- Course Director: Dr. Flavia Restitutti, DVM PhD, Associate Professor
- Email: frestitu@sgu.edu
- Office location: Cassia Building (SGU Campus map #17), ground floor
- Office hours: By appointment via email. Individual office hours can be done in person if or via Zoom. Appointments with two or more students are held exclusively online.
- Other Faculty members:
- Dr. Mercedes Miccio DVM, Assistant Professor, mmiccio@sgu.edu
- Naudia Dundas BSc, Instructor, ndundas@sgu.edu
Class office hours: To be determined with class reps.
Theoretical classes: Ray & Jan Sis Lecture Theatre 2/Zoom Practical lessons: SimLab and VSL
For the students on the Approved list for Remote Learning, the Practical Lessons, pre-recorded videos will be uploaded on Sakai accordingly.
On SAKAI, the following tools will be used.
- Lessons
- Panopto
- Resources
- Forums
- Tests & Quizzes
Most of the tools to be used will be centralized under the “Lessons” tab.
Other tools on Sakai might be used if needed. Students will be informed accordingly if the need arises.
The Forums on Sakai are used for questions and doubts regarding the contents of the course and should be the preferred method for this purpose (which allows other students with similar questions).
Slides handouts, didactic laboratory handouts and any additional reading that might be provided on SAKAI (for example review of literature articles).
Supplemental articles (for example literature reviews) will be uploaded on SAKAI
Reference textbooks:
- BSAVA Manual of Canine and Feline Anaesthesia and Analgesia, 3rd edition. Tanya Duke-Novakovski, Marieke De Vries, Chris Seymour. BSAVA, 2016
- Veterinary Anaesthesia Principles to Practice. Georgina Beaumont, Carl Bradbrook, Alexandra H. A. Dugdale, Matthew Gurney. Wiley-Blackwell, 2020
- Veterinary Anesthesia and Analgesia, The fifth edition of Lumb & Jones. Grimm, Lamont, Tranquilli, Greene, Robertson. Blackwelll Professional 2015 (Available online via HINARI database which can be accessed through SGU’s Founders Library website) Veterinary Anaesthesia, 11th edition. KW Clarke, CM Trim & LW Hall. Saunders Ltd. 2013 (Available online via HINARI database which can be accessed through SGU’s Founders Library website)
- Handbook of Veterinary Pain Management, 3rd edition. James S. Gaynor and William M Muir. Elsevier 2015 (Available online via HINARI database which can be accessed through SGU’s Founders Library website)
- Handbook of Veterinary Anaesthesia, 5th edition, W Muir, J Hubbell, R Bednarski, P Lerche. Elsevier 2013
- Essentials of Small Animal Anesthesia and Analgesia, 2nd edition,
- K.A. Grimm, W.J. Tranquilli & L.A. Lamont. Wiley & Blackwell, 2011
- Manual of Equine Anesthesia and Analgesia, Alexander Valverde, Thomas Doherty. Blackwell Professional 2006 (Available online via HINARI database which can be accessed through SGU’s Founders Library website)
- Handbook of Equine Anaesthesia, 2nd edition, PM Taylor and KW Clarke. Saunders Elsevier 2007
- Veterinary Anesthesia and Pain Management Secrets, Stephen A. Greene. Elsevier 2002
- Students who need accommodations should contact Student Accessibility and Accommodations Services (SAAS), located in the Welcome Center, inside the International Students Office
- Information can be found at mycampus.sgu.edu/group/saas
Computer/tablet with functional microphone and camera are an asset for the Zoom sessions
White coats are required for in-person practical sessions in didactic labs
This course aims to provide students with the theoretical knowledge required to develop an understanding of the principles of anesthesia and pain management in domestic animals and wildlife/exotic species. It aims to promote critical thinking when elaborating an anesthetic plan taking in consideration the health status of the patient and its risk assessment.
This course is a pre-requisite for SAMS 527 and SAMS 528
Upon successful completion of this course, the student will be able to:
- Formulate a sedation and/or anesthetic plan in domestic and exotic animals according to their physical status.
- Design an analgesic plan in domestic animals
- Clinically interpret the information provided by the monitoring equipment.
- Evaluate the anesthetic depth of a patient of the different species
- Formulate a euthanasia protocol for domestic animals
- Recognize the main components of an anesthetic machine.
- Identify important risk factors in veterinary anesthesia.
L: Lab
DL: Didactic lab
L/DL |
Topic |
Lesson Learning outcomes |
|
L1 |
Introduction to the Course |
|
|
L2 |
Anesthetic Planning |
|
|
L3 |
Preanesthetic Medication I |
|
|
L4 |
Preanesthetic Medication II |
||
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|
||
L5 |
Injectable anesthetic agents I |
|
|
L6 |
Injectable anesthetic agents II |
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L7 |
Inhalation Anesthesia Equipment I |
|
|
L8 |
Inhalation Anesthesia Equipment II |
||
L9 |
Inhalation Anesthesia Equipment III |
||
L10 |
Inhalational Anesthetic agents I |
|
|
L11 |
Inhalational Anesthetic agents II |
||
DL 01 |
Didactic Lab 01 Simulations. IV catheter placement Drug Calculations |
|
|
L12 |
Pharmaacology of Local Anesthetic Drugs |
|
|
L13 |
Local Anesthetic Techniques in Small Animals |
|
|
L14 |
Local Anesthesia in Large animals |
|
|
|
|
||
DL02 |
Didactic Lab 02: Anesthesia Equipment |
|
|
L15 |
Pain Physiology |
|
|
L16 |
Pain Assessment |
|
|
|
|
||
L17 |
Pain Treatment: Pharmacologic Approach |
|
|
L18 |
Anesthetic Monitoring I |
|
|
L19 |
Anesthetic Monitoring II |
Assess the cardiovascular function based on heart rate and blood pressure
|
|
L20 |
Anesthetic Monitoring III |
|
|
|
|
||
L21 |
Mechanical Ventilation |
|
|
L22 |
Anesthesia emergencies and complications |
|
|
L23 |
Thermoregulation |
|
|
DL03 |
Didactic Lab 03: Monitoring |
|
|
|
|
||
L24 |
Small Animal Anesthesia I |
|
|
L25 |
Small Animal Anesthesia II |
||
L26 |
Small Animal Anesthesia III |
||
L27 |
Small Animal Anesthesia IV |
||
L28 |
Small Animal Anesthesia V |
||
|
|
||
DL4 |
Case discussion |
a. Discuss the anesthetic management of a real case b. Explain the anatomical and physiological particularities of Guinea Pigs, Rabbits and rodents concerning anesthesia c. Elaborate an appropriate anesthetic protocol for Guinea Pigs, Rabbits and Small Rodents |
|
L29 |
Anesthesia in Guinea Pigs, Rabbits, and small rodents |
||
L30 |
Avian and Reptile Anesthesia |
|
|
L31 |
Equine Anesthesia I |
|
|
L32 |
Equine anesthesia II |
||
L33 |
Equine anesthesia III |
||
L34 |
Anesthesia in Ruminants and Camelids |
|
|
L35 |
Swine Anesthesia |
|
|
L36 |
Euthanasia |
|
Course level outcome |
SGU SVM program level outcome |
CLO 1 Formulate a sedation and/or anesthetic plan in domestic and exotic animals according to their physical status. |
PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare |
CLO 2 Design an analgesic plan in domestic animals |
PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare |
CLO 3 Clinically interpret the information provided by the monitoring equipment |
PLO 04 Explain the relationship between disease process and clinical signs PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare |
CLO 4 Assess the anesthetic depth of a patient of the different species |
PLO 01 Recall. Understand, and adequately utilize multidisciplinary knowledge of basic structures and functions of healthy animals PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare |
CLO 5 Formulate an euthanasia protocol for domestic animals |
PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare PLO 27 Demonstrate and model effective client communicate and ethical conduct |
CLO 6 Recognize the main components of an anesthetic machine. |
PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare |
CLO 7 Identify important risk factors in veterinary anesthesia |
PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare |
Lecturers:
Dr. Flavia Restitutti (FR);
Dr. Mercedes Miccio (MM)
Didactic Lab Instructor: Naudia Dundas (ND)
Week |
L/DL |
Date/Time |
Lecturer |
Topic |
1 |
L01 |
Mon 17-Jan 10:30 |
FR |
Introduction to the course |
L02 |
Wed 19-Jan 11:30 |
FR |
Anesthesia Planning |
|
L03 |
Fri 21-Jan 11:30 |
MM |
Preanesthetic medication I |
|
2 |
L4 |
Mon 24-Jan 11:30 |
MM |
Preanesthetic medication II |
L5 |
Wed 26-Jan 11:30 |
FR |
Injectable Anesthetic agents I |
|
L6 |
Fri 28-Jan 11:30 |
FR |
Injectable Anesthetic agents II |
|
DL1 Group A |
Fri 28-Jan 13:30 |
FR/MM/ND |
IV catheter placement, drug calculations and computer simulations (SimLab) |
|
3 |
L7 |
Mon 31-Jan 10:30 |
FR |
Inhalational Anesthesia Equipment I |
DL1 Group B |
Mon 31-Jan 13:30 |
FR/MM/ND |
IV catheter placement, drug calculations and computer simulations (SimLab) |
|
L8 |
Wed 02-Feb 11:30 |
FR |
Inhalational Anesthesia Equipment II |
|
L9 |
Fri 04-Fev 10:30 |
FR |
Inhalational Anesthesia Equipment III |
|
4 |
L10 |
Wed 09-Feb 11:30 |
FR |
Inhalational anesthetics agents I |
L11 |
Wed 08-Sep 11:30 |
FR |
Inhalational anesthetics agents II |
|
5 |
L12 |
Wed 16-Feb 10:30 |
FR |
Pharmacology of Local Anesthetic Drugs |
L13 |
Fri 18-Feb 10:30 |
FR |
Local Anesthetic Techniques in Small Animals |
|
DL1 Group C |
Fri 18-Feb 13:30 |
FR/MM/ND |
IV catheter placement, drug calculations and computer simulations (SimLab) |
|
6 |
QUIZ |
Mon 21-Feb 11:30 |
L01-L06 + DL1 |
|
DL2 Group A |
Mon 21-Feb 13:30 |
FR/MM/ND |
Anesthetic equipment (VSL) |
|
|
L14 |
Wed 23-Feb 11:30 |
FR |
Local Anesthesia Techniques in Large Animals |
L15 |
Fri 25-Feb 11:30 |
FR |
Pain physiology |
|
DL2 Group B |
Fri 25-Feb 13:30 |
FR/MM/ND |
Anesthetic equipment (VSL) |
|
7 |
L16 |
Mon 28-Feb 10:30 |
FR |
Pain Assessment |
L17 |
Mon 28-Feb 11:30 |
MM |
Pain treatment: Pharmacological approach |
|
L18 |
Fri 04-Mar 11:30 |
FR |
Anesthesia Monitoring I |
|
L19 |
Fri 04-Mar 11:30 |
FR |
Anesthesia Monitoring II |
|
DL2 Group C |
Fri 04-Mar 13:30 |
FR/MM/ND |
Anesthetic equipment (VSL) |
|
8 |
No activity (Midterms week) |
|||
9 |
MIDTERM |
Mon 14-Mar 12:00 |
L01-L17; DL1-DL2 (Cumulative) |
|
L20 |
Wed 16-Mar 9:30 |
FR |
Anesthetic Monitoring III |
|
L21 |
Fri 18-Mar 11:30 |
FR |
Mechanical Ventilation |
|
10 |
L22 |
Mon 21-Mar 10:30 |
FR |
Anesthetic Emergencies and Complications |
DL3 Group A |
Mon 21-Mar 10:30 |
FR/MM/ND |
Monitoring equipment (VSL) |
|
L23 |
Wed 23-Mar 10:30 |
FR |
Thermoregulation |
|
L24 |
Fri 25-Mar 11:30 |
FR |
Small Animal Anesthesia I |
|
DL3 Group B |
Fri 25-Mar 13:30 |
FR/MM/ND |
Monitoring equipment (VSL) |
|
11 |
L25 |
Mon 28-Mar 11:30 |
FR |
Small Animal Anesthesia II |
|
L26 |
Wed 30-Mar 11:30 |
FR |
Small Animal Anesthesia III |
L27 |
Mon 01-Apr 11:30 |
FR |
Small Animal Anesthesia IV |
|
12 |
L28 |
Mon 04-Apr 10:30 |
FR |
Small Animal Anesthesia V |
DL3 Group C |
Mon 04-Apr FR/MM/ND |
FR/MM/ND |
Lab: Monitoring equipment (VSL) |
|
L29 |
Wed 06-Apr 11:30 |
FR |
Anesthesia in Rabbits, Guinea Pigs and Small Rodents |
|
L30 |
Fri 08-Apr 11:30 |
FR |
Avian and Reptile Anesthesia |
|
13 |
L31 |
Mon 11-Apr 09:30 |
FR |
Equine Anesthesia I |
DL4 EVERYONE |
Mon 11-Apr 13:30 |
FR/MM/ND |
Case Discussion |
|
L32 |
Wed 13-Apr 10:30 |
FR |
Equine Anesthesia II |
|
14 |
L33 |
Wed 20-Apr 11:30 |
FR |
Equine Anesthesia III |
15 |
L34 |
Mon 25-Apr 10:30 |
FR |
Anesthesia in Ruminants and Camelids |
L35 |
Tue 26-Apr 10:30 |
FR |
Swine Anesthesia |
|
ASSESS |
Tue 26-Apr 1:30pm |
Practical skills assessment (Formative assessment) |
||
L36 |
Wed 27-Apr 10:30 |
FR |
Euthanasia |
|
ASSESS |
Wed 27-Apr 1:30 |
Practical skills assessment (Formative assessment) |
||
16 |
No activity |
|||
17 |
Final |
Mon 09-May 12:00 |
L1-L35: DL1-DL4 |
- Grading scale: The SGU SVM grading scale applies
>89.5% |
A |
84.5-89.49 |
B+ |
79.5-84.49 |
B |
74.5-79.49 |
C+ |
69.5-74.49 |
C |
64.5-69.49 |
D+ |
59.5-64.49 |
D |
<59.49 |
F |
Assessment policy
This course is 140 points, divided in one quiz (10 points), midterm exam (50 points), one final exam (70 exams) and a mandatory OSCE (Practical Skills Assessment - 10 points) for those attending the course on campus. For those attending the course remotely the practical skills assessment will be substituted by an online proctored exam via Examsoft.
Students who attend the labs on island and decides to go home before the OSCE will receive a 0 grade for that part and will not be allowed to have the online exam.
Exams and quizzes will consist mainly of MCQ questions, however short answer questions may be included at the discretion of the course director. The examination will be based on all the material covered in lecture notes, power point presentation and didactic labs, as well as didactic material distributed through the SAKAI network and verbal information presented by the lectures.
Slide handouts might not contain all the contents of the lectures and will be complemented with verbal information during the lectures.
The aspects of pharmacology and physiology relevant to anesthesia that were taught during the previous terms are considered part of the exam material. Students are responsible for reviewing the
pharmacology and physiology notes. Students are responsible for reviewing the pharmacology and physiology notes. Students are expected to make use of the recommended books, scientific literature and journal articles uploaded on the
SAKAI network. Exams and quizzes are sequestered. The only time when questions can be viewed is during the exam period. The Course Director has no obligation to disclose the breakdown of questions per exam.
The importance of clinical skills in this course must be emphasized and recognized. Failure to remediate any OSCE before the end of the term will result in failure of the course (F Grade).
The importance of clinical skills in this course must be emphasized and recognized. Failure to remediate any OSCE before the end of the term will result in failure of the course (F Grade).
A grade reduction of 5% will be applied to that exam if students do not observe the parameters listed in the Assessment Policy for Students
Individual office hours can be requested to best tailor best studying strategies.
Class office hours attendance and participation are strongly recommended and encouraged.
Students are encouraged to participate in any discussion, prepare the handouts for the didactic lab sessions.
Students are expected to watch all lectures and participate in all didactic laboratory sessions.
The classroom is designated a safe environment. Please respect the fact that not all students have the same experience and may ask questions that seem obvious to you. Do not make fun of students either in or after class.
Participation in the discussions will benefit your learning experience, please make use of this opportunity.
Please exhibit professional behavior in class. Students are expected to arrive on time for lectures.
Students attending St. George’s University are expected to conduct themselves with integrity, dignity, and courtesy, according to a code of conduct that defines the interests, reputation, and stature of the University community. Learning experiences at St. George’s University are not only meant to develop strong academic skills, but also to cultivate students with positive professional attributes,
who are well adjusted to the norms of social graces and good social behavior. The Code of Conduct includes student comportment and the honor code, as well as those actions that warrant disciplinary action. The University reserves the right to take any action that is sees fit to protect the rights of the student body, as well as the reputation of the University.
Abuses of this Code, outline in the student manual, will result in disciplinary action, which may include suspension or dismissal. It is the responsibility of all students to know the University Code of Conduct. It is required that all students abide by the terms of the University Code of Conduct.
Students are expected to attend all classes and didactic labs of the course. Although attendance may not be recorded at every academic activity, attendance may be and will be taken randomly. Students’ absence may adversely affect their academic status as specified in the grading policy.
Didactic labs attendance is mandatory. Failing to attend (and for those online, failing to watch entirely the videos on Panopto) will have 1 point deducted from the final grade per class and/or video.
Students are expected to be available during the standard 8:30am- 5:20pm AST school day, to attend, engage with in-person/online content, and participate in all classes and clinical rotations for which they have registered. Employment is not an excusable absence.
Although attendance, engagement, and participation may not be recorded at every academic activity, attendance, engagement, and participation is graded for mandatory sessions. Students’ lack of attendance, engagement, and participation may adversely affect their academic status as specified in the grading policy.
If failure to attend, engage, or participate in individual classes, examinations, and online activities, or from the University itself is anticipated, or occurs spontaneously due to illness or other extenuating circumstances, proper notification procedures must be followed
Students who fail to attend an examination (Sakai quiz/test or Examsoft) or submit an assignment by the deadline without a valid reason (see student manual: SGUSVM POLICY ON AN EXCUSED ABSENCE (EA) FOR STUDENTS) will receive a score of “0” points for the examination.
Students who have technical issues during the examination MUST inform the Course Director (s) (frestitu@sgu.edu) and IT (tellexaminationservices@sgu.edu OR support@sgu.edu OR call 1- 631-665-8500 ext. 4444 (US, NU, International) OR 1-473-439-2000 ext. 4444 (Grenada), AND Dean of Students (DOS@sgu.edu) during the open period for the examination. Failure to do so immediately will result in the student receiving the highest score recorded at the time, but NOT being eligible to take a completion examination.
Scheduling of examinations (regular, re-sit, completion, comprehensive, or exemption) is at the discretion of the University. Completion exams will be scheduled within 7 days of the original exam date. Re-sit examination will be scheduled in the first week of the following term.
All students are responsible for knowing and complying with the University’s Code of Conduct and the guidelines. Students must read and then sign the Honor Code statement at the start of examinations to indicate that they will comply with the University Code of Conduct.
Prior to Exam Day
- Each student is required to have a laptop for the purpose of taking computer-based examinations (e-Exams) at SGU. Students must ensure that their laptops meet the current minimum system requirements prior to exam day:
- Examinees must use their MY SGU Member Center username and password to access the Custom Home Page (www.examsoft.com/sgu) created by ExamSoft for the University.
- Examinees are responsible for downloading and registering the latest version of Examplify on their laptop prior to exam day. Once Examplify has been successfully downloaded, examinees are strongly encouraged to familiarize themselves with the software by downloading and taking practice exams.
- Examinees are responsible for setting their laptop up for ExamMonitor prior to the exam (see links below).
- Examinees will be notified via MyCourses, of all exam related information. Email notifications will also be sent from ExamSoft Support to examinees, notifying them of examinations available for downloading.
- Examinees experiencing difficulties with their laptop are encouraged to visit the IT department for assistance prior to exam day. Examinees needing a laptop must visit the Office of Institutional Advancement (OIA) to request an exam loaner.
- Examinees should visit the following information to familiarize themselves with the online proctored exam format and set up their baseline photo.
- A Examsoft/ExamID quick guide for students (Please note that the current Examplify version is 2.3.8)
- The Examsoft student perspective video 30mins
- The Examsoft/ExamID FAQ
- Examsoft information page
- The general Reminders/Guidelines
The materials (such as slides, handouts and audio/video recordings) provided to students who are taking courses at St. George’s University (SGU) are the intellectual property of the Faculty and/or Administration of SGU. Students are free to use these materials solely for the purpose of group or individual study. Reproduction in whole or in part is prohibited.
School of Veterinary Medicine Master Syllabus — Info for All Sections
All students are responsible for knowing and complying with the University’s Code of Conduct and the guidelines. Students must read and then sign the Honor Code statement at the start of examinations to indicate that they will comply with the University Code of Conduct.
Prior to Exam Day
- Each student is required to have a laptop for the purpose of taking computer-based examinations (e-Exams) at SGU. Students must ensure that their laptops meet the current minimum system requirements prior to exam day:
- Examinees must use their MY SGU Member Center username and password to access the Custom Home Page (www.examsoft.com/sgu) created by ExamSoft for the University.
- Examinees are responsible for downloading and registering the latest version of Examplify on their laptop prior to exam day. Once Examplify has been successfully downloaded, examinees are strongly encouraged to familiarize themselves with the software by downloading and taking practice exams.
- Examinees are responsible for setting their laptop up for ExamMonitor prior to the exam (see links below).
- Examinees will be notified via MyCourses, of all exam related information. Email notifications will also be sent from ExamSoft Support to examinees, notifying them of examinations available for downloading.
- Examinees experiencing difficulties with their laptop are encouraged to visit the IT department for assistance prior to exam day. Examinees needing a laptop must visit the Office of Institutional Advancement (OIA) to request an exam loaner.
- Examinees should visit the following information to familiarize themselves with the online proctored exam format and set up their baseline photo.
- A Examsoft/ExamID quick guide for students (Please note that the current Examplify version is 2.3.8)
- The Examsoft student perspective video 30mins
- The Examsoft/ExamID FAQ
- Examsoft information page
- The general Reminders/Guidelines
Copyright Policy
The materials (such as slides, handouts and audio/video recordings) provided to students who are taking courses at St. George’s University (SGU) are the intellectual property of the Faculty and/or Administration of SGU. Students are free to use these materials solely for the purpose of group or individual study. Reproduction in whole or in part is prohibited.