IACUC Learning Module - Surgery

IACUC Learning Module - Surgery, Anesthesia -
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Definitions
of Commonly Used Terminology
|
Analgesic
- a drug which causes an absence of pain in response to
stimulation which would normally be painful; often, what is actually achieved
following administration of an analgesic is hypoalgesia, or diminished pain in
response to a stimulus.
Anesthesia Definitions
Anesthesia, general - provides overall insensitivity and
unconsciousness.
Basic elements of general anesthesia include:
unconsciousness
amnesia (loss of memory of pain or distress)
analgesia
muscle relaxation
diminished motor response to noxious stimuli
reversibility
Anesthetic - a drug which causes a reversible loss of conscious
awareness and sensation, including pain.
Neuromuscular blocking agent
(paralytic agent) - a drug which blocks
transmission at the neuromuscular junction; these drugs lack anesthetic and
analgesic properties. It is illegal to use a neuromuscular blocking agent
for painful procedures, unless anesthetics or analgesic drugs are used in
conjunction. Mechanical ventilation must be provided.
Sedative - a drug which produces a state of decreased motor
activity, mental calmness, and drowsiness; does not imply analgesia,
although most sedatives will increase the pain tolerance threshold by
reducing anxiety and fear.
Anesthetic Management Principles - Prevention of perceived pain during
surgery is the primary function of anesthesia.
Anesthesia also enables humane restraint, improves safety, and increases
technical efficiency. Although many factors affect choice of a particular
anesthetic drug or technique, the greatest concern must be the well-being of
the animal.
- A general rule of thumb is "aim only for the
degree of restraint and anesthesia required" - more may not be better and
often is associated with a greater potential for adverse effects.
Aseptic procedures - All of the techniques and practices employed to
prevent microbial contamination of the surgical site. These include: removal of hair
from the surgical site, use of surgical scrub and sterile draping of the area.
Sterile instruments, proper attire, and adherence to current operating room
policy are required.
Major Surgery Any surgical intervention that penetrates and exposes a
body cavity Or any procedure that is likely to produce a permanent
impairment of physical movement or basic physiological function, And/Or
any procedure associated with orthopedics or extensive tissue dissection or
transaction.
- Major survival surgery for warm-blooded "higher" vertebrate animals such
as rabbits, dogs, cats, pigs, sheep, or monkeys must be performed in
dedicated facilities specifically designed, operated, and maintained for
that purpose. Cold-blooded vertebrate or rodent surgeries may be performed
aseptically in a clean, non-dedicated room or laboratory. Farm-type
procedures may be performed at the agricultural center. Surgical procedures
on wild animals, both major and minor may be performed in the field but
aseptic principles must be followed. The IACUC approves the appropriate
site for specific operative procedures.
- Use of one animal in multiple major survival surgeries is allowed
only when such procedures are related components of a protocol; they must be
scientifically justified in the protocol and approved by the IACUC. Cost
savings is not an acceptable justification for multiple major survival
surgeries on any animal. Determination that a procedure constitutes major
surgery is usually made during the IACUC review process. However,
development of "permanent physical or physiologic impairment" may not be
recognized until after the procedure is performed. If such impairment
develops after a surgery, that animal cannot be used for another recovery
procedure.
- If the second major procedure is non-survival, this is not considered to
be multiple major survival surgery.
Minor Surgery – Any surgical intervention that does not penetrate a body
cavity nor expose a body cavity, or causes little or no physical or physiologic
impairment (e.g. wound suturing, peripheral vessel cannulation, laparoscopy,
percutaneous biopsy).
- A dedicated surgical facility is not
required for such procedures, however, the surgical area should be clean and
aseptic techniques must be observed. For minor survival surgery procedures,
there is no prohibition against multiple procedures. Good professional
judgment should be used to limit the number of minor surgical procedures
performed on a single animal.
Non-Survival Surgery - Surgery from which the subject does not regain
consciousness from anesthesia prior to being euthanized.
Preoperative Management Principles - The well-being of the animal and
validity of the study are enhanced by proper management before the operative
procedure.
Animal health status
- The health status of animals should be
assessed before undergoing a surgical procedure. Evaluation of blood,
urine, and feces can be helpful, depending on the animal species and
health history of the animal or colony. Health assessments are usually
conducted during a quarantine period when the animals are kept separate
from conditioned animals. The quarantine period of random source animals
is generally a few weeks duration, in part since these animals may need
to be immunized against common infectious diseases. Purpose bred animals
also require quarantine, but the period is much shorter.
Conditioning - It is important that animals be provided a period
of adaptation prior to undergoing surgical procedures. This allows the
animal's physiologic and metabolic systems to stabilize to a new
environment thereby minimizing risk of complications; this period also
minimizes the effects of uncontrolled environmental influences on the
results obtained from the experimental protocol.
Animal stress - Investigators and research staff should be
familiar with the normal behavior of the species and recognize abnormal
behaviors. Since distress can alter experimental results, efforts should
be targeted to reduce stresses associated with survival surgery,
prolonged studies, confinement, and chronic pain.
Proper handling and restraint - Proper handling and restraint
will help prevent injury and minimize stress, to both the animal and
personnel! Consultation with the veterinarian is advised.
Antimicrobial prophylaxis - Antimicrobial agents might be
indicated prophylactically for certain surgical procedures or when known
breaks in sterility occur, but should not be used as a substitute for
proper aseptic techniques. Please consult the veterinarian about using
antimicrobials for each individual animal.
Survival Surgery - Surgery from which the subject regains consciousness
from anesthesia for any period of time prior to a complete recovery, use, or
euthanasia.
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