Please note: We will be closed from Saturday, December 24th - Sunday, December 25th for Christmas!

Anesthesia Consent Form

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Anesthesia Consent Form

Please fill out the following form as thoroughly as possible before your scheduled appointment with us. If you have any questions, please feel free to call us at 915-855-6966. Please note: All * fields are required.

  • I have been advised as to the nature of the procedure(s) and the risks involved. I understand that complications may arise during anesthesia and surgery resulting in cardiac arrest and death. I authorize the doctors to try to do whatever is necessary at the time to resolve these complications.
  • I understand that I assume full financial responsibility for all services rendered and that payment is due upon time of discharge of my pet from the hospital.

PRE-ANESTHETIC BLOOD TESTING:Our greatest concern is the well of your pet. Before placing your pet under anesthesia, we will perform a physical examination. However, many conditions, including disorders of the liver, kidneys, and blood, may not be detected unless blood testing is performed. These tests are especially important before anesthesia.

  • COMPLETE BLOOD COUNT: checks for anemia, changes in white blood cell count which would indicate infections or viruses, and decreases in platelet count which would slow the clotting of blood.
  • MINI CHEMISTRY PANEL: evaluates organ function. We recommend that all patients receive a blood screen before anesthesia and surgery

PAIN MANAGEMENT: Research has indicated that while pets may appear to withstand pain better than humans, they still experience it to a great degree. While undergoing surgery, your pet may receive drugs that prevent pain. However, additional medications are available that enable us to safely and effectively control the level of your pet's discomfort after surgery and during their recovery at home. Since we care about your pet's comfort and strongly believe in pain management, we recommend additional medication for pain

HOMEAGAIN MICROCHIP: HomeAgain Microchips are a permanent means of identification for your pet. The HomeAgain Microchip Identification System is a safe, simple, and permanent form of pet identification designed to quickly scan lost pets and reunite them with their owner

LASER PROCEDURE: We have the privilege of offering LASER SURGERY for your pet. The benefit of using a laser for surgery instead of a traditional surgical blade is for the following reasons:

  1. Less painful to the pet because it cuts and seals nerve endings, unlike a traditional blade.
  2. Less blood loss because it seals capillary bleeding as it cuts.
  3. Faster procedure time due to good hemostasis, therefore less anesthesia time per procedure.

I.V. FLUID THERAPY: Adobe Animal Hospital is striving to provide better service to our clients and better medicine for our patients. I.V. fluid therapy during a dental/surgical procedure is very important for the welfare of your pet for many reasons. Placing your pet on I.V. fluids during a procedure helps to support your pet by keeping the kidneys working and “flushing” your pet's system from harmful bacteria that may be released in the bloodstream during dental scaling. Rare circumstances can arise during a procedure where your pet may have complications and having an I.V. in place provides a quick means of administering needed medications during a critical time on a timely basis.

ORAVET BARRIER SEALANT: Adobe Animal Hospital offers our clients a means of helping keep your pet’s teeth and gum’s healthy. Oravet is a two-part system that creates an invisible barrier on your pet’s teeth that significantly reduces plaque and tartar formation. The first part of the treatment is the application of the Oravet Barrier Sealant which is applied to your pet’s teeth by our staff after a dental cleaning is performed intraoperatively.

Cost:

  • Small Pets (>20lbs) $30.00
  • Medium Pets (21-35lbs) $35.00
  • Large Pets (>35lbs) $45.00

Dental Radiographs W/ Prophy $35.00

 

***FOR YOUR PETS SAFETY, ALL PATIENTS 7 YEARS AND OLDER WILL BE PRE-OXYGENATED PRIOR TO ANESTHESIA. AN ADDITIONAL CHARGE OF $10.00 WILL BE APPLIED TO ALL SURGERY PROCEDURES.

 

***FOR YOUR PETS SAFETY, ALL PATIENTS UNDERGOING GENERAL ANESTHESIA THAT ARE NOT RECEIVING I.V. FLUID THERAPY WILL STILL BE REQUIRED TO HAVE AN I.V. CATHETER PLACED. I.V. CATHETERS ALLOW FOR QUICK ADMINISTRATION OF MEDICATIONS IN THE EVENT OF COMPLICATIONS DURING AN ANESTHETIC PROCEDURE. AN ADDITIONAL CHARGE OF $25.00 WILL BE APPLIED TO ALL SURGERY PROCEDURES.