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10 Covetrus | ph: 855.724.3461 | fx: 888.329.3861 | northamerica.covetrus.com Thomas van Bergen is a European Specialist in Equine Surgery (Diplomate of the European College of Veterinary Surgery) and oversees the surgical team at Clinique Equine Acy-Romance based in France. He works with Anneleen Michielsen, the clinic anesthesiologist (Resident of the European College of Veterinary Anesthesia and Analgesia) and a team of nine equine veterinarians and nurses. Clinique Equine Acy- Romance deals with a variety of cases, which can vary from standing procedures such as laparoscopies and dental procedures, to general anesthesia surgeries (elective and emergency), including castrations, arthroscopy, colic surgery, fracture repair, and trauma surgery. Thomas van Bergen DVM, PhD, Diplomate ECVS European Specialist in Equine Surgery Co-founder and owner Anneleen Michielsen DVM, Resident ECVAA Because of their large size, nature, and predisposition to adverse reactions to certain anesthetic agents, it is common knowledge in the veterinary industry that horses placed under general anesthesia are at a higher risk compared to smaller species, like dogs and cats. They can have a 0.9% mortality rate during non-colic surgery, which increases to nearly 11.7% during colic surgery 1 . The most common causes of mortality during anesthesia are cardiovascular arrest, trauma (fractures and wounds), myopathy and neuropathy. During anesthesia, we always use multi-parameter monitoring. This is essential for complex surgeries where a balance is sought between adequate depth of anesthesia and preserving the cardiorespiratory function. Some monitors include a gas analyser that measures the concentration of expired inhalant gas, giving an indication of the depth of anesthesia as well as any adverse physiological reactions to anesthetic agents. Improved monitoring allows early detection of potential complications and allows us to put interventions in place to improve patient outcomes. Correct positioning of the patient is also crucial, as mispositioning can induce neuropathy during recovery. Equine anesthesia tips Emergency surgery at Clinique Equine Acy-Romance Anesthesia machine and multiparameter monitor Thomas van Bergen is a European Specialist in Equine Surgery (Diplomate of the European College of Veterinary Surgery) and oversees the surgical team at Clinique Equine Acy-Romance based in France. He works with Anneleen Michielsen, the clinic Anaesthesiologist (Resident of the European College of Veterinary Anaesthesia and Analgesia) and a team of nine equine veterinarians and nurses. Clinique Equine Acy-Romance deals with a variety of cases, which can vary from standing procedures such as laparoscopies and dental procedures, to general anaesthesia surgeries (elective and emergency), including castrations, arthroscopy, colic surgery, fracture repair and trauma surgery. Thomas van Bergen DVM, PhD, Diplomate ECVS European Specialist in Equine Surgery Co-founder and owner Anneleen Michielsen DVM, Resident ECVAA Reducing the Risks of Equine Anaesthesia Because of their large size, nature, and predisposition to adverse reactions to certain anesthetic agents, it is common knowledge in the veterinary industry that horses placed under general anaesthesia are at a higher risk compared to smaller species, like dogs and cats. They can have a 0.9% mortality rate during non-colic surgery, which increases to nearly 11.7% during colic surgery 1 . The most common causes of mortality during anaesthesia are cardiovascular arrest, trauma (fractures and wounds), myopathy and neuropathy. During anaesthesia, we always use multi-parameter monitoring. This is essential for complex surgeries where a balance is sought between adequate depth of anaesthesia and preserving the cardiorespiratory function. Some monitors include a gas analyser that measures the concentration of expired inhalant gas, giving an indication of the depth of anaesthesia as well as any adverse physiological reactions to anaesthetic agents. Improved monitoring allows early detection of potential complications and allows us to put interventions in place to improve patient outcomes. Correct positioning of the patient is also crucial, as mispositioning can induce neuropathy during recovery. Emergency surgery at Clinique Equine Acy-Romance Anaesthesia machine & multi-parameter monitor Equine Anaesthesia Tips Anaesthetic Monitoring Equipment - Order of Set up Thomas van Bergen is a European Specialist in Equine Surgery (Diplomate of the European College of Veterinary Surgery) and oversees the surgical team at Clinique Equine Acy-Romance based in France. He works with Anneleen Michielsen, the clinic Anaesthesiologist (Resident of the European College of Veterinary Anaesthesia and Analgesia) and a team of nine equine veterinarians and nurses. Clinique Equine Acy-Romance deals with a variety of cases, which can vary from standing procedures such as laparoscopies and dental procedures, to general anaesthesia surgeries (elective and emergency), including castrations, arthroscopy, colic surgery, fracture repair and trauma surgery. Thomas van Bergen DVM, PhD, Diplomate ECVS European Specialist in Equine Surgery Co-founder and owner Anneleen Michielsen DVM, Resident ECVAA Reducing the Risks of Equine Anaesthesia Because of their large size, nature, and predisposition to adverse reactions to certain anesthetic agents, it is common knowledge in the veterinary industry that horses placed under general anaesthesia are at a higher risk compared to smaller species, like dogs and cats. They can have a 0.9% mortality rate during non-colic surgery, which increases to nearly 11.7% during colic surgery 1 . The most common causes of mortality during anaesthesia are cardiovascular arrest, trauma (fractures and wounds), myopathy and neuropathy. During anaesthesia, we always use multi-parameter monitoring. This is essential for complex surgeries where a balance is sought between adequate depth of anaesthesia and preserving the cardiorespiratory function. Some monitors include a gas analyser that measures the concentration of expired inhalant gas, giving an indication of the depth of anaesthesia as well as any adverse physiological reactions to anaesthetic agents. Improved monitoring allows early detection of potential complications and allows us to put interventions in place to improve patient outcomes. Correct positioning of the patient is also crucial, as mispositioning can induce neuropathy during recovery. Emergency surgery at Clinique Equine Acy-Romance Anaesthesia machine & multi-parameter monitor Equine Anaesthesia Tips Anaesthetic Monitoring Equipment - Order of Set up Reducing the risks of equine anesthesia