credit).

Upon completion of this course, the participant should be able to

• Identify anesthetic concerns related to patient status, planned procedure, and anticipated complications
• Design an appropriate protocol for monitoring and supportive care
• Plan an suitable anesthetic and analgesic drug regimen
• Identify and respond to perianesthetic complications

Course Materials: Course materials will be available in the course library prior to each Real Time Session.
Required textbook:

• None

Recommended textbook:

• Lumb and Jones and Tranquilli;Veterinary Anesthesia and Analgesia, 4th edition

About the Instructors:
Dr. Kris Kruse received her DVM from Oregon State University in 1984 and spent a year in mixed animal practice before doing her anesthesia residency at North Carolina State University. She became a Diplomate of the American College of Veterinary Anesthesiologists in 1989 and remained at NC State until 1992 when she completed her PhD in Pulmonary Physiology and joined the faculty at the University of Wisconsin at Madison School of Veterinary Medicine. In 2006 she left the world of academia to become the Medical Director at AnimalScan in San Francisco, where she is currently.

After receiving her DVM from the University of Tennessee College of Veterinary Medicine in 2002 and completing a rotating small animal internship in 2003, Dr, Lydia Love spent four years performing high volume, high quality spay neuter and providing small animal general practice and emergency relief services. She then completed an anesthesia residency at the University of Tennessee and was certified as a Diplomate of the American College of Veterinary Anesthesiologists in 2010. She is currently Director of Anesthesia and Pain Management at Animal Emergency and Referral Associates in Fairfield, New Jersey.

Originally from Montreal, Dr. Nancy Brock obtained her DVM degree from the Ontario Veterinary College at the University of Guelph in 1982. She completed a residency in anesthesia and critical care at the University of California, Davis in 1988. In 1995, she became certified as a veterinary anesthesia specialist and is a Diplomate of the American College of Veterinary Anesthesiologists. Based in Vancouver British Columbia, Dr. Brock is a regular contributor and consultant for the VIN (Veterinary Anesthesia Network). She is also a clinical instructor of anesthesia at Douglas College's AHT program in Coquitlam BC. As part of her clinical anesthesia referral practice, Dr Brock provides veterinarians and their nursing staff with anesthesia assistance and expertise. This assistance comes in the form of telephone consultation, in-clinic delivery of anesthesia to high risk or fragile patients and the training of veterinarians and technicians in advanced anesthesia techniques. She is also the author of a quick reference anesthesia publication entitled Veterinary Anesthesia Update for small animal practitioners.

Course Outline:
Week 1: (Real Time Session October 4):
Instructor(s): Nancy Brock, DVM, DACVA
Content:

• Introduction to case management and anesthesia protocol construction, including: patient evaluation; anesthesia risk assessment; and construction of a list of anticipated anesthesia-related problems. We will review the evolution of small animal anesthesia related morbidity and mortality over the past decade. Finally, we will also discuss how to charge appropriately for anesthesia services.

Week 2: (Real Time Session October 11):
Instructor(s): Nancy Brock, DVM, DACVA, Kris Kruse-Elliott, DVM, Ph.D, DACVA and Lydia Love, DVM, DACVA
Content:

• This session will focus on anesthesia drug protocol construction, including premedication, induction and maintenance drug selection.We will focus in this session on the use of balanced anesthesia, constant rate infusions, partial intravenous anesthesia, and analgesic strategies.

Week 3: (Real Time Session October 18):
Instructor(s): Kris Kruse-Elliott, DVM, Ph.D, DACVA
Content:

• Anesthesia monitoring: How to use monitoring devices, what to monitor, who monitors what?
• Anesthesia support: limiting the harmful effects of anesthesia drugs

Week 4: (Real Time Session October 25)
Instructor(s): Lydia Love, DVM, DACVA
Content:

• Troubleshooting common anesthetic complications: hypotension, abnormal breathing patterns, , temperature regulation, and recovery issues

CE CREDITS: 8

Tuition: $160 ($144 early bird special if enrolled by September 13, 2011).
All veterinary staff enrolled in this course must be credentialed technicians. Please list credential and state in the comment box on the last page of the enrollment form.

**For more on how online CE works see the VSPN Participant's Resource Center

TO ENROLL:
  » ENROLL NOW

1. Enrollment qualifications: VIN CE courses are open to VIN member and non-member veterinarians. Veterinarians enrolling in a VSPN CE course must be a VIN member. Veterinary support staff must be a VSPN member to enroll in a VSPN CE or a VIN CE course open to VSPN member enrollment.
2. Each enrollee must be able to receive emails from @vspn.org and @vin.com addresses. Email is our major form of communication with participants; personal emails are highly recommended rather than clinic/hospital email addresses.
3. Each person is individually responsible for his/her own registration. To ensure that all information received is secure and correct, please do not enroll for a course on behalf of another individual.
4. For further assistance call 1-800-700-INFO (4636) or email (VIN CE) CEonVIN@vin.com or (VSPN CE) VSPNCE@vspn.org). Please include the course title, your full name, and contact information in your correspondence.

Note: "This course has been submitted, but not yet approved, for 8 hours of continuing education credits in jurisdictions which recognize AAVSB RACE approval; however participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery of continuing education." Call VSPN/VIN CE at 1-800-700-4636 for further information. (Attendees are encouraged to check with their licensing jurisdiction(s) for information regarding recognition by their board).

Course withdrawal and refund policy: A complete refund of the paid course price will be issued when your withdrawal request is received prior to the listed start date of the course. If you wish to withdraw after the start date please contact the VIN/VSPN office 1-800-700-INFO (4636) to discuss eligibility for a pro-rated refund.

*For More Information on VSPN's Upcoming CE Courses check the Course Catalog at http://www.vspn.org/CE/VSPN_M02231.htm

Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Coordinator

VIN CE Services: CEonVIN@vin.com
1-800-846-0028 or 1-530-756-4881 or direct line to VIN/VSPN from the United Kingdom: 01452226154
Andrea Pomposo (Andrea@vin.com); ext 126
Debbie Friedler (Debbie@vin.com); ext 756
Heather Schoffstall (Heather@vin.com); ext 116
Jennifer Boyle (JenniferB@vin.com); ext 169

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