Thanks so much for this video. As an emergency veterinarian in practice for 16 years, all in a specialty practice setting, I did want to point out a few things. Firstly, it is very uncommon to have a veterinary anesthesiologist present for veterinary surgeries outside of academic settings. Secondly, I have never seen a human grade anesthetic machine used in a veterinary patient (either in academic settings or in any of the 10+ speciality facilities I’ve worked in, including most of those in NYC). Typically a much less sophisticated veterinary unit would be used along with a simple bellows based ventilator with settings only for tidal volume and rate. While it would be great if every animal patient could have a residency trained anesthesiologist supervising and use human grade monitoring and anesthetic equipment, it just isn’t economically feasible in the great majority of locations and not what most pet owners can reasonably expect in the vast majority of even speciality or academic practices.
Thank you so much for your insightful comment! Appears this is a specialized facility. Not a vet or human medical practitioner at all; I just recall seeing the simpler anesthetic machines on shows like Bondi Vet.
Let's add in private practice it would likely be a Licensed Veterinary Nurse/Technologist who would be doing the anesthesia- hopefully. I know in states where there is no requirement/licensing for LVT"s, many private practictioners have lay staff do a LOT of the anesthesia.
Licensed Vet. Tech here who spent 15 yrs in clinical veterinary medicine before moving to lab animal med, ditto. I spent my last 5 years in clinical vet. emergency and critical care referral facility (1990's) and we had veterinary anesth. machine and an ancient vent. but it was more than most general practices had at the time. Many, even specialty practices at the time, didn't have a ventilator. At end of 1990's I moved into lab. animal facility and we had human anesthesia machines there, in fact I had GE Aestiva anesthesia units Dr. Feinstein is often seen using. We also had a few slightly older GE Excel units but we were very luckily with having all the same toys our human friends enjoy and access to a major hospital pharmacy. However we were located in a large level 1 trauma hospital. Not much of what is shown in this video is typical of most general practice veterinary care facilities where most routine surgeries occur. This appears to be a top tier veterinary facility and I'm sure some things were done for the benefit of the video. I doubt very seriously the veterinary anesthesiologist is in the room for most routine procedures. The Veterinary Technicians are highly likely the typical persons doing anesthesia or as if usually termed "passing he gas" there, just under her supervision.
This was great! Definitely top standard of care. I’d highly recommend finding a place to observe equine anesthesia. Intubating and monitoring a horse was one of the highlights of vet school for me. (Just imagine how big that ET tube is!)
Very interesting to see this, as a "pet parent" whose dogs have all had surgeries along the way! My GSD had a hole in her heart (a PDA) that was closed with coil embolization at a teaching hospital in Guelph, Ontario, and it was amazing to watch the students examine her, then go into the hallway to discuss what they thought was going on, and they all got it right! They were also all present at her follow up ultrasound. Her heart had decreased in size, and was now normal.
That was AMAZING! As a former (I left the field due to disability) veterinary technician, I really enjoyed this. I worked in general practice and used to do many of these things myself, under the supervision of a veterinarian of course. Wow, this video almost made me want to go back to working in the field. I’ve shared this video with all of my veterinary friends.
I came to say almost the same thing. I left due to disability and injury, 20+ years was hard on the body! Now I'm in school as for a Doctorate in Psychology. Way back when I started in clinic, my godfather was a Veterinarian, old school clinics were hands on and a lot of veterinary assistants worked under a vet without license. They were very very different than today. I mean.. it was the 80s, so there's that.
My dad who is a firefighter paramedic, took a class years ago on how to do first aid on animals. And that included IVs. We have a first aid kit so that if anything happened to our dogs especially if we were on the road we could take care of it. It has all the supplies for an IV and everything else that could possibly happen.
This was amazing! So informative. I’m in absolute awe of what anaesthesiologists (for both humans and animals) do. But also very grateful to those that have looked after me throughout surgeries ❤️
I was a vet tech, and I loved assisting with surgeries. There was always 2 vet techs in each surgery and unbeknownst to everyone, someone left the isoflorine tank on and after a few hours of it on, we all started yawning and getting dizzy. We closed early because everyone was tired and unable to focus. Lol
I found your conversation about extubating and prepping some patients for emergence while they're still deeper under anesthesia to be very interesting, especially with regards to young men 😅. I'm currently 24, and about 6 or 7 years ago I went under general to get my wisdom teeth removed. I actually have some memories of the recovery room, I was convinced I could stand and walk on my own, and I think I took a few steps leaning on the wall... but they pretty quickly convinced me to have a seat in the wheelchair. Then I just remember some of getting wheeled back out and giving my dad (and I think everyone else I saw) a thumbs up 🤣. I didn't start to *really* form solid memories until I got in my dad's truck with him, though. First absolutely solid memory is me tuning the radio to my usual favorite station 🤘 (it's still weird to me just how absolutely suddenly my awareness became completely normal at that instant!) I actually don't remember how I got to the truck, though 😂
Always wondered if anesthesiology is similar for humans and animals. Thank you for sharing. This was super interesting. My girl Bella recently went under for heavy teeth cleaning and removal.
As someone who knows/works with someone who’s a vet tech for their day job and has surgery days where they help out in the OR this was really fascinating to me to see because it helped me better understand what they do, amazing stuff!
I am a medical malpractice attorney in MN and I love Max. I am also in Shelter Medicine program at U of F Gainesville. This is unbelievable timing and information for our animal friends. Wow. Same drugs as Humans but higher dosages .
Wow, me too! I'm a 4th year DVM student at UFCVM and in the shelter program 😁 I thought it was interesting to see a human anesthesiologist's take on this. This place's anesthesia is even fancier than UF though! The anesthesia specialists at UF like Dr. Pablo are amazing, if you haven't met them yet, you need to!
AMAZING. That was the most interesting experience I had. As a pet lover, you don't realize how complex surgery for pets could be. Not much different from human except the fact that in case of human surgeries, the anesthesiologist can talk to the patient and medical records in order to know how much anesthesia they will provide. With dogs and cats there could be unknown issues that need to be carefully monitor
Great video! I'm a vet student from Germany and I work in an equine clinic. Anaesthesia in horses is in some aspects similar, but also very different to the anaesthesia in dogs. For example, that we use a crane to get horse on the operating table. We also use much larger tubes (in a normal horse size 24 to 32) and have to place them without a laryngoscope. It would be interesting and very cool, if you could do a video about it.
Dr Waypart is the very professional surgeon beacuse i saw his hand movements from opening to suturing the dog and salute to the anesthesialogist she also managed well from providing anestesia to de intibuating the dog and salute to you for making this eye opening video on veterinary surgery and anesthesialogy
Fantastic!!!! i am an RN and very familiar with human anesthesia and intubation. This was nothing i have ever seen before, it was so informative. a 10 ETT was HUGE!!!
I love this video! As vet assistant, I too find a lot of crossover between vet med and human med. Also, somethings I’ll note when we use our thumb as a tourniquet, we call it rolling off. Sometimes we’ll place the pulse ox on the ear, the skin near the arm pit, or the flank area. Also, sometimes the bp cuff is applied on the tail. In general practice vet med, the patient is often monitored by a vet tech, as the vet is doing the cutting. Sedation is commonly used if a patient is aggressive for everyone’s safety.
Interesting, in vet school we are failed if we don’t use gloves when placing an IV catheter & we aren’t allowed to flick the catheter into the vein bc it might introduce contaminants into the bloodstream. I love when vets and doctors collaborate and learn from each other!
Came across ur channel awhile back. I have liked several videos. My brother has his BSN in nursing. Idk how u or anyone can do what u do but THANK GOD for people like u and nurses and drs everyone. Suppose to have my left hip replaced but scared to death have enough health issues. Idk if I could watch this video bc love furbabies but I do through it. Thank u so much for ur videos. I will continue watching as they pop up on my RUclips on my TV. U do a great job.
Aww, what a good boy that adorable pittie is. He was such a mellow, chill patient. That was a fascinating video. It looked so similar to anaesthesia for humans, except I don't think humans get the pulse oximeter on the tongue.
Amazing! I'm currently in vet school right now but I must say most hospitals and clinics I go to don't have an anaestheiologists, it's usually handled by both vets and nurses/techs here. But in most best practice clinics and hospitals a nurse is there with your animal from sedation right to waking up, and yes, labs before surgeries too! Also, never heard about the irritation when inserting temp probes in the oesophagus before, I'll have to take note of that!
Excellent video! The comments on this page from professionals were also very informative. Btw, I absolutely LOVE that very well-behaved, gorgeous Pitbull!!❤
Wow.. that was really cool and informative. My poor pup had to have surgery. I didn’t know that much information about the anesthesia procedure. Thank You for this video.
Iam retired vet doctor from iraq...its very fantastic, useful vedio..we used to depend on general anthesthesia by i.m injections including xylazin with ketamin ...inhelation is very rare unfortunately because of poor facilities
This I found so fascinating. I am a nurse of MANY years. In my early years I worked in critical care. Over the years with infants, children and adults. I LOVED every bit of it! I originally wanted to be a vet but sometimes life doesn’t always go as desired. At any rate I quite understand most of what this video explains and shows. Thank you for having videos such as what you make. I like your hand held phone holder. Could you share what it is?
Wow! This looks like a top notch veterinary practice. Definitely wish they were located in my area! My dog just had lithotripsy at a local Veterinary school. I hope they were as skilled as these vets!
How far do you have to go across in the evolutionary tree before the drugs used start being significantly different? Like, do you still use propofol on exotic birds? Are opioids even effective on snakes and lizards? How do you even provide respiratory support on a fish?
Anesthesiologists are very curious about how anesthesia is done in vet practice. At least I surely was. Glad to see you have gone a step further to actually demonstrate it. Nice work
We don`t really have anesthesiologists usually (only in big hospitals/clinics), in the smaller clinics the vet does the anesthesia, surgery and postop stuff. We also have alot of standardized protocols (xylazine/atropine or acepromazine + ketamine the most common cuz of low price and availability/convenience and butorphanol for dogs/ buprenorphine for cats for pain management or just NSAIDs like meloxicam). For intubating isoflurane is the most used agent (old one was halothane , no longer used cuz of serious hepatic side effects) with similar inductions methods used here (dexmedetomidine + propofol or alphaxolone or medetomidine + tiopental or the classic midazolam + fentanyl). Also lidocaine iv in cats tend to have serious cardiac and neurological side effects and it should be avoided.
As a retired RN….found it very interesting. I’ve done rescue and trapping wild cats for spay/neuter. My four legged children have had a variety of surgeries too. Your vids are fascinating and much needed in this technological age. Your generation uses a lot of social media. Surgery for two & four legged is scary. The visual look you give can be reassuring. Thanks!
Hi hello I know you will NEVER see this message but I stumbled across your account so long ago once I fell in love with anesthesia as a subject and career interest. I love learning about everything you mention. The only kicker was I'm in the veterinary industry and a current vet student who actually wants to specialize in anesthesia and analgesia after vet school! Seeing this video pop up as a youtube suggestion just made my heart so happy and I am so overjoyed that you took the time to make this content for people like me. God Bless you
Pani Doktor i Pan Doktor Wypart serdecznie pozdrawiam, nie poznałem Państwa osobiście ale pracując w Żoliborskiej wielokrotnie słyszałem ciepłe słowa o Państwu ;) Świetna robota!
Definitely some differences between academic and general practice in my 6.5 years experience. We do commonly use topical lidocaine for intubating cats. In the 5 clinics I’ve worked in we have never used lidocaine preemptively to manage bradycardia. Curious how many practitioners do. I’ve never seen a central line placed outside of an er/specialty setting. I have never used direct blood pressure outside of vet school (I only practice GP). The Maropitant has also been shown to get pets back to eating sooner after anesthesia! Only vets and certified vet technicians in Oregon can intubate. One clinic i work for has no CVTs so I intubate all my surgical patients. Often I use a stent in placing cat et tubes. I don’t always use a laryngoscope. I’ve been using brown gauze to tie in for over a year. Mask will only get you about 40% oxygen. I’ve worked in one clinic with a ventilator, About to get one at my current clinic! I don’t have nearly as many pre-meds or induction agents as more specialty er practitioners do. Commonly used pre-meds: butorphanol, hydromorphone, midazolam, dexdomitor, ketamine (acepromazine and telazol which I don’t use as pre-meds typically and I haven’t used xylazine since large animal practice), induction: propofol (Etomidate in school) and alfaxalone (worked at one that induced with telazol). Some studies have shown that music also effects pets under anesthesia.
This was very interesting. I just had my 16 yo, 7 lb, Papillon's teeth cleaned, and I had to use a dog dentist and an anesthesiologist. Now I know how they did his teeth.
I did an internship at a small veterinary clinic for a semester in 1993. The only sedative that I ever saw them use, was ketamine. They usually didn't place an IV. There wasn't an anesthesiologist. The veterinarian gave animal one injection in the vein and it was moved to the operating room. The operating room was pretty bare. I never saw any equipment for monitoring the animals vital signs. I was told that they monitored the oxygen levels by looking at the gums. There was one table and a metal tray on a stand next to the operating table for the instruments. I can't remember seeing them intubate cats. They only did that for dogs. Nothing was used to wake them up. If a cat was having trouble waking up, it would get subcutaneous fluids. Ketamine was also used for euthanasia. I enjoyed learning about medicine and watching the surgeries, but there were times when I suspected that the owners of the practice were not entirely ethical and they were both veterinarians who managed the practice closely. When I was 13, I was allowed to interview a veterinarian and observe a surgery in 1989, to help me decide if veterinary medicine was something that I wanted to learn. The process of sedation was the same that I saw used during my internship in 1993. The veterinarian reused the same drape between animals. The drape that he used already had blood from another animal, soaked around the part that came in contact with the skin around the incision
You're so funny Max, I love it!! Thank you for this, you're such a good interviewer🥰! And she seems to be very good at her job (just like you!). Kobe is so so cute😍, nice to meet him. All the best to you two🐾❤👣.
This was very interesting. Great idea. Your dog is so precious. Looks like the one we had 12 and half yrs. Noel had a collapsible trachea . Attacks started yrs ago but short in duration then in April had attacks up to 10 a day very scary. I had to have them put her to sleep and join my husband in heaven. So horrific. But her vet did it and was a peaceful passing. It's nice to see how animals are put to sleep for surgery. U always wonder. Thanks for thinking to show us. U rock!
Pharmacist here. I work specifically in a compounding pharmacy. I compound medicines, Ivs, etc etc for both humans and animals. From mice to elephants and everything in between. More than 90% of the medications I use are used in both humans and animals.
Great video. I love seeing the similarities and differences between animals and humans. The comments about this being very "advanced" and fancy compared to typical small practice vet practices makes sense.
Thank you so much for this video. I always worry When my babies have to have their teeth done.. Thank God they come up fine, I'm a complete mess, Thank you all again.❤
I wanted to go to Vet school after highschool. I'd worked in a large animal clinic during my junior & senior years & had equine OR experience. However, in 1976, " nice" girls didn't do that. I went to nursing school, graduated & practiced 5 years. After my daughter started school, I went back to veterinary nursing. Enjoyed being able to provide care without some corporate goon directing patient care for profit. At one time, I was a tech for a high volume, low cost spay/neuter clinic. Using techniques developed & perfected by Dr. Tracy Land, we could do up to 50 procedures a day, making a real difference in pet overpopulation! A few of her techs were entirely trained by her & could get a vein better than most Drs. As I aged, I made a great career as a pet- sitter for medically fragile pets who don't do well in a boarding kennel. Vet techs rock! You've not truly lived as a vet tech until you put a horse on the table. That's a dance of many participants!
As a human anesthetist I find this video super interesting and at the same time super worrying after reading the comments of actual vet workers saying a lot less monitoring is used at actual vet offices. No wonder, anesthesia isn’t as safe for animals. 😢
Hey Max - great video as usual. As a "young male" myself, who has had numerous trips to the OR (over 13 surgeries) - can you please explain your last little joke there about "extra nurses" when waking up from surgery? I think I understand, but I'm curious. I don't think I have ever been a problem in the OR.... I have never heard about this issue before.
In Brazil this kind of service is common, in the ordinary cases we has an anesthesiologist on surgeries and procedures, TIVA technique is very common too and we often see BIS and Vigileo monitor in most envolved places and universities
Dr. Feinstein thank you so much for this video I never knew pet medication’s are like adult medication’s In that pet anesthesia is similar very much similar to what you do to adults amazing thank you so much I appreciate that Dr. Feinstein you’re the bomb
You might find sedating a horse an interesting subject. The horse has to transition from a sedated state to standing on all four legs (with a sling) but that's tricky. There are a lot of complications including kinking of their digestive tract. Of course, they are not exactly light weight animals.
I was enjoying this but when the intubation was done and dog was out, it brought back some horrible memories. I lost my first dog in 2018. I adopted him in 2015 and he was my best friend. He was only 5/6 years old and wasn’t acting right. ER vet diagnosed him with a tumor on his spleen and he was acting sick because it has ruptured. I chose to have spleen removed. Surgeon called me and she was actually crying… tumor had spread to his aorta and abdominal wall. She could not do anything to help him. My last memories of my best bud were the tube down his throat with a blanket over his body so I wouldn’t see the surgical site. He went from seemingly healthy to dead in 24 hours. I still cry and mourn him daily. I have other dogs now that are my whole world… but Buster will always have a piece of my heart. A couple weeks after he passed, I got a letter saying a tree had been planted with a charity in his name. The surgeon had done that for him. It was so thoughtful of her, and I ugly cried. I will never forget her caring nature- she cried with me and hugged me as I said goodbye to him. I will never know he even knew I was there at the end. That part really bothers me.
You adopted Buster and gave him the best years of his life....he couldn't of had a more caring friend. I lost my best friend 4 years ago and still cry when I think about her... A good dog is one of life's pleasures...sorry for your loss....
The gauze on the tongue for the pulse-ox! a surprise. I've had quite a few CVT VTS in Anesthesia tell me white gauze on the tongue may yield inaccurate spO2 readings.
I've been bitten by a stray cat today, while assisting a vet. We were neutering cats at a local charity. The drugs were out of date. The cat woke up and was not happy. Thankfully they hadn't started the procedure. Once she was out, it was so cool. I was holding her fallopian tube. Unfortunately my hand had swelled up and I will have to go to the hospital in the morning for a tetanus jab.
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Thanks so much for this video. As an emergency veterinarian in practice for 16 years, all in a specialty practice setting, I did want to point out a few things. Firstly, it is very uncommon to have a veterinary anesthesiologist present for veterinary surgeries outside of academic settings. Secondly, I have never seen a human grade anesthetic machine used in a veterinary patient (either in academic settings or in any of the 10+ speciality facilities I’ve worked in, including most of those in NYC). Typically a much less sophisticated veterinary unit would be used along with a simple bellows based ventilator with settings only for tidal volume and rate. While it would be great if every animal patient could have a residency trained anesthesiologist supervising and use human grade monitoring and anesthetic equipment, it just isn’t economically feasible in the great majority of locations and not what most pet owners can reasonably expect in the vast majority of even speciality or academic practices.
Appreciate the comment- answered a lot of my questions
Front line veterinarian says Ditto.
Thank you so much for your insightful comment! Appears this is a specialized facility. Not a vet or human medical practitioner at all; I just recall seeing the simpler anesthetic machines on shows like Bondi Vet.
Let's add in private practice it would likely be a Licensed Veterinary Nurse/Technologist who would be doing the anesthesia- hopefully. I know in states where there is no requirement/licensing for LVT"s, many private practictioners have lay staff do a LOT of the anesthesia.
Licensed Vet. Tech here who spent 15 yrs in clinical veterinary medicine before moving to lab animal med, ditto. I spent my last 5 years in clinical vet. emergency and critical care referral facility (1990's) and we had veterinary anesth. machine and an ancient vent. but it was more than most general practices had at the time. Many, even specialty practices at the time, didn't have a ventilator. At end of 1990's I moved into lab. animal facility and we had human anesthesia machines there, in fact I had GE Aestiva anesthesia units Dr. Feinstein is often seen using. We also had a few slightly older GE Excel units but we were very luckily with having all the same toys our human friends enjoy and access to a major hospital pharmacy. However we were located in a large level 1 trauma hospital. Not much of what is shown in this video is typical of most general practice veterinary care facilities where most routine surgeries occur. This appears to be a top tier veterinary facility and I'm sure some things were done for the benefit of the video. I doubt very seriously the veterinary anesthesiologist is in the room for most routine procedures. The Veterinary Technicians are highly likely the typical persons doing anesthesia or as if usually termed "passing he gas" there, just under her supervision.
This was great! Definitely top standard of care. I’d highly recommend finding a place to observe equine anesthesia. Intubating and monitoring a horse was one of the highlights of vet school for me. (Just imagine how big that ET tube is!)
Being a vet student in Poland myself I watched it with the greatest pleasure! Best wishes to dr Wypart!
Very interesting to see this, as a "pet parent" whose dogs have all had surgeries along the way! My GSD had a hole in her heart (a PDA) that was closed with coil embolization at a teaching hospital in Guelph, Ontario, and it was amazing to watch the students examine her, then go into the hallway to discuss what they thought was going on, and they all got it right! They were also all present at her follow up ultrasound. Her heart had decreased in size, and was now normal.
So grateful for the professionals that care for our fur babies! ❤❤❤
That was AMAZING! As a former (I left the field due to disability) veterinary technician, I really enjoyed this. I worked in general practice and used to do many of these things myself, under the supervision of a veterinarian of course. Wow, this video almost made me want to go back to working in the field. I’ve shared this video with all of my veterinary friends.
I came to say almost the same thing. I left due to disability and injury, 20+ years was hard on the body! Now I'm in school as for a Doctorate in Psychology. Way back when I started in clinic, my godfather was a Veterinarian, old school clinics were hands on and a lot of veterinary assistants worked under a vet without license. They were very very different than today. I mean.. it was the 80s, so there's that.
I do enjoyed this video
My shih tzu at age 13 had his
Eyes removed due to Glue coma
And found this so interesting.
Thank you so much
This was very enlightening. The technical details really take it to the next level, it's hard to find content like this.
My dad who is a firefighter paramedic, took a class years ago on how to do first aid on animals. And that included IVs. We have a first aid kit so that if anything happened to our dogs especially if we were on the road we could take care of it. It has all the supplies for an IV and everything else that could possibly happen.
I'm a military member and nurse anesthesiologist. We learn K9 basics of care for anesthesia and it's humbling to see that side of things
This was wonderful. We need more vet anesthesiologists taking care of our precious four legged children❤️🐶❤️
Wow im impressed what a great care they gave to the dog. Amazing!
This was amazing!
So informative. I’m in absolute awe of what anaesthesiologists (for both humans and animals) do. But also very grateful to those that have looked after me throughout surgeries ❤️
This video is really insightful on how anesthesia is preformed, thank you
Really amazing how easy it is to see the cords and intubate in dogs!
IKR wish people were that easy lol
patient is so patience !! she know she was in proper hands 🙂
I'm always amazed by a skilled clinician.
I was a vet tech, and I loved assisting with surgeries. There was always 2 vet techs in each surgery and unbeknownst to everyone, someone left the isoflorine tank on and after a few hours of it on, we all started yawning and getting dizzy. We closed early because everyone was tired and unable to focus. Lol
@Kaitlyn Avia Ok, you weren't there and it wasn't completely opened, so...good day. 😘
That's not how that works. Anesthesia machines don't just let the Iso leak out.
I found your conversation about extubating and prepping some patients for emergence while they're still deeper under anesthesia to be very interesting, especially with regards to young men 😅. I'm currently 24, and about 6 or 7 years ago I went under general to get my wisdom teeth removed. I actually have some memories of the recovery room, I was convinced I could stand and walk on my own, and I think I took a few steps leaning on the wall... but they pretty quickly convinced me to have a seat in the wheelchair. Then I just remember some of getting wheeled back out and giving my dad (and I think everyone else I saw) a thumbs up 🤣. I didn't start to *really* form solid memories until I got in my dad's truck with him, though. First absolutely solid memory is me tuning the radio to my usual favorite station 🤘 (it's still weird to me just how absolutely suddenly my awareness became completely normal at that instant!)
I actually don't remember how I got to the truck, though 😂
Always wondered if anesthesiology is similar for humans and animals. Thank you for sharing. This was super interesting. My girl Bella recently went under for heavy teeth cleaning and removal.
As someone who knows/works with someone who’s a vet tech for their day job and has surgery days where they help out in the OR this was really fascinating to me to see because it helped me better understand what they do, amazing stuff!
I am a medical malpractice attorney in MN and I love Max. I am also in Shelter Medicine program at U of F Gainesville. This is unbelievable timing and information for our animal friends. Wow. Same drugs as Humans but higher dosages
.
Wow, me too! I'm a 4th year DVM student at UFCVM and in the shelter program 😁 I thought it was interesting to see a human anesthesiologist's take on this. This place's anesthesia is even fancier than UF though! The anesthesia specialists at UF like Dr. Pablo are amazing, if you haven't met them yet, you need to!
Damn how fast she put that IV in was insane.
With no gloves 🫢
AMAZING. That was the most interesting experience I had. As a pet lover, you don't realize how complex surgery for pets could be. Not much different from human except the fact that in case of human surgeries, the anesthesiologist can talk to the patient and medical records in order to know how much anesthesia they will provide. With dogs and cats there could be unknown issues that need to be carefully monitor
So glad you got to experience vet med! Hopefully you can get exposure to some other species since anesthesia can vary quite a lot!
Great video! I'm a vet student from Germany and I work in an equine clinic. Anaesthesia in horses is in some aspects similar, but also very different to the anaesthesia in dogs. For example, that we use a crane to get horse on the operating table. We also use much larger tubes (in a normal horse size 24 to 32) and have to place them without a laryngoscope.
It would be interesting and very cool, if you could do a video about it.
Dr Waypart is the very professional surgeon beacuse i saw his hand movements from opening to suturing the dog and salute to the anesthesialogist she also managed well from providing anestesia to de intibuating the dog and salute to you for making this eye opening video on veterinary surgery and anesthesialogy
Wow. What a fantastic and informative video and great surgical team. It makes me happy to see the pets get such great care there.
Fantastic!!!! i am an RN and very familiar with human anesthesia and intubation. This was nothing i have ever seen before, it was so informative. a 10 ETT was HUGE!!!
I love this video! As vet assistant, I too find a lot of crossover between vet med and human med. Also, somethings I’ll note when we use our thumb as a tourniquet, we call it rolling off. Sometimes we’ll place the pulse ox on the ear, the skin near the arm pit, or the flank area. Also, sometimes the bp cuff is applied on the tail. In general practice vet med, the patient is often monitored by a vet tech, as the vet is doing the cutting. Sedation is commonly used if a patient is aggressive for everyone’s safety.
Another good spot I’ve found for the pulse ox in males is the prepuce. That way it’s out of the way for dental procedures and things.
much respect and admiration for vets and vet techs , they're incredibly knowledgeable and skilled
Lovely to watch how animals have value just like humans ❤❤ I hope this world becomes a better place for all creatures 🙏🙏
Interesting, in vet school we are failed if we don’t use gloves when placing an IV catheter & we aren’t allowed to flick the catheter into the vein bc it might introduce contaminants into the bloodstream. I love when vets and doctors collaborate and learn from each other!
As a vet tech since 2006, this is a great video. Thank you all!!
Came across ur channel awhile back. I have liked several videos. My brother has his BSN in nursing. Idk how u or anyone can do what u do but THANK GOD for people like u and nurses and drs everyone. Suppose to have my left hip replaced but scared to death have enough health issues. Idk if I could watch this video bc love furbabies but I do through it. Thank u so much for ur videos. I will continue watching as they pop up on my RUclips on my TV. U do a great job.
Aww, what a good boy that adorable pittie is. He was such a mellow, chill patient. That was a fascinating video. It looked so similar to anaesthesia for humans, except I don't think humans get the pulse oximeter on the tongue.
Thank you for including veterinarian medicine in your videos. I hope that dog recovered quickly.
Amazing!
I'm currently in vet school right now but I must say most hospitals and clinics I go to don't have an anaestheiologists, it's usually handled by both vets and nurses/techs here. But in most best practice clinics and hospitals a nurse is there with your animal from sedation right to waking up, and yes, labs before surgeries too!
Also, never heard about the irritation when inserting temp probes in the oesophagus before, I'll have to take note of that!
Excellent video! The comments on this page from professionals were also very informative. Btw, I absolutely LOVE that very well-behaved, gorgeous Pitbull!!❤
I hope the doggy turns out OK. He's adorable. I love animals!
the similarities between human and dog anaesthesia are so fascinating
Wow.. that was really cool and informative. My poor pup had to have surgery. I didn’t know that much information about the anesthesia procedure. Thank You for this video.
Iam retired vet doctor from iraq...its very fantastic, useful vedio..we used to depend on general anthesthesia by i.m injections including xylazin with ketamin ...inhelation is very rare unfortunately because of poor facilities
Wow! Well done!! I love seeing crossover education and information sharing!! Max you are a stellar educator and doctor!!!!
This I found so fascinating. I am a nurse of MANY years. In my early years I worked in critical care. Over the years with infants, children and adults. I LOVED every bit of it! I originally wanted to be a vet but sometimes life doesn’t always go as desired. At any rate I quite understand most of what this video explains and shows. Thank you for having videos such as what you make. I like your hand held phone holder. Could you share what it is?
Wow! This looks like a top notch veterinary practice. Definitely wish they were located in my area! My dog just had lithotripsy at a local Veterinary school. I hope they were as skilled as these vets!
I love these tipes of videos, please continue the series!! I would love to watch a giraffe being intubated, or a lion being prepared to surgery
How far do you have to go across in the evolutionary tree before the drugs used start being significantly different? Like, do you still use propofol on exotic birds? Are opioids even effective on snakes and lizards? How do you even provide respiratory support on a fish?
I remember during college years that we anesthetized a parrot using Ketamine
Anesthesiologists are very curious about how anesthesia is done in vet practice. At least I surely was. Glad to see you have gone a step further to actually demonstrate it. Nice work
We don`t really have anesthesiologists usually (only in big hospitals/clinics), in the smaller clinics the vet does the anesthesia, surgery and postop stuff. We also have alot of standardized protocols (xylazine/atropine or acepromazine + ketamine the most common cuz of low price and availability/convenience and butorphanol for dogs/ buprenorphine for cats for pain management or just NSAIDs like meloxicam). For intubating isoflurane is the most used agent (old one was halothane , no longer used cuz of serious hepatic side effects) with similar inductions methods used here (dexmedetomidine + propofol or alphaxolone or medetomidine + tiopental or the classic midazolam + fentanyl). Also lidocaine iv in cats tend to have serious cardiac and neurological side effects and it should be avoided.
As a retired RN….found it very interesting. I’ve done rescue and trapping wild cats for spay/neuter. My four legged children have had a variety of surgeries too.
Your vids are fascinating and much needed in this technological age. Your generation uses a lot of social media. Surgery for two & four legged is scary. The visual look you give can be reassuring. Thanks!
Excellent facilities, staff, equipment for our furry friends. Nice prep work before inserting cath.... well done... 1st class!!!
This WAS awesome watched it a couple times and I can’t wait to see the sit down interview! I hope you take her up on letting her shadow you!!
Hi hello I know you will NEVER see this message but I stumbled across your account so long ago once I fell in love with anesthesia as a subject and career interest. I love learning about everything you mention. The only kicker was I'm in the veterinary industry and a current vet student who actually wants to specialize in anesthesia and analgesia after vet school! Seeing this video pop up as a youtube suggestion just made my heart so happy and I am so overjoyed that you took the time to make this content for people like me. God Bless you
Best of luck on your career in vet anesthesiology!
This video was great and I always enjoy learning new things especially medical information, whether animals or humans
Pani Doktor i Pan Doktor Wypart serdecznie pozdrawiam, nie poznałem Państwa osobiście ale pracując w Żoliborskiej wielokrotnie słyszałem ciepłe słowa o Państwu ;) Świetna robota!
As a human anesthesiologist, this is fascinating
Definitely some differences between academic and general practice in my 6.5 years experience.
We do commonly use topical lidocaine for intubating cats.
In the 5 clinics I’ve worked in we have never used lidocaine preemptively to manage bradycardia. Curious how many practitioners do.
I’ve never seen a central line placed outside of an er/specialty setting.
I have never used direct blood pressure outside of vet school (I only practice GP).
The Maropitant has also been shown to get pets back to eating sooner after anesthesia!
Only vets and certified vet technicians in Oregon can intubate. One clinic i work for has no CVTs so I intubate all my surgical patients.
Often I use a stent in placing cat et tubes.
I don’t always use a laryngoscope.
I’ve been using brown gauze to tie in for over a year.
Mask will only get you about 40% oxygen.
I’ve worked in one clinic with a ventilator,
About to get one at my current clinic!
I don’t have nearly as many pre-meds or induction agents as more specialty er practitioners do.
Commonly used pre-meds: butorphanol, hydromorphone, midazolam, dexdomitor, ketamine (acepromazine and telazol which I don’t use as pre-meds typically and I haven’t used xylazine since large animal practice),
induction: propofol (Etomidate in school) and alfaxalone (worked at one that induced with telazol).
Some studies have shown that music also effects pets under anesthesia.
Great job showcasing this, Max. Interesting differences but lots of surprising similarities to our adult world.
It’s really nice next time come to our hospital The Schwarzman Animal Medical Center, is near by you in Manhattan!!!
This was very interesting. I just had my 16 yo, 7 lb, Papillon's teeth cleaned, and I had to use a dog dentist and an anesthesiologist. Now I know how they did his teeth.
I did an internship at a small veterinary clinic for a semester in 1993. The only sedative that I ever saw them use, was ketamine. They usually didn't place an IV. There wasn't an anesthesiologist. The veterinarian gave animal one injection in the vein and it was moved to the operating room. The operating room was pretty bare. I never saw any equipment for monitoring the animals vital signs. I was told that they monitored the oxygen levels by looking at the gums. There was one table and a metal tray on a stand next to the operating table for the instruments. I can't remember seeing them intubate cats. They only did that for dogs. Nothing was used to wake them up. If a cat was having trouble waking up, it would get subcutaneous fluids. Ketamine was also used for euthanasia. I enjoyed learning about medicine and watching the surgeries, but there were times when I suspected that the owners of the practice were not entirely ethical and they were both veterinarians who managed the practice closely.
When I was 13, I was allowed to interview a veterinarian and observe a surgery in 1989, to help me decide if veterinary medicine was something that I wanted to learn. The process of sedation was the same that I saw used during my internship in 1993. The veterinarian reused the same drape between animals. The drape that he used already had blood from another animal, soaked around the part that came in contact with the skin around the incision
You're so funny Max, I love it!! Thank you for this, you're such a good interviewer🥰! And she seems to be very good at her job (just like you!).
Kobe is so so cute😍, nice to meet him.
All the best to you two🐾❤👣.
Pretty cool that you did this. Love it. Big fan of the channel and the work you do,
This was very interesting. Great idea. Your dog is so precious. Looks like the one we had 12 and half yrs. Noel had a collapsible trachea . Attacks started yrs ago but short in duration then in April had attacks up to 10 a day very scary. I had to have them put her to sleep and join my husband in heaven. So horrific. But her vet did it and was a peaceful passing. It's nice to see how animals are put to sleep for surgery. U always wonder. Thanks for thinking to show us. U rock!
This is a first class vet surgery i've ever seen. As in wow!
This video is amazing in every way.
This was an awesome idea that definitely made an interesting and educational video. Thank you Dr Max.
Dr. Max, this is very interesting. Please do more videos like this one.
I’m really glad you went with the doggies in scrubs cap vs the zebra one
Hello
That was awesome! Thank you!!!
Loved this ❤ as an aspiring anaesthesiologist it’s interesting to see that perhaps I’d be more interested in animals that human medicine 🧐
She's a DVM though. You'd have to go to Vet School, much harder to get into than med school (more competition and will need high MCAT scores).
@@nrivera4380 veterinarians doesn’t take the MCAT, that’s for MD’s and DO's only. DVM’s take the NAVLE.
And the NAVLE isn't an entrance exam. It's for our national accreditation.
If I ever need an IV, get me this tech! Dang, amazing.
Pharmacist here. I work specifically in a compounding pharmacy. I compound medicines, Ivs, etc etc for both humans and animals. From mice to elephants and everything in between. More than 90% of the medications I use are used in both humans and animals.
Great video. I love seeing the similarities and differences between animals and humans. The comments about this being very "advanced" and fancy compared to typical small practice vet practices makes sense.
Thank you so much for this video. I always worry When my babies have to have their teeth done.. Thank God they come up fine, I'm a complete mess, Thank you all again.❤
Absolutely fascinating. Thank you so much for this video.
THAT WAS ONE OF THE BEST VIDEOS EVER!!!
great information, we just had two of our pups go through a tplo surgery. Very informative!
Thank Max , iam Anesthesia gtreating from somalia , your video are fully benefit, congragulation
I wanted to go to Vet school after highschool. I'd worked in a large animal clinic during my junior & senior years & had equine OR experience. However, in 1976, " nice" girls didn't do that. I went to nursing school, graduated & practiced 5 years. After my daughter started school, I went back to veterinary nursing. Enjoyed being able to provide care without some corporate goon directing patient care for profit. At one time, I was a tech for a high volume, low cost spay/neuter clinic. Using techniques developed & perfected by Dr. Tracy Land, we could do up to 50 procedures a day, making a real difference in pet overpopulation! A few of her techs were entirely trained by her & could get a vein better than most Drs. As I aged, I made a great career as a pet- sitter for medically fragile pets who don't do well in a boarding kennel. Vet techs rock!
You've not truly lived as a vet tech until you put a horse on the table. That's a dance of many participants!
Isn't it the supporting cast left to deal with the nuts and bolts that makes a lot of medical care tolerable or at least forthright?
Such a sweet pup💗
Absolutely amazing! Thanks for putting this video out there.
Good video Dr Max , and Dr Vet did wonderful explanation
Love the parallels and comparisons btw human and veterinary medicine
As a human anesthetist I find this video super interesting and at the same time super worrying after reading the comments of actual vet workers saying a lot less monitoring is used at actual vet offices. No wonder, anesthesia isn’t as safe for animals. 😢
This was so good to watch! Thank you doc’s!
Doggy PACU had me rofl lmao. Such an amazing and insightful video, thank you so much for this!
Cool video Dr Max. You picked the right cap! Thanks for the info. It’s always amazing! 🧢
That was so interesting!
Thanks for sharing 😊
Hey Max - great video as usual. As a "young male" myself, who has had numerous trips to the OR (over 13 surgeries) - can you please explain your last little joke there about "extra nurses" when waking up from surgery? I think I understand, but I'm curious. I don't think I have ever been a problem in the OR.... I have never heard about this issue before.
haha I love the "especially the giraffe" quote
Loved this video! Thanks for taking us along with you for this informative video
In Brazil this kind of service is common, in the ordinary cases we has an anesthesiologist on surgeries and procedures, TIVA technique is very common too and we often see BIS and Vigileo monitor in most envolved places and universities
i would still work in this field if every pet was able to be treated this way.
This was so interesting, thank you for sharing this. Would love to see Dr Wypart shadow you on a case (confidentiality permitting).
Dr. Feinstein thank you so much for this video I never knew pet medication’s are like adult medication’s In that pet anesthesia is similar very much similar to what you do to adults amazing thank you so much I appreciate that Dr. Feinstein you’re the bomb
Animals can't talk... So it's important to understand signals. Thank you for this video. Thank you vet!
You might find sedating a horse an interesting subject. The horse has to transition from a sedated state to standing on all four legs (with a sling) but that's tricky. There are a lot of complications including kinking of their digestive tract. Of course, they are not exactly light weight animals.
I was enjoying this but when the intubation was done and dog was out, it brought back some horrible memories.
I lost my first dog in 2018. I adopted him in 2015 and he was my best friend. He was only 5/6 years old and wasn’t acting right. ER vet diagnosed him with a tumor on his spleen and he was acting sick because it has ruptured. I chose to have spleen removed. Surgeon called me and she was actually crying… tumor had spread to his aorta and abdominal wall. She could not do anything to help him. My last memories of my best bud were the tube down his throat with a blanket over his body so I wouldn’t see the surgical site. He went from seemingly healthy to dead in 24 hours. I still cry and mourn him daily. I have other dogs now that are my whole world… but Buster will always have a piece of my heart.
A couple weeks after he passed, I got a letter saying a tree had been planted with a charity in his name. The surgeon had done that for him. It was so thoughtful of her, and I ugly cried. I will never forget her caring nature- she cried with me and hugged me as I said goodbye to him. I will never know he even knew I was there at the end. That part really bothers me.
You adopted Buster and gave him the best years of his life....he couldn't of had a more caring friend. I lost my best friend 4 years ago and still cry when I think about her... A good dog is one of life's pleasures...sorry for your loss....
Oh my goodness you have a floof! How cute!
The gauze on the tongue for the pulse-ox! a surprise. I've had quite a few CVT VTS in Anesthesia tell me white gauze on the tongue may yield inaccurate spO2 readings.
I've been bitten by a stray cat today, while assisting a vet. We were neutering cats at a local charity. The drugs were out of date. The cat woke up and was not happy. Thankfully they hadn't started the procedure. Once she was out, it was so cool. I was holding her fallopian tube. Unfortunately my hand had swelled up and I will have to go to the hospital in the morning for a tetanus jab.
Out of date meds?
Tetanus? What about rabies?
Great video. I have often wondered about this. Much appreciated!