Vet360 Vol 3 Issue 04 August 2016 - Page 5

DENTISTRY parameters 4. Economy of scale — less expensive than acquiring individual devices 5. Single point of contact for service, maintenance and troubleshooting Be aware that choosing a monitor that has been designed specifically for use on animals can make a significant difference in performance and accuracy. Figure 2B. A dental technician monitoring, relaying and recording anaesthesia monitor findings. onds or less. Breathing during balanced anaesthesia should be even and regular. Local anaesthesia. Every oral procedure performed that may be painful should be accompanied by local anaesthesia. The two most commonly performed local anaesthetic blocks are the maxillary (Fig 2D) and mandibular (Fig 2E), which can be performed either intraorally or extraorally. Electronic monitors may detect anaesthetic complications before being recognised by a trained clinician. In these situations, seconds count. Often, the advanced warning systems can head off problems before they become critical or do long-term damage. Electronic monitoring systems help to provide positive patient outcomes and reduce stress during the procedure. Although many veterinary hospitals have accumulated a variety of monitoring devices, often singleparameter monitors, it would be wise to migrate to a 5-in-1 multiparameter monitor for all anaesthetic procedures (Fig 2C). An ideal monitor includes noninvasive blood pressure measurement, capnography, pulse oximetry, electrocardiography and temperature. The advantages of a multiparameter monitor over individual devices include: Figure 2C. A cat monitored during anaesthesia with 5-in-1 parameter electric and apnea monitors. 1. More efficient for patient set-up and alarm management 2. Consistent operating menu 3. Ability to store, print and download data for all Figure 2D. Site for a maxillary nerve block. (Illustrations by Sathyanarayana) Figure 2E. Site for a mandibular nerve block. Honourable mentions for A-analgesia, apical attached gingiva.. Issue 04 | AUGUST 2016 | 5 VET360 AUGUST 2016 working.indd 5 2016/07/25 11:04 PM