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Anesthesia is required for most surgical procedures, rendering the patient immobile, unaware, and without pain. In addition, certain diagnostic procedures require anesthesia, notably stomach or airway endoscopy, bone marrow sampling, and occasionally ultrasound. Animals may require anesthesia for therapeutic procedures, such as urinary catheterization to relieve obstruction, injection into a mass, or removing fluid from the eye to treat glaucoma. Aggressive animals may require anesthesia in order to be safely and humanely handled for even the most general of procedures, such as a physical exam or blood draw.
In addition to anesthesia, analgesia is often managed by anesthesiologists and anesthetists and included in the considerations for anesthesia. A balanced anesthesia protocol can be used whereby different drugs with different effects are used so that a high dose of just one drug can be avoided. The movement to higher quality anesthetic management requires a commitment to our patients. We are not just adding medications and monitoring equipment. We must look at our patients as a separate individual. Is the patient young or old, calm or excitable, small or large, healthy or diseased?
By thinking of our patients as individuals, we can adjust a given protocol to achieve the best possible balance of safety and comfort. Through the use of the advances at hand, we can provide a much more valuable service to our clients and provide safer anesthesia for our patients. We need to forget the thought that anesthesia is giving so many mg per kg of drug, with the only question being the weight of the animal. This course can provide a basis for viewing anesthetic management as the essential of quality veterinary medicine that it should be.
Partner Courses: The art and science of anesthesia and analgesia is constantly adapting to new advances. Advanced Concepts in Anesthesia: Small Animal Part One and Advanced Concepts in Anesthesia: Small Animal Part Two are partner courses designed to provide advanced level training to help practitioners and veterinary technicians update and expand their procedures and protocols.
Advanced Concepts in Anesthesia: Small Animal Part One provides an in-depth review of the evaluation, considerations, and regulation of acid-base balance and fluid therapy. The anesthetic management of dogs and cats across such considerations as species, age, breed, and other factors such as trauma and pre-existing disease is also addressed. Drug selection from the viewpoint of procedure related factors covers topics such as the level of invasiveness and length of procedure. The next section reviews the anesthesia and immobilization of small mammals including laboratory rodents, pocket pets and non-domesticated/exotic patients. This course then moves into anesthetic considerations for special procedures such as ocular, cesarean, trauma and the critically ill, neonatal and geriatric, dental and orthopedic. Select procedures including laryngoscopy and bronchoscopy, CT and MRI are addressed as well. Please review the learning objectives and content sections below for more details.
Advanced Concepts in Anesthesia: Small Animal Part Two picks up where Part One left off, starting with considerations for patients with cardiovascular disease, respiratory disease and airway compromise. It also addresses neurological disease, endocrine disorders, renal disease and liver disease. The final module reviews the factors involved in anesthesia emergencies and accidents including high-risk patients, cardiovascular emergencies such as cardiac arrest, respiratory insufficiency, delayed recovery and other situations that need to be understood and planned for.
It is recommended, but not required, that participants take the courses in order. It is highly recommended that the participant have a strong grounding in the fundamental principles of anesthesia, well beyond a surface training in dial setting and number watching. The content covered in our Basic Principles of Anesthesia Part One and Part Two courses should already be mastered. The advanced courses build on a foundation and will not provide basic level training.
Text Information: This course utilizes a textbook. It is up to each participant to determine the best way to acquire the text. Some will already have the text in their library and therefore will not need to purchase another copy. It is available as a print publication and as an eBook through Wiley-Blackwell and a link to their website is provided in the material section below as a courtesy. Important: Regardless of what option the participant chooses, access to a copy of the textbook is mandatory. Without the text the student will not be able to complete the assignments, case studies and examinations as the material is not reprinted within the course. If enrolling close to or beyond the course start date, it is recommended that the text be purchased as an eBook to prevent text acquisition related delays. The same text is used in both advanced anesthesia courses (a different text is used in the two basic level anesthesia courses).
Enrollment: The enrollment button on this page enrolls into the Part One course only. To learn more about Part Two please use this link Advanced Concepts in Anesthesia: Small Animal Part Two catalog page. |
Upon completion of the course, the student will be able to:
- Define acid-base balance, identify systems responsible for maintaining acid-base balance, discuss simple and mixed disorders and compare alternative approaches to acid-base analysis
- Evaluate fluid and electrolyte distribution and develop perianesthetic fluid therapy protocols based on patient status
- Identify and contrast crystalloids, colloids and various blood products,
- Evaluate and select drugs to create a balanced anesthetic protocol
- Select drugs for anesthesia based on patient related factors, procedure length and invasiveness
- Identify appropriate delivery systems and anesthetic agents , develop safe and appropriate anesthetic and analgesia protocols and manage anesthetic emergencies in rabbits, rodents, pocket pets and non-domesticated/exotic patients
- Identify conditions, evaluate and utilize appropriate anesthetic agents and implement local and regional blocks for ocular surgical patients
- Assess the alterations on females induced by pregnancy and consider the impact of these alterations on anesthesia
- Evaluate drugs that cross the placenta, identify appropriate anesthetic drugs for cesarean section patients and anticipate the need and care of newborns
- Identify and manage shock, administer supportive therapies and determine the best anesthetic protocols in the trauma or critically ill patient
- Identify the special considerations of and prepare an anesthetic plan for a neonate or geriatric patient
- Explain the importance of local and regional blocks in dental patients
- Develop an appropriate anesthetic protocol for orthopedic patients that includes local, regional and post operative analgesia
- Develop an anesthetic plan for laryngoscopy and bronchoscopy patients
- Identify contrast agents used for MRI and CT scans
- Implement safe anesthetic protocols for patients with a mega esophagus
- Develop anesthetic protocols for an exploratory laparotomy
- Describe considerations associated with GDV, hemoabdomen, and obesity
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Advanced Concepts in Anesthesia: Small Animal Part One is an advanced level 6 week long course. The content, assignments, examinations and case studies address acid-base balance, fluid therapy considerations, balanced anesthesia, drug selection and procedure related factors in patients with special needs and situations. It covers anesthesia and immobilization of a number of small animal species. Ocular, cesaarian, trauma, critically ill, neonatal, geriatric, dental, orthopedic and select diagnostic procedures are also reviewed. |
Essentials of Small Animal Anesthesia and Analgesia, 2nd Edition by Kurt A Grimm, William J. Tranquilli, Leigh A Lamont; 2011 Wiley-Blackwell.
Important Text Information: This course utilizes a textbook. It is up to each participant to determine the best way to acquire the text. Some will already have the text in their library and therefore will not need to purchase another copy. Where to purchase and in what format is totally up to the participant. The text is available as a print publication and as an eBook through Wiley-Blackwell. The following link to their website is provided as a courtesy. Scroll down to the bottom of the Wiley-Blackwell page to view all book delivery options.
Purchase Text From Wiley-Blackwell
Important: Regardless of what option the participant chooses, access to a copy of the textbook is mandatory. Without the text the student will not be able to complete the assignments, case studies and examinations as the material is not reprinted within the course. If enrolling close to or beyond the course start date, it is recommended that the text be purchased as an eBook to prevent text acquisition related delays. |
...The course is well laid out and easy to follow. The instructor was very helpful and prompt with her feedback. I really enjoyed this course and am looking forward to taking another in the near future. Thank You.
...I liked the case studies as they allowed me to do my own protocols and get feedback from the instructor.
...I really liked the case studies which forced me to put together the learning keys and subject matter into real world scenarios. Mary Ellen was great in giving feedback where appropriate. I also like being able to see the message boards and the other students' questions which made me formulate answers as well.
... This course was significantly more in depth than I had expected it to be. I work in emergency, so routine procedures on exotics is not something I'm ever exposed to, but it was good to know who in my hospital I could ask about such information as I was not versed it in. It also made me think about other aspects of anesthesia that was needed for special procedures like MRIs and CT scans as these are procedures I am not exposed to in the ER.
... I really liked how in depth the course was. I haven't been to a lot of
anesthesia CE courses over the years and this was by far the best. I
liked how in depth the reading was and Mary Ellen's questions were very
beneficial in applying the reading material . She's an excellent
teacher!
...This was an excellent course and the instructor was great! I put in a
lot of time on the homework. This was an excellent review for me. The
text book is thorough and an excellent reference.
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VetMedTeam courses are asynchronous - they do not contain real time components. Students log in while the course is in session at times convenient to personal schedules and participants do not have to be online at specific times to attend lectures. |
Completed students are awarded a certificate of completion. Completion requirements include:
- Interactive Assignments and Case Studies: Practical in nature - designed to help the student apply the newly learned material
- Examinations: All examinations must be submitted with a score of 80% or better.
- Course survey
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This course is designed for the anesthetic technician and veterinarian seeking to provide anesthesia and analgesia focused on the patient as an individual and who wish to expand their understanding of the factors that need to be taken into consideration when selecting drugs and developing protocols. It is highly recommended that the participant have a strong grounding in the fundamental principles of anesthesia, well beyond a surface training in dial setting and number watching.
The content covered in our Basic Principles of Anesthesia Part One and Part Two courses should already be mastered. The advanced courses build on a foundation and will not provide basic level training. This course was developed for students currently working in a veterinary hospital. The assignments are practical and the student will need to use practice resources to complete. The average student will spend 5 hours per week in order to complete all the mandatory requirements. However, many students will find they need to devote more time due to the practical nature of the assignments and case studies as well as the depth of the material. |
Course meets the requirements for 25.00 RACE hours of continuing education credit for veterinary technicians and veterinarians in jurisdictions which recognize AAVSB's 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. |
Participants may enroll in this course after it has begun, up to the enrollment deadline date. Participants who enroll after the start date do not miss out on any components of the course.
There are no real time sessions.
The design of this course allows each participant to proceed based on individual schedule, as long as all assignments are submitted by the assignment submission deadline |
This course utilizes content from Essentials of Small Animal Anesthesia and Analgesia, 2nd Edition by Kurt A Grimm, William J. Tranquilli, Leigh A Lamont; 2011 Wiley-Blackwell |
 Mary Ellen Goldberg, BS, CVT, VMT, LAAS, SRA
Mary Ellen Goldberg graduated from Harcum College and the University of Pennsylvania. She took the Virginia state boards in June 1976 and is also licensed in the state of Florida. Mary Ellen is a Surgical Research Anesthetist certified through the Academy of Surgical Research.
She worked at the Virginia Commonwealth University in the Division of Animal Resources as a Laboratory Animal Anesthesia and Analgesia Specialist and has been the instructor of Anesthesia and Pain Management at VetMedTeam, LLC since 2003.
In addition, she is the Co-Editor of the International Veterinary Academy of Pain Management’s newsletter and active in the formation of Academy credentialing for veterinary technicians and veterinarians. Mary Ellen is an elected member of the Board of Directors and Executive Secretary of the IVAPM (International Veterinary Academy of Pain Management). She is on the Exam Writing Committee and the Case Study Review Committee as part of the credentialing process for Certified Veterinary Pain Practitioner (CVPP). She is a member of the Executive Committee. She is a member of the American Academy of Pain Management, American Society of Pain Educators, and Association of Veterinary Anaesthetists.
Mary Ellen has now been appointed to the faculty at the Mannheimer Foundation, Inc., a primate facility in South Florida, to teach residents in Laboratory Animal Medicine from the University of Florida and other Veterinary Colleges about Primate Anesthesia and Analgesia. Mary Ellen is part of the faculty/staff for Canine Trigger Point Therapy Programs in The Woodlands, Texas. She does relief work as a veterinary technician for the Lion Country Safari Hospital in Loxahatchee, Florida.
Mary Ellen has worked in various aspects of veterinary medicine from small animal and equine to mixed practice, coccidiosis research for a pharmaceutical company, zoo animal medicine and laboratory animal medicine.
She lives in Boynton Beach, Florida with her husband. She has 3 grown sons. |
September 01, 2013 - Registration deadline is 11:30 PM Eastern September 10, 2013
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