Welcome to another episode of The CARES VetMed Podcast!

We're excited to be back with a deep dive into the updated 2025 American College of Veterinary Anesthesia and Analgesia (ACVAA) monitoring guidelines for small animals. Join Travis, Maryann, and Tracey as they discuss the significant changes since the 2009 version, focusing on the new minimum recommended monitoring standards and their implications for veterinary professionals.

In each episode, we hope to continue spreading kindness and positive impact through our #CARESaction Challenge!

NEW - Veterinary History Feature: Join us for a new recurring segment where we delve into historical veterinary texts! In this episode, we explore a quote from Leonard Conky's 1890 book, "Veterinary Medicine, Animal Castration Surgery, and Obstetrics Simplified." His intuitive observations on "natural pulse, temperature, and respirations" as keys to practice remain surprisingly relevant even in light of our modern advancements.

This episode is a must-listen for anyone involved in veterinary anesthesia, offering insights into best practices, new requirements, and the enduring importance of attentive, skilled monitoring.

Links mentioned in the episode for reference:

• ⁠⁠ACVAA Anesthesia Monitoring Guidelines (2025)⁠⁠

• • Referenced studies on Doppler vs. Invasive Blood Pressure in Veterinary Medicine:

  • • ⁠⁠da Cunha, A.F. ∙ Saile, K. ∙ Beaufrère, H. Measuring level of agreement between values obtained by directly measured blood pressure and ultrasonic Doppler flow detector in cats J Vet Emerg Crit Care. 2014; 24:272-278⁠⁠

    • ⁠⁠Kennedy, M.J. ∙ Barletta, M. Agreement between Doppler and invasive blood pressure monitoring in anesthetized dogs weighing <5 kg J Am Anim Hosp Assoc. 2015; 51:300-305⁠⁠

    • ⁠⁠Skelding, A. ∙ Valverde, A. Review of non-invasive blood pressure measurement in animals: part 2 – evaluation of the performance of non-invasive devices Can Vet J. 2020; 61:481-498⁠⁠

• ⁠⁠Computed Tomography Assessment of Tidal Lung Overinflation in Domestic Cats Undergoing Pressure-Controlled Mechanical Ventilation During General Anesthesia⁠⁠

• ⁠⁠Masimo (for information on plethysmograph variability and dynamic indices)⁠⁠

• ⁠⁠Leonard Conky's "Veterinary Medicine, Animal Castration Surgery, and Obstetrics Simplified" (1890 text)⁠⁠

As always, we sincerely thank all of you who took the time out of your busy schedules to listen to this, as well as to our other episodes. If you have any suggestions or feedback for us, we’d love to hear from you! You can send us a message on social media (@CARESVetMed) or email us at hello@caresvetmed.com. Let us know if you’d like to join us on a future episode!

Take care, friends!

Join us for a fascinating discussion on brachycephalic breeds, featuring guest expert Elisa Mazzaferro, MS, DVM, PhD, DACVECC!

In this episode, we delve deep into the unique challenges faced by these beloved breeds, from breeding practices and standards to their complex and often underestimated perianesthetic risks.

Dr. Mazzaferro shares her expertise on:

• The current landscape of breeding testing and standards: Are we doing enough to ensure responsible breeding practices?

• Understanding the unique health concerns: From stenotic nares to elongated soft palates, we unpack the specific anatomical challenges that brachycephalic breeds face.

• Perianesthetic considerations: Why are brachycephalic breeds at a higher risk during anesthesia? What steps can veterinarians take to ensure their safety?

• The power of client education: Empowering pet owners with knowledge about their breed's potential health issues and the importance of preventative care.

• Implementing checklists into practice: A practical guide for veterinarians on improving patient safety and streamlining care for brachycephalic patients.

This episode is essential listening for veterinarians, veterinary technicians, and pet owners who want to understand the complexities of caring for these adorable but often vulnerable breeds.

Together, we can ensure a healthier future for brachycephalic dogs and #savethesmushies!

Welcome back to another episode of The CARES VetMed Podcast! Today, we're exploring the crucial role of mean arterial pressure (MAP) monitoring during general anesthesia.

We all know monitoring blood pressure is essential, but why is MAP so crucial? How do we calculate it? And what can it tell us about our patients' perfusion and how they're handling anesthesia?

In this episode, we'll cover:

• The importance of MAP monitoring: Why it's not just about a number, but a key indicator of organ perfusion and overall health.

• Calculating MAP: We'll review the factors that impact the MAP value.

• Anesthetic agents and their effects on MAP: Understanding how different anesthetic drugs can affect blood pressure and how to anticipate these changes.

• Common causes of hypotension during anesthesia: We'll discuss the most frequent culprits and how to identify them.

• Intervening in hypotension: From fluid therapy to medications, we'll explore the practical steps you can take to stabilize your patient's MAP.

This episode is packed with practical tips and real-world insights, designed to empower you with the knowledge and confidence to monitor and manage MAP during anesthesia like a pro. So buckle up, grab your stethoscope, and let's follow the MAP!