Tasha McNerney, CVT, CVPP, VTS (Anesthesia & Analgesia), tackles one of the most stressful situations in veterinary medicine: the critical feline patient crashing through the door after severe trauma. If you've ever felt the urge to rush a painful cat straight into anesthesia, this episode will help you slow down, stabilize first, and make smarter decisions about oxygen delivery, shock management, analgesia, and anesthesia protocols. You'll walk away with practical tips to improve patient outcomes and a clearer understanding of why stabilization is the first treatment. Gang, let's get into this episode!

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Care Is Your Calling!

Welcome everybody to the Cone

of Shame veterinary podcast.

2

I am your host, Dr.

3

Andy Rka.

4

I got a great one with my friend

Tasha McNerney today, the original

5

anesthesia nerd, and I am talking to

her about stabilizing the critical cat.

6

I start off with a story about a poor cat

that was attacked by multiple dogs and

7

came rolling in and this cat was in a bad,

bad way and I thought, I wanna make sure.

8

That I receive cases like this

in the best way that I possibly

9

can and immediately get to work,

and I felt immediately validated.

10

Tasha was like, please do not rush

to put these pits under anesthesia.

11

let's stabilize them first and

let's talk about what that means.

12

And so, anyway, really great

conversation with Tasha.

13

I feel smarter every

time I talk to her gang.

14

I hope you'll enjoy this episode.

15

Let's get into it.

16

Kelsey Beth Carpenter: This is your show.

17

We're glad you're here.

18

We want to help you in

your veterinary career.

19

Welcome to the Cone of Shame with Dr.

20

Andy Roark.

21

dr--andy-roark-_1_03-03-2026_160014:

Welcome to the podcast.

22

Tasha McNerney, how are

you, my dear friend?

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tasha-guest596_1_03-03-2026_160011:

I'm good.

24

Thank you

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dr--andy-roark-_1_03-03-2026_160014: Oh,

man, I so love having you on the podcast.

26

for those who don't know

you, they're missing out.

27

You are a veterinary technician

specialist in anesthesia.

28

You are, the original anesthesia nerd.

29

You are one of the people who organize

and run the Veterinary Anesthesia Nerds

30

group on, It's on Facebook still, right?

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tasha-guest596_1_03-03-2026_160011:

Mm-hmm.

32

On

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dr--andy-roark-_1_03-03-2026_160014: Yeah,

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tasha-guest596_1_03-03-2026_160011: yep

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dr--andy-roark-_1_03-03-2026_160014:

absolutely.

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The p- it is probably the best

resource on Facebook, bar none.

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Well, I take that back.

38

There's, there's some other good groups.

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The NOMV people are there.

40

There's,

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tasha-guest596_1_03-03-2026_160011:

Mm-hmm.

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dr--andy-roark-_1_03-03-2026_160014:

there's some really great, great people.

43

But in a shrinking world of goodness

on social media, the Veterinary

44

Anesthesia Nerds is a, is still a beacon.

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you are also, one of the co-founders of

the Veterinary Anesthesia Nerds Symposium.

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tasha-guest596_1_03-03-2026_160011: Mm-hmm

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dr--andy-roark-_1_03-03-2026_160014: is a

live event that is sold out, so if you're

48

like, "That's what I need," I'm sorry.

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I just broke your heart.

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it is sold out.

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So yeah,

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tasha-guest596_1_03-03-2026_160011:

is sold out.

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dr--andy-roark-_1_03-03-2026_160014: you

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tasha-guest596_1_03-03-2026_160011:

sold out actually every

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single time we have run this.

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And, yeah, we're currently

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dr--andy-roark-_1_03-03-2026_160014: Yeah.

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So if, if, I'm just gonna plug

it right here at the beginning.

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So if people were like, "I wanna be aware

of this in the future," how do people--

60

Like, if I desperately don't want to

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I get hooked up for the, for the info?

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tasha-guest596_1_03-03-2026_160011:

Yeah, so, cool thing.

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We actually are on Facebook, but I

usually tell people, "If you're not

64

on Facebook, like stay off Facebook.

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our website instead."

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Like,

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dr--andy-roark-_1_03-03-2026_160014:

Don't start

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tasha-guest596_1_03-03-2026_160011: Our

Veterinary Anesthesia Nerds website has

69

blogs and educational videos, and then

you can sign up for our newsletter, and

70

it's a monthly newsletter that gives

you anesthesia and pain management

71

tips and tricks, and any kind of

live events will be in the newsletter

72

dr--andy-roark-_1_03-03-2026_160014:

That's fantastic.

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All right, cool.

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Let's get into this episode here.

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So there's something I

wanna talk to you about.

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So I have a friend.

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I'm actually really glad I

was not the vet on this case.

78

So I have a friend, and he…

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We were just sort of talking as,

you know, as you do with your vet

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friends and everything, and he

was like, "Oh man, I saw this case

81

yesterday," and he sent me this picture.

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And anyway, the long story short is this

poor cat was attacked by multiple dogs.

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And my friend sent me the picture

'cause he ended up doing a front

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leg amputation on the cat, and the

cat lived and everything like that.

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But when this cat came in the door,

Tasha, it was, upsetting, right?

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Like, like this, this

cat was in a lot of pain.

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clearly had multiple puncture wounds, you

know, a- a- around the head, chest, legs.

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You know, the, a lot…

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It's, it's, it's bleeding everywhere.

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It's bloody towels, things like

that, and it comes in the door.

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And I had this thought that

what, what would I do when that

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cat walked in the door, and is

it the best thing for the cat?

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And so my immediate thought is, "God,

I have to help this cat right now."

94

You know, I'm immediately thinking

about the pain management for this cat.

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But then also, I don't know

this cat is, is very stable.

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I don't wanna do anything that's going

to reduce the chances that I'm going

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to be able to save the cat, you know?

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And I've had cats that have crashed

and died on me, you know, in, in the

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past and, you know, they come in and

you have cats that are struggling to

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breathe and, and, and in the course

of trying to, to, to address them,

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especially if you're trying to do

diagnostics, I'm always worried that,

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that I'm gonna lose this fragile patient.

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And so I thought that this was a

really great thing just to circle up

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with you on and be like, all right,

run me through this a little bit.

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Like, talk to me about when the

unstable cat comes through the door

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and balancing the need to stabilize

with the need to, provide analgesia

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and, and, and, and pain support.

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So Ta- Tasha, how, how do

you look at cases like this?

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tasha-guest596_1_03-03-2026_160011: Okay.

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So first off, I just wanna make

the differentiation between

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analgesia and anesthesia.

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dr--andy-roark-_1_03-03-2026_160014: Okay

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tasha-guest596_1_03-03-2026_160011:

when we talk about these patients that

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come in, even ones that are kind of

unstable, are gonna do a quick assessment,

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and we are gonna provide analgesia.

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Now, that doesn't mean that we're gonna

provide anesthesia or an induction agent,

117

but we are gonna provide analgesia.

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So let's talk first priority.

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First priority, the cat comes

in the door, you wanna look at

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perfusion and oxygen delivery.

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You can get a quick assessment, right?

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If you…

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The first thing you do is

put an IV catheter in, can we

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get a PCV and total solids?

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Let's put a pulse ox on this patient.

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Before any kind of induction agent or

we're even talking about going to surgery

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to repair wounds, the most important thing

is, is this patient adequately perfusing

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the tissues and delivering oxygen?

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Does this patient have enough blood

volume to deliver oxygen to tissues?

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Is this patient currently hypotensive?

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Is this patient now anemic

because of blood loss?

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patient experiencing hypoxemia, right?

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All of these things we wanna know

and look at before we would even

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get into an OR to correct it.

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So let's use this patient

as an example, right?

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You put an IV catheter in, but

we have to think, number one,

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cardiovascular stability and perfusion.

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That's gonna come first, right?

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dr--andy-roark-_1_03-03-2026_160014: Cone?

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tasha-guest596_1_03-03-2026_160011:

in, and then let's see, can we get a

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PCV total solids to give us a little

bit of estimate of what's going on as

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far as volume or anemia, et cetera?

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And can we get a blood

pressure on this patient?

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Now, if the patient is in so much pain

that we cannot even put an ECG and blood

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pressure on, okay, then provide oxygen

to the patient, either a tight-fitting

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mask or flow by, and then make sure

you get some pain control on board.

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Remember, pain control is part of

stabilization, but choosing which pain

148

control is going to be important, right?

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Because as we talked about on a

previous episode, opioids are gonna

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function a little bit differently than

an analgesic like dexmedetomidine,

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which is gonna function differently

than an analgesic like ketamine

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pain, right?

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If we don't control that pain, that

is going to cause a sympathetic

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surge, and combined with, the

initial stages of shock, we can

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see tachycardia in these patients.

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That also can lead to increased myocardial

oxygen demand, so that's why we wanna

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make sure we are providing supplemental

oxygen, flow by oxygen, et cetera.

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Also, if we don't provide pain control,

then we are going to have to worry

159

about things like, increased chance of

arrhythmia or an increased amount of

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induction drugs that we're gonna need.

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So if we don't provide good pain

control in the beginning, we're gonna

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have to use more of other drugs later.

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And if we have to use more induction

agents to either get this patient, lateral

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or on their back for an ultrasound, et

cetera, you know, if I have to use a huge

165

amount of propofol, especially in a shocky

patient, then if I am in-- using a huge

166

amount of propofol and now I'm making

this patient even more vasodilated, then

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that's gonna lead to more hypotension,

which is going to even decrease further

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their oxygen delivery and perfusion.

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So it's no surprise that I hear from

people who have a patient like this that

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maybe is hypovolemic in the early stages

of shock, they give it a huge amount of an

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induction agent, something like propofol

or even something like acepromazine

172

that is gonna cause some vasodilation,

and then the patient can kind of, you

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know, have this kinda crash and burn

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dr--andy-roark-_1_03-03-2026_160014: Yeah.

175

So, okay, so talk to me more

about this, 'cause this is, this

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is exactly what I wanna get into,

so I'm really glad you said this.

177

So, so let's say that we've got a

patient come in and they are hypovolemic,

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and they've got like a, a low blood

pressure and things like that.

179

To me, I think my natural instinct

would be, "Oh, crap, if I, you know,

180

if I, if I'm heavy-handed with pain

medications here, I'm going to further,

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you know, re- relax the internal

workings of this, of this cat."

182

You know what I…

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And, and, and my, my worry is

we, we would move it in the wrong

184

direction, and you're saying that you

don't, you don't have that concern.

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And so, yeah, so yeah, so, so talk to me.

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Like, when, when you look at

the hypovolemic hypotensive cat

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that's coming in, and it's, it's

traumatized, you're like, "Yeah,

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I know it's hypo, hypotensive.

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We're still going to go ahead and

we're gonna add in pain medications."

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Is that right?

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tasha-guest596_1_03-03-2026_160011:

Yes, certainly.

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Right?

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So again, as we said, pain is going to

contribute to things like tachycardia,

194

increased oxygen demand, catecholamine

release, which we don't want.

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So if I'm going to think…

196

If I think I'm gonna have to do

diagnostics on this patient and

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I'm gonna cause increased stress

to this patient, and potentially

198

I'm gonna take this patient into

the OR where they're gonna be on

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dr--andy-roark-_1_03-03-2026_160014: Yeah.

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tasha-guest596_1_03-03-2026_160011:

anesthetics, I wanna control that

201

tachycardia, I wanna decrease that

oxygen demand, provide some extra oxygen.

202

I don't want their stress catecholamines

to be surging so much because they, if

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they're surging so much, then they're

not gonna be able to mount any kind

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of sympathetic response, and that's

when we get into, you know, decom-

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decompensatory shock and those stages.

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We're not there yet with

this cat, let's say.

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So this cat comes in, and what I

really would like you guys to do,

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if you have the ability, is to

give this patient a full mu opioid.

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So this is gonna be

something like methadone.

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This is gonna be hydromorphone.

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Now, if you don't have that at

your practice and you're like,

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"Tasha, the only thing I have is

butorphanol," well, guess what?

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You're giving the patient butorphanol.

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You're gonna use what you

have on your shelf, right?

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dr--andy-roark-_1_03-03-2026_160014:

Gotcha

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tasha-guest596_1_03-03-2026_160011: Okay.

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This analgesia is gonna be really

important because not only is it

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going to reduce that tachycardia,

which is then going to improve cardiac

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stability, and then it is going to

reduce that sympathetic drive, right?

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And that is actually going to improve

our oxygen delivering capability.

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dr--andy-roark-_1_03-03-2026_160014: Okay.

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tasha-guest596_1_03-03-2026_160011:

We want that.

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So

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dr--andy-roark-_1_03-03-2026_160014:

I love it

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tasha-guest596_1_03-03-2026_160011:

analgesia.

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So remember, our analgesics or

something like a dose of an opioid,

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that should be given as part

of our stabilization technique.

228

Other drugs like induction agents and

inhalant anesthetics, those things

229

need to wait until after stabilization

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dr--andy-roark-_1_03-03-2026_160014:

So talk to me about, how we know that

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stabilization has been achieved, right?

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So I-- this is not ideal.

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It's not going to be ideal.

234

I'm not going to fix this

cat before I fix this cat.

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how do I know when good

enough is good enough?

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tasha-guest596_1_03-03-2026_160011:

Yeah, sure.

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So the thing with stabilization is we

really want them to return, you know,

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return to normal as much as possible.

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The thing with this cat that comes in

that has multiple bite wounds or multiple

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lacerations is we don't know what this

cat's normal was, but we're gonna use,

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you know, feline normals as our guide.

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We know that we are not gonna be

completely perfect with this patient,

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before we get into anesthesia where we

might have to do some laceration repair

244

stuff, but we want them to be stable

enough that they can handle the side

245

effects of something like a propofol

or an inhalant anesthetic, right?

246

So what we're looking for is a heart rate

that is more trending towards normal.

247

We don't want them to

be overly tachycardic.

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We also are looking for a blood

pressure with a mean arterial pressure

249

of at least 70 millimeters of mercury.

250

So again, if you wanna throw a Doppler

on or oscillometric, get a couple

251

measurements and see, has my fluid

bolus and my oxygen and my opioid

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analgesic helped stabilize a little bit?

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we wanna make sure that we are

getting nice adequate pulses

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or stronger pulses than before.

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you don't need completely normal lab

work or completely normal vitals before

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we go to surgery, but we wanna make

sure that the patient has stabilized

257

enough that they can handle the side

effects of the other drugs that we

258

may need to throw into their system.

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dr--andy-roark-_1_03-03-2026_160014:

Gotcha.

260

So when we start to make our, sort

of a approach like this, you're sort

261

of doing these things in, in fairly,

in fairly rapid succession, right?

262

As far as moving, moving from, the IV

catheter into, you know, into fluids,

263

into, into pain management, analgesia,

things like what are the pitfalls

264

that you see people tripping up on?

265

So in this process of sort of starting

to stabilize patients, what are the most

266

common mistakes that you see teams making?

267

tasha-guest596_1_03-03-2026_160011: Yeah.

268

So the most common mistakes that

we usually see them making is them

269

thinking, that when a patient comes in,

that the tachycardia in the beginning

270

stages of shock is the problem, and

we need to take, treat the tachycardia

271

when really the tachycardia that we're

seeing is the compensation either for

272

hypovolemia, right, or hypoxemia or pain.

273

So we need to treat one

of those things, right?

274

It's not necessarily about

getting that heart rate down.

275

It's about providing supplemental

oxygen, providing fluid volume so it can

276

deliver oxygen, and providing analgesia.

277

That's gonna help with

the tachycardia, right?

278

If you anesthetize a patient, right?

279

Let's just say you're like,

"Nope, I need to get X-rays.

280

We need to make sure," and we

give this patient a dose of

281

something like a propofol, or

282

dr--andy-roark-_1_03-03-2026_160014: Yeah

283

tasha-guest596_1_03-03-2026_160011:

like mask it down, we remove that

284

body's natural compensation, right?

285

Then the hypotension that the patient is

experiencing becomes really profound, and

286

that's when we see these patients kind

of like tip over the because they just

287

can't maintain that tissue perfusion.

288

They cannot deliver oxygen to the

tissues that need to get the oxygen.

289

dr--andy-roark-_1_03-03-2026_160014: So

say I'm, say I'm, say I'm a technician,

290

tasha-guest596_1_03-03-2026_160011: So,

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dr--andy-roark-_1_03-03-2026_160014:

and I've got, I've got this veterinarian

292

and, and he's saying, "Look, we

need to get this, we need to get

293

this cat under some propofols and

g- and and get some radiographs."

294

it's gonna take a moment to sort

of stabilize this, this cat before

295

that's the right move to make.

296

Do you have a ballp- I know,

I know this is probably very

297

different to the patient, like,

298

tasha-guest596_1_03-03-2026_160011: Yeah.

299

dr--andy-roark-_1_03-03-2026_160014:

do you have a ballp- you know,

300

but do you have a ballpark time?

301

'Cause, 'cause I can imagine people

saying, "How long does this take?

302

Is this instantaneous?

303

We're just bolusing fluids and

the heart rate drops down?"

304

Like, that's not gonna happen.

305

But

306

like like how do you think about this?

307

Yeah, what's, what's, what's a, what's

a normal ballpark time for stabilization

308

before, you know, before we end

up feeling comfortable to move on?

309

I know that's gonna vary hugely with the

individual patient, but, but you, you see

310

what I'm sort of, what I'm looking for?

311

tasha-guest596_1_03-03-2026_160011: Yeah.

312

Right?

313

I get it.

314

I've worked in urgent care, I've

worked in general practice urgent care

315

before, and sometimes, you know, I

don't have 45 minutes to stabilize a

316

patient or have the staffing to do that.

317

We're not talking about

that length of time.

318

I'm really talking about stabilization

as far as, initial fluid bolus, which

319

you can do over 15 minutes, right?

320

Get your IV catheter placed, at

least get a PCV total solids.

321

Bonus points if you're able to get

a lactate or something like that.

322

Get a blood pressure, get an ECG,

get some analgesics on board.

323

So all within a span of 15 minutes.

324

And at the end of that 15 minutes,

reassess and have you seen a

325

noticeable shift, an improvement

in your blood pressure, in your

326

heart rate, in your perfusion, if,

you know, oxygenation was an issue.

327

If you've seen improvements

in that, okay, now we can go

328

ahead and talk about next steps.

329

And next steps for that patient

may be, can I give them a little

330

bit of propofol so I can get that

ultrasound or get that radiograph?

331

You know, propofol or Alfax,

whatever it is at your practice

332

that you guys are utilizing.

333

but I always say, again, if you have a

patient that you've just been stabilizing

334

and now we are giving them something

like a propofol or Alfaxalone, we wanna

335

be ready in case they have a period of

apnea, and that means just being ready

336

to intubate this cat should I need to

337

dr--andy-roark-_1_03-03-2026_160014: So

in your hands, do you approach these cases

338

any differently now than you did, say,

pre-pandemic, like five, six years ago?

339

Or do you f- like, like what's,

what's, what's new to you,

340

I guess, around these cases?

341

tasha-guest596_1_03-03-2026_160011: I

would say that probably what's new to

342

me around these cases, and this is not,

not necessarily a pre-pandemic thing,

343

this is really just a Tasha finally

learned more about physiology thing,

344

is that I-I'm a huge fan of ketamine.

345

and for a long time, again, in

the context of analgesia and as an

346

a-adjunct analgesic, I was like,

"Let's add a little bit of ketamine.

347

We can reduce our overall, you know,

inhalant anesthetic, et cetera."

348

And it wasn't until I had a conversation

with a human anesthesiologist who was

349

talking about the way ketamine functions

and the way that it, it asks the

350

body to mount a sympathetic response.

351

And remember when I said that if our

stress catecholamines are surging so

352

much and so much and so much, now we get

into that decompensatory stage of shock.

353

If a patient comes in in that stage

of shock and they can't mount a

354

sympathetic response, and then we

give them something like ketamine,

355

can cause a cardiovascular collapse.

356

And I am much, much more

judicious with my ketamine.

357

That patient's gotta really stabilized

or shown massive improvements,

358

with my stabilization efforts

before I'm probably gonna give

359

any ketamine to a patient in shock

360

dr--andy-roark-_1_03-03-2026_160014:

That, that makes sense.

361

When you take a patient like this and

then you move towards anesthesia, is there

362

anything that you would wanna make sure to

emphasize, any best practices in shifting

363

from, you're like, "I think we're good.

364

I think we're solid at, in terms of

stabilization from what I can tell."

365

Do you do your induction of anesthesia

any differently than, than what you

366

would do or how you would do it, y-

you know, if you hadn't gone through

367

this sort of stabilization process?

368

tasha-guest596_1_03-03-2026_160011:

Yeah, so probably.

369

again, every patient's gonna be a little

bit different, but for the most part,

370

if we have had to stabilize a critical

patient and now we are at the stage

371

where we're talking about taking them

into the OR, remember, I wanna minimize

372

anything that's gonna cause vasodilation,

and the big players in that are gonna

373

be things like our induction agents

like propofol and our inhalant agents

374

like, you know, isoflurane, sevoflurane.

375

So if I can layer in things like

maybe before I give the propofol,

376

I give a dose of midazolam, right?

377

And I do a co-induction

with midazolam and propofol.

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Reduce the amount of propofol I'm giving,

also reduce the MAC and the percentage

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of inhalant anesthesia that I need.

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Then another key player, big, big one is

get somebody on your staff that is trained

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and well-versed in local blocks, because

let me tell you, from a-- for a critical

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patient, if I really wanna minimize

the amount of propofol I'm giving and

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minimize the amount of inhalant I need to

use, the local blocks are gonna be your

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heavy hitters and make a huge difference.

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So get somebody on staff who can

do that sacrococcygeal block or

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maybe even do a brachial plexus

block for a front limb amputation.

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Again, hit me up on Anesthesia Nerds

if you want more information about

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local blocks and how we can do those.

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But local blocks are a huge component

for these more critical patients

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that just can't handle the side

effects of propofol and inhalant.

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dr--andy-roark-_1_03-03-2026_160014:

So when you're looking at something

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like this and you start to do local

blocks, I know we say we're going in

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for diagnostics and things like that.

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Like what is the, what is the

length of time that you're hoping

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to get with these blocks, right?

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So like, again, I'm, I'm, I'm,

I'm just trying to think here

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of, of let's say I'm moving into

a diagnostic phase, for example.

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I'm still not exactly sure what,

you know, what we're gonna find when

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we, when we really get in there.

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I mean, I've obviously assessed the

patient to some degree, but, um, but

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let's say that the, that the outcomes

here are still uncertain as far as what

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I'm, what I'm actually weighing into.

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Like Tasha, like, I mean, what do you…

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I, I think what I'm sort of digging at is,

is sort of like when you do these blocks,

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how long do you expect this to last?

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Is it, I mean, it, it's sort

of a short term fix as we

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start to, to just to wade in.

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And then I, as my follow-up question

I guess is sort of like beyond your

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expectations of sort of duration, is

this something that, you know, are you

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trying to lean towards, local blocks like

as soon as we're sort of stabilizing?

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Does that add to the benefits

we talked about earlier in terms

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of reducing pain and all the

benefits that we see from that?

413

Like, like when does this come into

the process, and then how long do

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you expect to see benefits from this?

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tasha-guest596_1_03-03-2026_160011: Yeah.

416

All right.

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So hit you with the first

thing is duration of action.

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That's gonna p- depend on what

local anesthetic you choose, right?

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So lidocaine is gonna have a

shorter duration of action.

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So if I need something that's just gonna

cover me, let's say, you know, it's a

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blocked cat and I need to place a U-cath,

and I just need something that's going to

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last for a few hours while this is, you

know, indwelling catheter, and maybe once

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I get the patient on oral transmucosal

buprenorphine, they're gonna be a little

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bit better as far as pain control.

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But I need something for a couple

hours, so I'm gonna choose lidocaine.

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But, like, let's use the example

of this, this cat that came in,

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that potentially has some trauma.

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could it potentially

have some broken ribs?

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If so, then I would wanna do an

intercostal block on that, right?

430

That's gonna help with

stabilization because that's

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going to relieve some of the pain.

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And especially if we have a patient

with broken ribs that is tachypneic in

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their breathing, we know that utilizing

something like an intercostal block

434

with bupivacaine or ropivacaine, et

cetera, where we can get six to eight

435

hours of duration, is just gonna help,

stabilize that patient and let them

436

oxygenate and breathe smoother, better,

and again, reduce the overall amount of

437

inhalant anesthetic I would need should

I need to go in, you know, surgery

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later and we're doing a lung lobectomy

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dr--andy-roark-_1_03-03-2026_160014: Okay.

440

And then, just sort of…

441

Y- you start to move into local

blocks as quickly as you possibly can?

442

tasha-guest596_1_03-03-2026_160011: Yes.

443

so it really depends on what kind of

local blocks that we are utilizing, right?

444

So for instance, yesterday at work,

we had a pitty puppy that came in,

445

you know, got bit in the face by a

housemate and had a, mandibular fracture.

446

So what we did with that, again,

stabilization, check this patient,

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how much blood have they lost?

448

Are they oxygenating?

449

Get an IV catheter, get a fluid bolus.

450

but, you know, we needed to give

this patient a little bit of propofol

451

in order to get a dental X-ray to

check the, the break in the mandible.

452

while this patient is under the

influence of propofol, guess what?

453

I'm gonna slip a local block in there.

454

So, and it, and it happens a lot

with our patients that have to

455

be a, a little heavier sedated

for radiographs or ultrasounds.

456

Guess what?

457

While they're under that heavy sedation,

I'm gonna pop a local block in there

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dr--andy-roark-_1_03-03-2026_160014:

That totally makes sense.

459

Tasha, thanks so much for being here.

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Are there any last words of wisdom

that you would give me before I

461

waded in, into cases like this?

462

tasha-guest596_1_03-03-2026_160011: Yes.

463

Please, please, please stabilize

your patients before you put

464

them on inhalant anesthetic.

465

Remember, like, if we anesthetize

them without correcting it, then

466

you're gonna ride a rollercoaster of

anesthesia that nobody wants to ride

467

dr--andy-roark-_1_03-03-2026_160014:

That's fantastic.

468

Thanks for being here.

469

Tasha, where can people find you online?

470

tasha-guest596_1_03-03-2026_160011:

Ooh, yay.

471

So you can find us at

veterinaryanesthesianerds.com

472

or on the Veterinary Anesthesia

Nerds group on Facebook.

473

in addition, you know, myself, Darcy, and

Steven, we lecture all over the place.

474

yeah, we're pretty…

475

We're, we're online a lot.

476

maybe too much.

477

Maybe too much.

478

dr--andy-roark-_1_03-03-2026_160014:

Thanks for being here.

479

Guys, thanks for tuning in, everybody.

480

Take care of yourselves, gang

481

And that's what we got guys.

482

Thanks for being here.

483

Thanks to Tasha for being here.

484

oh, she's just so great.

485

I just enjoy the heck outta her gang.

486

If you enjoy the episode,

please, share with your friends.

487

Get the word out.

488

Let's spread the education knowledge and

also, feel free to write us a review.

489

Leave us a, a thumbs up,

you know, rate, subscribe.

490

Do all the things you're

supposed to do with podcasts.

491

If you are enjoying the episode,

it just means the world to me.

492

I'd love, I'd love to

have people tuning in.

493

Anyway, guys, that's it.

494

That's what I got.

495

Take care, everybody.

496

I'll talk to you later on.

497

Bye.