Surgical/anesthesia consent form

patient owner

animal

The veterinarian mentioned explained to me in a way that I could understand the nature of the planned procedure and the significance of the disease as well as the possible forms of treatment. The aim of the upcoming surgical treatment as well as the possible risks and adverse consequences - also in comparison to other treatment options - were explained to me in detail and I agreed to do so

I confirm that my information is correct and accept the payment terms. The signatory is liable for the invoice debt.

It is clear to me (the owner/carrier) that a surgical team and the appropriate materials and medication will be prepared specifically for the procedure. cancel the surgical appointment . to charge 30% of the above costs as compensation You have the opportunity to provide us with proof within three working days of the planned operation date and if the cancellation was not made on time that there were urgent reasons for the non-appearance (e.g. illness, accident, etc.).

Anesthesia education

During anesthesia, the patient is put into a sleep state with loss of consciousness and the sensation of pain. In addition, the muscles relax in order to prevent defensive reactions. There are a variety of reasons why anesthesia is necessary: ​​routine procedures (castration, dental treatments), surgical procedures (after accidents or for illnesses/fractures/wound care, etc.) or for diagnostic purposes (imaging diagnostics such as X-ray examinations, CT or endoscopy, sample taking, etc.) .

Anesthesia preparation:

This begins the day before the planned anesthesia: the patient should not be fed (not even small treats) for at least twelve hours beforehand. However, your animal is allowed to drink water. In most cases, a blood sample has already been taken beforehand, otherwise this is done during the pre-anesthetic examination on the day of the procedure. The organ values ​​(especially kidney and liver) give us information about how healthy your animal is and which anesthetic management is chosen. The risk of anesthesia depends on the health of the animal. Often, in order to minimize excitement for the patient, we administer premedication (anti-anxiety and relaxing). Before the induction of anesthesia, pure oxygen can be supplied via the breathing air (pre-oxygenation): The blood is saturated with oxygen in order to prevent an undersupply of oxygen to the organs during the induction of anesthesia.

Anesthesia process:

First (except for very restless or aggressive patients), an intravenous catheter is placed to induce general anesthesia (administration of anesthetic medication). This access also allows us to ensure routine continuous drip infusion for your animal during the operation. After the patient falls asleep, the tube (anesthetic gas supply) is placed into the trachea. With the help of ECG (electrocardiogram), pulse oximetry (oxygen saturation), capnography (composition of gases in the air we breathe), non-invasive blood pressure measurement, control of mucous membranes and respiratory rate; By measuring the internal body temperature, all stages of anesthesia are monitored closely. An anesthesiologist is always responsible for this standard anesthesia monitoring. During inhalation anesthesia for the duration of the operation, the animal breathes in an anesthetic gas and oxygen mixture. The advantage is, on the one hand, that the organism is not burdened with further intravenous unnecessary medication, and on the other hand, in the event of complications, the anesthetic gas can be turned off at any time (pure oxygen ventilation). The duration of anesthesia depends on the type of procedure. Anesthesia is eliminated by turning off the anesthetic gas and/or by administering an antidote.

Anesthesia aftercare:

Awakening from anesthesia takes place in a controlled and supervised manner. That's why the animal isn't just handed over to you in its "twilight sleep", but rather wakes up calmly and slowly with us. The patient is only discharged when he is fully conscious and able to walk independently. In the case of an accident or illness-related operation, an inpatient stay of several days is often necessary. Since many animals show a great need for sleep after anesthesia, you should offer the animal a warm and quiet place and generally avoid stress. Before eating after anesthesia, you must wait until the dog is awake enough and can no longer choke. Start with small amounts of food. If your four-legged friend vomits in the evening on the day of anesthesia, this is not unusual. However, if the animal is very quiet in the following days and does not eat or drink, introduce it to us again.

Risks, side effects, complications

No medical procedure is completely risk-free! Despite the most modern equipment, the constant monitoring of your animal's vital parameters by trained anesthesiologists and the utmost care of our team, complications can still occur. This depends on your four-legged friend's health status or underlying illness.

The administration of anesthetics and/or painkillers can cause nausea and vomiting, which may need to be treated with medication. A longer inpatient stay is rare, but conceivable.

Skin or soft tissue damage caused by injections (needles, catheters): infections, abscesses, tissue necrosis, bruising, inflammation, vascular irritation are possible; mostly temporary (self-limiting) and/or easily treatable. Operations are rarely necessary; Very rarely, this causes blood poisoning or inflammation of the internal organs.

Nerve damage: Nerve irritation can result from injections (needles, catheters), pressure and strain (despite correct positioning); However, they usually only last for a short time and/or are easy to treat. Very rarely, they last longer or cause damage (blindness, paralysis, pain).

Hypersensitivity reactions/allergic reactions can occur due to the agents used (medications, disinfectants) in the form of skin irritation or itching, circulatory or breathing problems; Very rarely, life-threatening anaphylactic reactions with heart and/or breathing problems or organ failure occur.

In anesthesia, medications are used that have effects on the cardiovascular system, such as drops in blood pressure, slowing of the heartbeat or arrhythmias. Patients with previous cardiovascular disease have an increased risk of anesthesia and can also die if complications arise. Animals with previous illnesses (e.g. kidney or heart patients) as well as older animals are at greater risk and require special anesthesia management.

Through the insertion of the ventilation tube or a larynx mask, through injuries to the throat, jaw, larynx, trachea or vocal cords, temporary shortness of breath, difficulty swallowing or hoarseness can occur due to breathing disorders and spasms of the larynx or bronchial muscles. Vocal cord damage with permanent hoarseness is very rare. Additional treatment (medication, monitoring, other measures) for breathing disorders (due to bleeding or swelling) may be necessary, especially after head and neck surgery.

Manipulation of the throat area (keeping the airways clear) can - although very rarely - cause damage to the teeth or possibly even tooth loss.

Pneumonia/aspiration pneumonia, lung abscesses, permanent lung damage or acute lung failure due to inhalation of gastric contents is possible, especially if the animal was not kept sufficiently fasted as previously advised. In some cases, if bladder emptying is disrupted (e.g. after bladder stone removal), it is necessary to insert a urinary bladder catheter (preventatively) or to empty the bladder manually. This makes a longer inpatient stay possible.

When using foreign blood (components), there is a risk of an allergic reaction, thrombosis, infection/fever or lung failure; Very rarely, blood clots form, even without the addition of foreign blood, which move through the vessels in the body and can also block vessels, which can lead to organ damage (e.g. in the lungs/pulmonary embolism) and/or death.

Organ damage is also possible in the rare case of malignant hyperthermia, a greatly increased internal body temperature (due to a severe, life-threatening metabolic disorder). With the help of intensive medical care and drug treatment, attempts are made to counteract organ damage (especially kidney, brain, intestines).

Cost

The costs for anesthesia and associated services are listed in the fee schedule (GOT) for veterinarians. Further costs (preliminary examinations, anesthesia preparation and monitoring, surgical intervention) are not included and are calculated separately.

agreement

Subject to the above conditions, I confirm that I have understood the information provided and accept with full knowledge and agreement the risks associated with this procedure. I understand that the need for the use of anesthesia, its variations and its effects have been explained to me and I hereby give my consent to the use of the said anesthesia. All the circumstances essential to the treatment, the expected health development as well as the therapy and necessary follow-up treatment were explained to me in an understandable manner. With my signature I give my consent to the treatment discussed.