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In this episode, host Alyssa Watson, DVM, welcomes back Tamara Grubb, DVM, PhD, DACVAA, to talk about her recent Clinician’s Brief article, “Managing Fractious Patients with Comorbid Disease.” Dr. Grubb discusses why sedation is helpful, effective drug selection, and ideal timing. She even provides some useful tips, such as the “injecting while walking” technique.
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Key Takeaways
A calmer patient is a safer patient, and sedation given ahead of time makes for a calmer patient.
Tachycardia and hypertension as part of the stress response can make everything worse.
Boxing or masking down causes a stress response, exposes patients to high anesthetic doses, and adds to chronic exposure of staff.
A lot of chronic pain goes undiagnosed, which means that a “fractious” patient may actually be a painful patient.
Trauma patients benefit from being sedated as soon as safely possible.
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The Team:
Alyssa Watson, DVM - Host
Alexis Ussery - Producer & Multimedia Specialist