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There's been a LOT of talk about Ketamine recently. Not only as an induction agent but also its larger role as an NMDA receptor antagonist and how this plays into chronic conditions such as pain, anxiety, and depression.
Today we talk with Dr. Matthew Gurney DECVAA on how we can better utilize this drug class and some of the science behind it!
Dr. Matthew Gurney is an internationally respected British anaesthetist. A specialist in anaesthesia and analgesia, Matt trained at the University of Liverpool and now works at Eastcott Referrals in the UK. Matt is passionate about pain management, lectures on the subject globally and is the author of many international anaesthesia publications. Matt is Past President of the European College of Veterinary Anaesthesia & Analgesia. In 2020 Matt was awarded the Fellowship of the Royal College of Veterinary Surgeons for Meritorious Contribution to Clinical Practice. 2022 saw Matt awarded the RCVS Knowledge Award for Quality Improvement for launching and implementing a unique anaesthesia safety tool.
You can find his site here: https://www.zeropainphilosophy.com/pain-updates -
So, have you ever wondered what it would be like to make the switch from veterinary nursing to the human side? Well, today we are talking with Morgan McCann who has done just that!
Morgan McCann has been a credentialed veterinary technician since 2010 and became a VTS (Anesthesia & Analgesia) in 2018. In 2020 she began the process of transitioning to human healthcare with the goal of becoming a Certified Registered Nurse Anesthetist. In 2024 she graduated with a Bachelor’s of Science in Nursing. She currently works fulltime in an Intensive Care Unit and Progressive Care Unit while continuing to work relief in veterinary medicine. Outside of work she enjoys stand up paddleboarding all over the Pacific Northwest and is a volunteer search and rescue canine handler. She shares her home with her son John, a 1.5 year old Maine Coon (yes a real MC) named Katsu, and two former street cats named Kylo and Kiska. -
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Today we are joined by Dr. Omar Zaheer, DACZM discussing all things Piggies and why your dosing calculations may be a lil off!
Dr. Omar Zaheer graduated from the Ontario Veterinary College (OVC) in 2016. Following graduation, he completed a small animal rotating internship at the Veterinary Emergency Clinic in Toronto before returning to the OVC for a specialty avian & exotic internship. Following completion of this internship, he completed a residency at the OVC in avian & exotic medicine & surgery from 2018-2021. He published several articles during his residency, including a new surgical technique for cloacal prolapse in pet parrots, an anesthetic study on quaker parrots, and several case reports on pet exotics including chickens, rabbits, and guinea pigs. He became licensed with the American College of Zoological Medicine as a Zoological Companion Animal Specialist in 2023. -
Does team culture play a role in patient safety? The research may surprise you! Dr. Cyndie Courtney is back for round 2 helping us dive into the research on how teams work together and what that means for patient safety.
Dr. Cyndie Courtney is a small animal veterinarian and recovering toxic team member. She speaks, writes, and consults internationally using peer-reviewed research and real-life experiences to improve individual/organizational performance/wellbeing by addressing workplace conflict.
She was awarded the World Small Animal Veterinary Medical Association’s Next Generation Award in 2019 and her veterinary alma mater’s Outstanding Recent Alumni Award in 2021 for her service to the profession. -
You've probably seen a study referenced in lectures or online forums as a way to present evidence-based theories. But have you ever wondered what all those terms in the studies mean? How does sample size affect the quality of the study? What is in-vivo vs in-vitro and how do these things affect the quality of information you are receiving and making patient decisions based upon?
Today I am joined by Dr. Cyndie Courtney, a DVM who also happens to study why people do the things they do at work. Dr. Cyndie Courtney is a small animal veterinarian and recovering toxic team member. She speaks, writes, and consults internationally using peer-reviewed research and real-life experiences to improve individual/organizational performance/wellbeing by addressing workplace conflict.
She was awarded the World Small Animal Veterinary Medical Association’s Next Generation Award in 2019 and her veterinary alma mater’s Outstanding Recent Alumni Award in 2021 for her service to the profession.
The study we were talking about in this episode: https://pubmed.ncbi.nlm.nih.gov/32301662/ -
Waking up is hard to do...especially when it's after anesthesia. This episode of the podcast features Darci Palmer LVT, VTS (anesthesia & analgesia) discussing the differences between dysphoria, emergence delirium, and pain. We talk about different medication options and tips for making anesthesia recovery smoother overall.
Darci Palmer has been a credentialed veterinary technician for 21 years. She obtained her veterinary technician specialty in anesthesia and analgesia in 2006 while working at the Washington State University (WSU) Veterinary Teaching Hospital followed by a position at Auburn University College of Veterinary Medicine. Currently Darci is at Tuskegee University College of Veterinary Medicine where she is providing both didactic lectures and clinical hands-on training to the veterinary students.
In addition to her clinical work, she serves as the Academy of Veterinary Technicians in Anesthesia & Analgesia, Executive Secretary and in January 2021 she took over the chair of CVTS which is the committee that oversees all of the NAVTA recognized Veterinary Technician Specialty -
You know I love my ventilator... see the photo for how I reacted when we got the new Mindray Veta 5 in-house! But when using a ventilator in anesthesia, what do those modes even mean? Volume control, Pressure control, PEEP...it can get a bit confusing, so we have Glynis here to make sense of it all. Today we talk to Glynis Wileman.
She has a PhD - AG Med, while she did not stay in that field, she has worked clinically for 13 years in STARS - specializing in Infant transport/ ECMO, and ventilation / Surfactant studies under Dr. Neil Finer, at RAH. Then onto Siemens/Draeger for Product development in Anesthesia / Ventilation platforms. She is a wealth of information when it comes to anesthesia and ventilation. -
As you all know recovery from anesthesia and surgery is an integral part of the process. In today's episode, we talk with Feliza Lopez a VTS ECC technician in NYC who explains what makes an optimal recovery. This one is for you nutrition nerds because guess what??? it plays a huge role in recovery for some of our ICU patients.
Feliza Lopez is a speaker, educator, and the Director of Emergency and Critical Care at the Schwarzman Animal Medical Center in New York City. -
When it comes to onboarding your new hires what's the one thing that seems to inevitably get messed up? Training! Especially in surgery and anesthesia.
In this episode, we talk to Clair Sauer, MSEd, CVT about ways we train folks (hint...there are best practices) ways we test folks on knowledge, and ways to make sure we are setting new employees up for success.
Clair Sauer started her career as a High School Science teacher. After teaching in the USA and Japan over the span of a decade, she earned her MSEd from West Chester University in 2004 . Since then, she has been involved in developing and spreading awareness of inclusive science programs for urban youth and under represented communities.
Upon leaving formal teaching, she worked extensively shelter medicine, animal welfare and public resource management. Working in shelter med led her to pursue her CVT, which she received in 2018 from Harcum College.
She loves being a CVT in both anesthesia and critical care while integrating her education background into her current role in academia. As well as still growing as a tech and becoming more aware of her own neurodivergence, she makes time to stay active in improving education and access to veterinary medicine for all. She has been nominated and recognized for her achievements and leadership, most recently in 2022, receiving the VECCS Steven Haskins Scholarship.
She lives in Philadelphia with her 2 Doberman Pinschers and 2 kitties. Most of all, Clair likes going dancing with other nerds in vet med and riding bikes in the woods. You can find her on IG @thevettechteacher and she is currently exploring life as a lecturer and consultant in education-based initiatives in our field.
Email her at [email protected] with questions, comments, hellos, and content requests. -
We've all been there...the patient comes to our surgery service with buprenorphine on board. Now what do we do? Can we give pure mu opioids? Is buprenorphine enough for pain? How long do we have to wait for efficacy?
Today we are talking with anesthesiologist Bryce Dooley about buprenorphine and why we may judge this molecule harshly. Buprenorphine is a great drug when used appropriately and a mainstay addition to many analgesic plans. -
Worlds collide on this episode of the VAN podcast! We are joined by CRNA known as "AnesthesiaGawd" on the socials. We talk about becoming a CRNA, differences in human vs vet med, drug pharmacology, and why I love a Macintosh blade!
Look for Anesthesia Gawd on Instagram to follow along. -
There one drug class that can strike fear into the hearts of veterinary professionals: NMBA or muscle relaxers. This drug class is often used in optho patients however can prove to be beneficial in many other patient presentations. On today's podcast we talk to Rian Ashmore a VTS Anesthesia about what NMBA's are, how they function, and how you can utilize them in your practice.
Rian graduated from Minnesota School of Business in 2012 and worked in private practice for several years before joining the University of Minnesota in 2014. In 2016 he began doing anesthesia full time and in 2021 he obtained his VTS in Anesthesia and Analgesia. Last year he transitioned to a teaching position where he works with fourth year students in their clinical anesthesia rotation by giving topic rounds, helping them work up cases, inducing and maintaining anesthesia, etc. Rian's biggest interests are in teaching and treating patients with cardiac disease, especially patients referred for interventional radiology cases. -
Your mission should you choose to accept it...anesthetize this old cranky cat with kidney disease. There are many variables to consider and VTS Anesthesia Elizabeth Hart is here to help us through. What drugs should we avoid? What monitoring is the most important? Elizabeth explains what things to prepare to make anesthesia for the kidney dz patient a breeze!
Elizabeth graduated from Michigan State University (GO SPARTANS!!!!) in 2003 with her BS in Agribusiness, she obtained her VTS in 2022 and currently works for a large specialty and emergency center in Lebanon, NJ. -
BP goes down and the fluids go up...that's the way it goes right?
Well it might be time to re-think those old rules of hypotension management.
Today we are joined by Michelle Albino a fantastic VTS(anesthesia) out of NYC to discuss when to bring on the fluids and when to just get your vasoactive drugs going.
Born and raised in New York, Michelle graduated from SUNY Delhi and has been an LVT since 2003. For 12 years, she was employed at the Animal Medical Center in New York City in the anesthesia and emergency departments. She served as team leader of the anesthesia department and oversaw anesthesia training and education for 5 years at the AMC. Michelle worked alongside Dr. William Muir, gathering data for his study in fluid responsiveness via the Masimo PVI for patients undergoing general anesthesia, and authored a book chapter on the topic of analgesic pharmacology for a textbook on pain management in veterinary patients.
She became board certified in anesthesia/analgesia in the fall of 2012 and started her own company where she visits hospitals to help elevate staff knowledge on anesthesia and pain management offering lectures, labs, and hands-on supervision and training. Michelle currently is employed at the ASPCA animal hospital in New York City as director of training and education. In this role she provides in-house continuing education, creates and updates medical operating procedures, provides anesthesia and pain management consults, and works to elevate onboarding and training processes utilizing adult learning techniques. In addition, she recently became virtual facilitation and training and adult learning certified. -
Is Gabapentin the new Tramadol?
We see quite a many post on Veterinary Anesthesia Nerds discussing the use of Gabapentin for acute post surgical pain..but what does the evidence say?
Here Stephen breaks down how this drug works, why acute pain may not be the best use of gabapentin and what you should reach for instead.
Resources mentioned in this episode:
Pypendop B, Siao K, Lkiw J. Thermal antinociceptive effect of orally administered gabapentin in healthy cats. Am J Vet Res. 2010;71(9). doi:10.2460/AJVR.71.9.1027
Reid P, Pypendop B, Ilkiw J. The effects of intravenous gabapentin administration on the minimum alveolar concentration of isoflurane in cats. Anesth Analg. 2010;111(3). doi:10.1213/ANE.0B013E3181E51245
Johnson B, Aarnes T, Wanstrath A, et al. Effect of oral administration of gabapentin on the minimum alveolar concentration of isoflurane in dogs. Am J Vet Res. 2019;80(11). doi:10.2460/AJVR.80.11.1007 -
Anesthesia Machine? Check ✅
Emergency Drugs? Check ✅
Checklists are an integral part of our daily lives in the vet clinic, increasing efficiency and safety. You may use them in you OR, but do you use them in your ER?
Today Amy Newfield is here to talk to us about WHY checklists are the s**t and why we should be using them everywhere. Amy knows education. She has received speaker of the year awards, worked with translators in over four countries, has over 60 published printed works in eight countries and recently published her very own book. She is a self-described border collie.
Resources mentioned in this episode:
AAHA: https://www.aaha.org/publications/newstat/articles/2021-04/anesthesia-best-practices-prepare-compare-be-aware/
https://www.anesthesiallc.com/publications/blog/entry/checklists-as-important-as-ever-in-anesthesia-patient-safety
M&M Article: https://www.kickassvets.com/blogs/blogMNMRounds.php
https://journals.sagepub.com/doi/abs/10.1177/0018578720931752?journalCode=hpxa
Checklist Manifesto Book: https://amzn.to/3JEAXOG
Amy's website: https://www.vetteamtraining.com/ -
well we know cannabis has been a hot topic in vet med for a while now but it still seems like there are some inconsistencies in the information out there. Is it legal to discuss with clients? What do the laws say? Does it even work? What the heck is a COA?
These questions and more are answered by my guests, the enigmatic Stephen Cital, and the inspiring Liz Hughston both California based RVTs with extensive experience in cannabis medicine.
Resources from the show notes:
https://link.springer.com/book/10.1007/978-3-030-68317-7?fbclid=IwAR2ZPFlZBrvrdtJpVTT9-4Rqe4PsvFEm9OTNeg4fJLi-tQ3oMEqKWC4xkyE
https://www.vetcannacademy.com/?fbclid=IwAR2OYm17I91LcJL3tM_l-Ndns0cVQTgFrDgCoilkUZF5dPI9Z1GZCOn6VeQ -
Sometimes you hit a point in your career where you inveitibly ask, "What's next?" Often that next is a leadership position. But what if you don't want to be a manager? Or, what if you do but you done know where to start learning about leadership and management?
In this episode we talk with RVT Senani Ratnayake as she help us understand the different oprtions, what we should do if we feel stuck, and how to become great leaders.
Senani attended Queen’s University and the University of Guelph where she completed a Bachelor of Science before pursuing Veterinary Technology at Ridgetown College, graduating in 2002.
She has been educating veterinary professionals for over 17 years and has received multiple awards for her contributions to veterinary medicine, including most recently the Founders Award from Dr. Andy Roark’s Uncharted Veterinary Community. She is a sought-after and well-respected veterinary consultant and speaker.
You can find her at https://www.facebook.com/motivatumconsulting
Resources for this episode: https://www.communivet.com/en/ca/sign-in (Join for free
Visit CommuniVET (free membership for all veterinary team members) and check out Senani's videos in the Practice Playbook section: "Implementing Ideas with Confidence" for the System Cycle explainer video and "Empowered to Lead: Where does your power come from?" for more on Leadership."
https://www.communivet.com/en/ca/tools/practice-playbook -
How well can you "go with the flow"? Today we talk about oxygen flow rates, breathing systems, and when an NRB really is a wiser choice.
Courtney is originally from New Zealand where she trained and qualified, and has been working as a Veterinary Nurse since 2007. After working in a number of small animal clinics there, an anaesthesia passion took her to a large referral hospital in Australia in 2015. In 2016 she moved to the UK and is now an Anaesthesia Registered Veterinary Nurse at the Royal Veterinary College. Courtney completed her Nurses Certificate in Anaesthesia in 2017 and throughout her studies, she started Veterinary Anursethesia on various social media platforms to share anaesthesia tips. She has written a number of articles for journals and enjoys speaking to Student Veterinary Nurses and Registered Veterinary Nurses on anaesthesia
https://www.instagram.com/veterinaryanursethesia/?hl=en -
With the price of eggs skyrocketing, some folks think a backyard chicken empire is the way to go. But, how much do we know about chicken anesthesia? Can you intubate a chicken? What muscle do you use for IM injections? What pre-meds work best?
These questions and more will be answered in this episode featuring Kristen Cooley VTS (anesthesia)
Kristen Cooley is a Veterinary Technician Specialist in anesthesia and analgesia. You can find her here: https://www.peakvas.com
Kristen is a published editor, author and illustrator of anesthesia related text books as well as an internationally recognized and frequently sought after speaker and award winning instructor. - もっと表示する
