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Partial intravenous anesthesia in cats and dogs
1Department of Small Animal Clinical Sciences, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Canada. Tanya.duke@usask.ca
The Canadian Veterinary Journal = La Revue Veterinaire Canadienne
|September 3, 2013
Summary
Partial intravenous anesthesia (PIVA) combines inhalational and injectable drugs to enhance anesthesia quality and reduce side effects. This technique offers superior pain relief and fewer complications compared to traditional methods.
Area of Science:
- Anesthesiology
- Pharmacology
Background:
- Partial intravenous anesthesia (PIVA) is an anesthetic technique.
- It involves concurrent administration of inhalational and injectable drugs.
- PIVA aims to reduce the required concentration of inhalational anesthetics.
Purpose of the Study:
- To describe the partial intravenous anesthesia technique.
- To highlight its benefits in improving anesthesia quality and analgesia.
- To list commonly used drugs in PIVA.
Main Methods:
- Utilizes a combination of intravenous injectable drugs with inhalational anesthetics.
- Commonly involves opioids, alpha-2 adrenergic agonists, injectable anesthetics, and lidocaine.
- Drugs are typically administered via continuous intravenous infusion.
Main Results:
- PIVA reduces the incidence of undesirable side effects associated with anesthesia.
- It provides a superior quality of both anesthesia and analgesia.
- Allows for lower concentrations of inhaled anesthetic agents to be used.
Conclusions:
- Partial intravenous anesthesia is an effective technique for improving patient outcomes.
- It offers a balanced approach to anesthesia and pain management.
- The concurrent use of injectable drugs enhances the safety and efficacy of anesthesia.
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Parenteral Anesthetics: Overview
Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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