Injection anaesthetics
• usually only given iv to induce general anaesthesia, but can be infused for maintenance
• many factors influence dose required, especially premedication
• overdose usually causes transient apnoea - intubate & ventilate
• all drugs are potentially lethal if used incorrectly
• pentobarbitone is usually used for euthanasia
Inhalation Anaesthesia
• used to maintain anaesthesia after induction with an injectable drug
• relatively insoluble drugs (low blood: gas coefficient) produce a relatively fast recovery
• halothane produces dose dependent respiratory and cardiovascular depression but not much analgesia
• eliminated by respiration - in overdose ventilate with 100% oxygen
commonly used drugs
injectable drugs
thiopentone
propofol
ketamine
alphaxalone
inhalation drugs
halothane
isoflurane

General anaesthesia

general anaesthesia = a state of unconsciousness with lowered sensitivity to external stimuli.
local anaesthesia (analgesia) = blockade of peripheral nerves.
regional anaesthesia (analgesia) = blockade of peripheral nerves or the spinal cord supplying a larger area (using local anaesthetics).
neuroleptanalgesia = very deep sedation combined with analgesia under which some surgery can be performed.
dissociative anaesthesia = a state in which an animal is conscious but sensory input is dissociated from perception.
balanced anaesthesia = unconsciousness, analgesia and muscle relaxation. This can be achieved by large doses of a single drug or (preferably) small doses of different drugs.


Mechanism of action
Injection anaesthesia

Pharmacokinetics
Drugs
Euthanasia

Inhalation anaesthesia

Pharmacokinetics
Vaporisers
Minimum alveolar concentration
Drugs
Table of physical properties
Fish anaesthesia
Scavenging waste gases

A typical anaesthetic may involve:

The animal is then usually intubated (1.6MB movie)

ie. lots of drugs which interact!

General anaesthesia was first induced (in man) 150 years ago using ether, although nitrous oxide as an analgesic had been around for a while before. With ether in man, the patient goes through a (reasonably) predictable series of stages:

1) analgesia
2) excitement
3) surgical anaesthesia

plane 1)
plane 2)
plane 3)
plane 4)

4) medullary paralysis
5) death

Stages 4 and 5 are to be avoided!
These are really only applicable to ether anaesthesia in man, although inducing anaesthesia with an inhalation agent such as ether or halothane is rarely done because of the excitement phase. Using combinations of drugs, as is routine these days, will tend to alter progress through these stages.