Surgery care based on peace of mind, not nickels and dimes
When we perform surgery at Advanced Care Pet Hospital our goal is to keep your pet as comfortable as possible while fostering a healthy recovery. Our staff is frequently asked how we do this and what makes our comfort strategies different.
Each pet and procedure is individually evaluated and we choose a combination of many or all of the following as part of our Advanced Care and Comfort policy for our patients.
Pre-surgical blood work helps ensure there are no pre-existing conditions that may hinder any part of the surgical procedure or recovery.
Carefully selected combinations of pre-anesthetic and anesthetic drugs used at low doses can limit potential side effects while providing more comfort and smoother recovery from anesthesia.>
Blood pressure monitoring helps us to keep your pet at an optimal level of anesthetic: sleeping, but not too deeply.
Intravenous Fluids delivered throughout anesthesia and recovery helps maintain adequate blood pressure and protects the kidneys and other vital organs.
Heating unit similar to a heating blanket used in homes keeps your pet warm while sleeping, as the body temperature naturally drops.
Staying at a normal body temperature gives the body less work too when it's trying to wake up, allowing for a faster recovery.
After surgery we call to check up on the patient. Surgery patients at Advanced Care Pet Hospital have free recheck exams.
A Happy Pet Owner Review
Of all the vets I have brought my pets to over the years, I have received the best care, by far, from Advanced Care Pet Hospital! I was able to bring my elderly dog in to be seen for an urgent issue the same day (Saturday!) without an appointment. The estimate was exactly what I paid, they were pleasant and courteous, and they did not charge me for a follow up check in with them to see if my dog's infection had cleared. I travel from the twin cities to see them. Their prices are very reasonable compared to where I am now located, it is worth the drive. Great service, great prices, and an all around great vet!
Lindsey K, Google + Review
Pet Safety Matters
Why does Advanced Care always include pre-surgical health screening?
AVMA and AAHA Guidelines for pet safety under anesthesia recommend: pre-anesthetic evaluation to create an individual anesthetic plan based on history, age, breed, temperament and procedure. No one plan is appropriate for all pets. Advanced Care Pet Hospital follows the recommended guidelines.
A complete anesthetic plan addresses pain medication through out the procedure, pre and post anesthetic sedation, induction with an endotracheal tube, IV catheter placement for fluid therapy, monitoring and post surgical follow-up.
These services are all included in Advanced Care Pet Hospital estimates. We do it because it is in the best interest of your pets life. Dr. Gerds practices the safest protocol tailored to your pet's specific life stage and body condition. We also consider it peace of mind. In this day and age your pet should come out of surgery.
Only Human Grade Anesthesia At Advanced Care
We use the same anesthesia used by human doctors for infants called sevoflurane. Our anesthesia protocol is the safest in the veterinary industry.
Most vets which use anesthesia, use isoflurane. Vet Clinics which use isoflurane and combined with fluid therapy are certainly safer than those who do not use anesthesia at all for pet surgery. Pets recover faster from the effects of sevoflurane anesthesia than isoflurane. Here is a brief discussion:
Pets go home the very same day!
Sevoflurane returns pets to their ordinary state sooner, with less residual effects from traditional gases like isoflurane. When a vet asks to keep your pet overnight after routine surgery, using isoflurane may be a contributing factor.
Advanced Care Pet Hospital does keep felines overnight after declaw surgery. We do this because veterinary medical evidence supports the evening confinement as it significantly helps their pads recover. Our practice follows evidence based medicine.
As seen above, we are already minimizing risk before surgery has even begun. During surgery, anesthetic monitoring here is similar to that found in any human hospital. Here is a list of common methods of monitoring anesthesia:
The Surgery Assistant is our most important monitor during an anesthetic procedure. This professional staff member is trained to observe and monitor the patient throughout the entire procedure, from induction until recovery. They monitor the anesthetic levels according to the patient's vital signs and ensures that the patient remains stable throughout the procedure.
Pulse Oximetry monitors the oxygen level in the patient's blood (Sp02) and the pulse rate.
The Electrocardiogram, abbreviated as ECG, shows the rate and pattern of the heartbeat. It will detect and show abnormal heartbeats called arrhythmias. If an arrhythmia is detected, the anesthetist will make appropriate changes in anesthesia and administer emergency medications when needed.
The Heart Rate Monitor measures the number of heartbeats per minute. Heart rate must be maintained within a certain range. The depth of anesthesia and surgical stimulation can both affect heart rate. By monitoring heart rate, increases or decreases can be detected early and anesthetic adjustments made quickly, resulting in smoother anesthesia for our patients.
The Blood Pressure Monitor measures the systolic (when the heart contracts or pumps) and occasionally the diastolic (when the heart relaxes or refills) blood pressure. Coupled with other monitoring equipment, this gives detailed information on the cardiovascular status of the patient.
The Core Body Temperature is monitored, especially during a prolonged surgery, by inserting a temperature probe into the esophagus or rectum. Low or high body temperature can cause complications. Maintenance of normal body temperature is especially important in small or pediatric patients.
We also use a special insulating pad below the patient to help maintain normal body temperature.
All of these advanced safeguards are routinely used to help minimize any risk to your pet during the surgical procedure and provide a faster and more comfortable recovery.
Anesthesia Guideline Overview
IV Fluid Therapy
Advanced Care Pet Hospital uses an IV catheter for fluid therapy during surgery. Immediate intravenous access for emergency drug administration is one of the most important factors in the successful treatment of cardiovascular or respiratory failure in either the awake or the anesthetized patient.
By placing an intravenous (IV) catheter and line before anesthesia, Dr. Gerds can ensure that this lifeline is already in place, should the need arise.
Anesthetics, fluids and emergency drugs can be administered through the IV line. Intravenous fluids help maintain blood pressure in the anesthetized patient and will replace lost fluids (during surgery, fluids are lost through evaporation from body cavity surfaces, and in any tissues that are being removed).
Intravenous fluid therapy speeds the recovery process by diluting the anesthetic agents circulating in the blood stream and by enhancing their metabolism and elimination through the liver and kidneys.
Patients that receive IV fluid therapy generally wake up faster than those that do not. For these reasons, all surgery patients here receive intravenous catheterization and fluid therapy.
A Recent Example
A woman presented her two 5 year old dogs for routine dental cleaning. The blood work revealed, one was suffering kidney disease, the second, liver disease. Both had no outward, visible signs.
Had either one went under anesthesia, there could have been serious complications.
The kidneys and the liver are heavily involved in processing blood cells. Blood cells carry the anesthesia in the circulation system through the kidneys and liver for metabolism. A bad kidney or liver can compromise a successful outcome.
Under surgery, your pet receives exactly the same care we administer to our own pets. We are caring for people who care about their pets.
As Humane as Pet Medicine Gets
At Advanced Care Pet Hospital you find a level of pre and post operative care one might expect to find in human medicine.
Advanced Care Pet Hospital does not compromise, use gimmicks or take short cuts with your pet's life during surgery.
We are open to new treatments and protocols. We generally wait however when it can be measurably proven to benefit your pet's medical outcome.
We Check and Verify Low Quotes
When price shoppers tell us they found a lower price else where, we call to verify what is included in their quote. In most every case, we find one or more life saving protocols were not included and sold as "optional" extras.
Take blood work for instance. Certain conditions require modification of the anesthesia protocol or not doing the surgery until the conditions has been moderated. Examples include: Diabetes, Renal Disease, Cardiac Disease, Liver Disease and risk of hemorrhage. These can only be conclusively identified with pre-surgical blood work. You can't see these conditions just looking at a pet. We have postponed surgery for these very conditions.
Price Shoppers may believe they will receive the identical "Advanced Care" quality service provided here, tragically they do not.
Our Safe Surgery Service includes a complete 12 panel blood work up and red and white blood cell count, low cost quotes typically do not.
When you compare apples to apples and have a quote that includes ALL the services Advanced Care regularly includes, you will find our prices are comparable and sometimes lower.
Caring for People Who Care About Their Pets
Our clients value Peace of Mind when it comes to their pet's safety while under surgery.
Our clients appreciate not worrying about whether they chose the right "options" regarding their pet's life.
Advanced Care Pet Hospital doesn't consider your pet's life "Optional."
Full Range Veterinary Surgical Services
Follow the link below to review a list of veterinary surgical procedures available through Advanced Care Pet Hospital: