What You Need to Know Before Your Pet's Upcoming Surgery
Many people have questions about various aspects of their pet's surgery.
Is the anesthetic safe?
Today's modern anesthetics have made surgery much safer than in the past. Here at American Veterinary Hospital, we do a thorough physical exam on your pet before administering anesthetics, to ensure that a fever or other illness won't be a problem. We also adjust the amount and type of anesthetic used depending on the health of your pet. The handout "Is Anesthesia Safe", by Laura McLain Madsen, DVM, explains this in greater detail.
Important Safety Measures for Safe Surgery:
Preanesthetic blood testing is important to reduce the risk of anesthesia. Every pet should have blood testing before surgery to ensure that the liver and kidneys can handle the anesthetic. Even apparently healthy animals can have serious organ system problems that cannot be detected without blood testing. If there is a problem, it is much better to find it before it causes anesthetic or surgical complications. If serious problems are detected, surgery can be postponed until the problem is corrected.
We offer two levels of blood testing before surgery, which we will go over with you when you bring your pet in. Our doctors prefer the more comprehensive screen, because it gives them the most information to ensure the safety of your pet. For geriatric or ill pets, additional blood tests, electrocardiograms, or x-rays may be required before surgery as well.
All of our surgical patients receive an IV catheter with IV fluids running during the procedure. Many drugs used for general anesthesia tend to cause blood pressure to decrease. This decrease in blood pressure in young, healthy patients has proven to cause kidney disease years later. Intravenous fluids will combat this decrease in blood pressure. In addition, if there are any adverse reactions under anesthesia, an intravenous catheter allows immediate administration of emergency drugs.
It is important that surgery be done on an empty stomach to reduce the risk of vomiting during and after anesthesia. You will need to withhold food for at least 8 to 10 hours before surgery. Water can be left down for the pet until the morning of surgery.
Will my pet have stitches?
For many surgeries, we use absorbable sutures underneath the skin. These will dissolve on their own, and do not need to be removed later. Some surgeries, especially tumor removals, do require skin stitches. With either type of suture, you will need to keep an eye on the incision for swelling or discharge. Most dogs and cats do not lick excessively or chew at the incision, but this is an occasional problem you will also need to watch for. If there are skin sutures, these will usually be removed 10 to 14 days after surgery. You will also need to limit your pet's activity level for a time and no baths are allowed for the first 10 days after surgery.
Will my pet be in pain?
Anything that causes pain in people can be expected to cause pain in animals. Pets may not show the same symptoms of pain as people do; they usually don't whine or cry, but you can be sure they feel it. Pain medications needed will depend on the surgery performed. Major procedures require more pain relief than things like minor lacerations.
For dogs, we may recommend an oral anti-inflammatory the day of surgery and for several days after to reduce discomfort and swelling. We use newer medications, which are less likely to cause stomach upset and can be given even the day of surgery. Additional pain medication will be prescribed as needed depending on the type of surgery performed.
Because cats do not tolerate standard pain medications such as aspirin, ibuprofen, or Tylenol, we are limited in what we can give them. Recent advances in pain medications have allowed for better pain control in cats than ever before. We administer a pain injection at the time of surgery which will last for about 3 days following surgery. Any animal that appears painful will receive additional pain medication.
What other decisions do I need to make?
While your pet is under anesthesia, it is the ideal time to perform other minor procedures, such as dentistry, ear cleaning or implanting a microchip. If you would like an estimate for these extra services, please call ahead of time. This is especially important if the person dropping the pet off for surgery is not the primary decision maker for the pet's care.
When you bring your pet in for surgery, we will need to 5 to 10 minutes of time to fill out paperwork and make decisions on the blood testing and other options available. When you pick up your pet after surgery you can also plan to spend about 10 minutes to go over your pet's home care needs.
We will call you the night before your scheduled surgery appointment, to confirm the time you will be dropping your pet off and to answer any questions you might have. In the meantime, please don't hesitate to call us with any questions about your pet's health or surgery.