Pre-operative Instructions

Thank you for booking your pet in for surgery at Mosman Vet!

The following information is designed to answer some of the questions you might have prior to your pet’s procedure. At Mosman Vet we understand how important it is your pet receives the highest standard of care, we therefore offer several ‘optional extras’ for your consideration as part of your pet’s anaesthetic package for routine procedures. This information includes options to consider prior to your pet’s surgery, as well as how to prepare your pet for their day in hospital. Your admissions nurse will be happy to answer any questions you may have in advance on (02) 9960 2856, or at your admissions appointment on the day of your pet’s procedure.

 

Pre-Surgery Instructions

Fasting

Pets undergoing a general anaesthetic will need to have an empty stomach on admission. Please fast your pet from 10.00pm the night before surgery. Please also take care to remove other pets' food that may be accessible. Water is allowed overnight, but no other fluid (ie. no milk). Your pet can also have water the morning of the procedure.

Please note: rabbits and guinea pigs should not be fasted for surgery. If they have a particular diet they like to eat, please bring a little bit in for their pre & post surgery grazing.

Medication

If your pet is on medication, please consult the veterinarian prior to the surgery date to confirm if any changes are required.

Illness

If your pet has experienced any illness in the week or so leading up to surgery, no matter how minor, please advise us during the admission appointment.

Transport

Dogs - on a lead

Cats - in a comfortable carry box

Admission

Please allow your pet time to go to the toilet before admission.

Admission time is between 7.30am and 9.00am. We ask clients to allow 15 minutes for the admission process so the nurse on duty can complete all necessary paperwork with you, conduct a pre-operative check on your pet, and answer any questions you may have. 

Discharge

Most pets undergoing routine procedures such as dentals and desexing usually go home the same day, whilst those undergoing larger procedures may need to stay overnight. Please call after 3.00pm on the afternoon of your pet’s procedure to check if your pet can go home that evening. On discharge the nurse will go over your pet’s medications (if applicable) and post-operative instructions. Again, we ask clients to allow 15 minutes for the discharge consultation to ensure we have enough time to go over at-home care for your pet post surgery. 

Should you have any questions, please don’t hesitate to call on (02) 9960 2856. We look forward to seeing you and your pet soon.smiley

 

Pre-Anaesthetic Blood Tests

A pre-anaesthetic blood test is a test routinely performed prior to a procedure to ensure your pet is healthy enough to undergo a general anaesthetic or sedation. 

Why is this recommended?

While your pet might look fit and healthy on the outside, it’s difficult for us to determine whether their internal organs (especially liver and kidneys) are working as well as they should be.
Pre-anaesthetic blood tests provide us with a detailed snapshot of your pet’s internal health, letting us assess the vital organs prior to an anaesthetic, and in turn allowing us to choose the safest anaesthetic drugs for your pet based on their results. In young healthy animals, pre-anaesthetic blood tests can prove dually beneficial as they provide a valuable baseline for the ongoing healthcare of your pet.

What organs are you checking?

The kidneys and liver are the two major organs involved in metabolizing and excreting anaesthetic drugs. We test the function of these by assessing tissue-specific enzymes that circulate in the blood. If these organs are not functioning optimally, we may see an elevation in one or more enzymes.
Pre-anaesthetic blood tests can detect even small abnormalities prior to surgery, thus allowing us to alter our anaesthetic protocol accordingly for your pet. A range of disease processes can be responsible for elevating tissue enzymes, including infection, degeneration, congenital abnormalities, toxic damage or age-specific problems, and if found, elevations can then be investigated if required.

A pre-anaesthetic blood screen will also check your pet’s red and white blood cells and platelets. Platelets are cells in the bloodstream primarily involved in the clotting mechanism, and it’s very important we know your pet has an adequate number prior to surgery as there may be some bleeding (from skin and subcutaneous tissues) during surgery.

What does a pre-anaesthetic blood test involve?

A small amount of blood (approx. 2 ml) is collected from a vein - usually one of the veins in the neck. In dogs and cats we clip a small amount of hair (about 3cm x 3cm) to help visualise the vein and then clean away any dirt on the skin. The test is run in-house and we’ll contact you with the results prior to surgery. If requested, we can also provide a copy of the results for your own records. If you would like a copy, please ask the nurse at your discharge appointment. 

Does my pet have to have a pre-anaesthetic blood test?

If your pet is 7 years or older and has not had a general blood test within the last 6 months, your pet must have the test to ensure their organs are healthy and able to metabolise the anaesthtic agent effectively.

What is the cost?

The cost of a pre-anaesthetic blood test is $104.95 and includes a red and white blood cell count with platelets, a 6 panel biochemistry screen, and a urine test.   

 

Intravenous Fluids During Surgery

What are intravenous fluids?

Intravenous fluids are the delivery of fluids directly into your pet’s blood supply via a vein.

Why are they recommended?

We recommend intravenous fluids for all patients undergoing surgery to provide them with a safer and more comfortable anaesthetic. IV fluids help to maintain blood volume and pressure, as well as ensuring the vital organs (kidneys, liver, heart) are well perfused. IV fluids also help re-hydrate your pet after being fasted overnight, and aid in them feeling less drowsy when they start to wake from their anaesthetic. 

What does it involve?

In order to deliver intravenous fluids we place a catheter into a vein in the front leg, hence creating a connection for the fluids directly into the blood supply. All patients undergoing sedation or a general anaesthetic have an IV catheter placed, thus alleviating the need for any additional needles for the anaesthetic agent. To place an IV catheter we first clip a small patch of hair halfway down the front leg, then clean the area with surgical scrub before placing the catheter in the vein. Once connected, we determine the best fluid rate for your pet based on their weight and the procedure being performed. We have state of the art computerised infusion pumps that ensure a measured and accurate delivery of fluids to your pet at the desired rate. 

How long will my pet be on fluids?

Your pet will be placed on IV fluids approximately 60 minutes prior to the start of their procedure to hydrate them. Fluids will remain running throughout the procedure to support the cardiovascular system and kidneys, and continue during the post-operative recovery period until we’ve determined your pet is stable in recovery, adequately awake and eating. 

Does my pet have to have fluid therapy during surgery?

If your pet is over the age of 7 years old, fluids are not optional. Senior pets often have more issues with lower blood pressure and are unable to metabolise the anaethestic agents as well as a younger animal. For your pet's safety and a quicker, more stable recovery, we highly recommend fluid therapy before, during and after surgery.

What is the cost?

The cost of intravenous fluids during surgery is $114.35. This fee includes sterile catheter placement, drip set-up, a 1litre bag of fluids, as well as infusion pump use prior to, during and after the procedure.  

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For emergency and after hours assistance, please call 9960 2856 for instructions or call North Shore After Hours & Emergency Hospital 9436 1213

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