Anesthesia and Pain Medicine
Our team of anesthesiologists, residents, and technicians provide sedation, general anesthesia, regional anesthesia and acute pain management to more than 2,000 patients requiring surgical or diagnostic procedures each year. We also provide chronic pain management services; this includes interventional pain management, such as epidural injections, peripheral nerve blocks, and joint injections. We work closely with the Sections of Orthopedics, Neurology, Sports Medicine and Rehabilitation, and Oncology to provide an interdisciplinary approach to pain management.
- Sedation and general anesthesia for high-risk patients
- General anesthesia for minimally-invasive surgery
- Ultrasound-guided and nerve stimulation-guided locoregional anesthesia
- Procedural sedation
- Advanced monitoring including blood pressure, cardiac output and blood gases
- Epidural anesthesia
- Blood component therapy
- Management of difficult airways
- Mechanical ventilation
Request a Consultation
Call 607.253.3060 to request a consultation with a board-certified anesthesiologist.
Types of Anesthesia
There are two main types of anesthesia:
Anesthesia is a drug-induced state of unconsciousness that enables veterinarians to perform surgery, or other therapeutic and diagnostic procedures, that would otherwise not be possible on awake animal patients. General anesthesia is produced by injecting drugs into your pet’s blood stream or by your pet breathing an anesthetic gas. Our board-certified anesthesiologists develop an individualized plan for the care of each patient.
As with any medical procedure, there are inherent risks involved in anesthesia including, but not limited to, low blood pressure, respiratory depression, adverse reactions anesthetic drugs, equipment malfunction, complications related to infection, allergic reactions or even failure of the anesthetic technique itself.
Locoregional anesthesia may include:
Peripheral nerve blocks which involve making numb only that part of the body to be operated on, for example a leg. The nerves that give feeling to the area being operated on are “blocked” by the local anesthetic so that pain cannot be felt. Frequently used local anesthetic drugs include bupivacaine and lidocaine.
Potential complications may include failure of the anesthetic technique; hemorrhage; adverse reactions to the drugs being administered including drug toxicity, allergic reactions; infection; complications involving the nervous system which, although rare, may result in temporary or permanent paralysis.
Epidural is another type of regional analgesic/anesthetic technique that involves injecting a local anesthetic drug or an analgesic drug such as morphine, around the spinal cord. A needle is placed between the vertebrae into a space called the epidural space. Medication is then placed into this space.
Potential complications may include failure of the anesthetic technique; drug-induced low blood pressure (hypotension); adverse reactions to the drugs being administered including drug toxicity, allergic reactions; infection; hemorrhage; inability to urinate; neurological complications involving the spinal cord or central nervous system which, although rare, may result in temporary or permanent paralysis; urinary retention; pruritus (itchiness); slow re-growth of hair over the injection site.
Both types of anesthesia are frequently used in combination so as to take advantage of their positive attributes while limiting their undesirable side effects, and increasing the safety of anesthesia while optimizing pain relief.
Also known as twilight sleep or conscious sedation; procedural sedation is often combined with a locoregional block to sedate an animal for surgery or a diagnostic procedure. Because the animal is not completely unconscious, this form of anesthesia has reduced effects in the cardiovascular and gastrointestinal systems and shortened recovery time.
We primarily use procedural sedation for certain diagnostic procedures such as computerized tomography (CT) or orthopedic knee surgery (although patients undergoing other procedures are considered on a case-by-case basis).
Pain prevention and treatment
We offer acute pre- and post-operative pain management using a wide range of pharmaceutical products and locoregional blocks. Our service works with all patients undergoing procedures to reduce anxiety and provide perioperative comfort.
What to Expect During Anesthesia
If your pet is going to be anesthetized, you can help by carefully following any instructions given by your veterinarian and hospital staff before brining your pet to the hospital. The day of the procedure, you will be asked about any known allergies to medications, serious illness, or previous problems with anesthesia. Before anesthesia, the anesthetist will review your pet's record and provide a thorough physical examination to detect any conditions that may need to be optimized before anesthesia is considered.
Anesthesia will be supervised and overseen by a veterinary anesthesiologist. During the procedure, the anesthesia team, which includes residents and technician anesthetists, will use equipment to monitor the animal's heartbeat, blood pressure, oxygen levels and other vital signs. When the procedure is finished, your pet will be moved to a recovery room for monitoring. Medications will continue to be administered to assist in recovery.
Your pet many have several areas that have been clipped of hair to allow us to place catheters, attach monitoring devices, carry out epidural injections and nerve blocks. There may also be small patches of dried adhesive used to fix the catheters in place. The hair will grow back slowly and the adhesive will rub off.
The American College of Veterinary Anesthesia and Analgesia (ACVAA) accredits Cornell’s residency program in Veterinary Anesthesiology. This 3-year program generally enrolls new candidates each July and provides specialty training in veterinary anesthesiology and perioperative pain management as clinical disciplines. Successful completion of the program qualifies candidates to take the ACVAA board-certification examination, and prepares candidates for academic or specialty practice.
Applications are managed through the Veterinary Internship and Residency Matching Program (VIRMP) unless otherwise specified. Applicants must have a D.V.M. (or equivalent veterinary degree) and has completed a rotating internship or equivalent (i.e. one year of general veterinary medicine practice). Please contact the Program Director, Dr. Martin-Flores (email@example.com) for any questions regarding the equivalency of your experience or program questions.
Applicants must be proficient in English (both written & spoken). Foreign applicants are eligible and encouraged to apply. For successful international candidates, the College provides assistance with obtaining a visa.
The application includes a Curriculum Vitae, letter of intent, transcript(s), and three letters of recommendation. An interview is preferred although not required. Phone or video conference interviews can be arranged. Applicants may visit the facilities to learn more about the program and to meet the faculty and staff. Visitation dates are limited and must be scheduled in advance through Rosemary Adessa.
Description of the veterinary anesthesia residency program at Cornell University
The Anesthesiology Residency at the College of Veterinary Medicine, Cornell University, is an established three-year program of advanced training in veterinary anesthesiology and preoperative pain management as clinical disciplines. The Anesthesiology service is composed of 4 board certified anesthesiologists, 4 anesthesiology residents and technicians trained in the discipline. Residents work closely with the respective service chiefs in providing the highest quality of patient care to both large (approximately 1300 patients annually) and small animal patients (approximately 2000 patients annually). Satisfactory progression will result in increased clinical responsibility including emergency duty that will be shared with other residents. The Anesthesiology faculty provides emergency backup support. The program includes large animal, small animal and exotic/zoo animal anesthesiology and preoperative care. The program objectives are to provide the resident with advanced training in all aspects of veterinary anesthesia and analgesia, fulfill the residency requirements of the American College of Veterinary Anesthesia and Analgesia and the European College of Veterinary Anaesthesia and Analgesia, provide experience in clinical and laboratory teaching, provide training allowing a high level of specialized service to the public and profession, and provide experience in research, including the completion of at least one manuscript describing research results. The program is an approved training center for the European College of Veterinary Anaesthesia and Analgesia.
Approximately 25% of the time is allocated for development activities (off-clinics), which may include research activities, rotations through other services, or attendance at conferences, for example. Residents are expected to attend rounds, seminars and conferences that pertain to their area of interest. The Anesthesiology service holds weekly section rounds, which include journal club, and offers weekly lectures on various topics relevant to our discipline. Participation in other educational programs will be dictated by the resident's needs and goals. Participation of residents in scholarly activities such as continuing education is encouraged, but participation of residents in such activities is subject to approval and dependent upon the availability of funding. While meeting specialty board requirements is the responsibility of the individual resident, the section supports individual efforts through didactic teaching, close interaction during clinical responsibilities and mentoring of research activities.
Throughout the residency, but particularly during the second year and third year, residents have the opportunity to participate in other services of the Cornell University Hospital for Animals. These elective rotations are designed to aid in preparing for board certification. The duration and amount of support for these rotations are determined on an individual basis. Residents also participate in clinical instruction of veterinary medicine students. Excellent client and peer communication skills and the ability to work collaboratively as part of a clinical team are essential.
Each resident will complete at least one research project in anesthesia and/or analgesia. Prior to completing the residency program each resident will submit at least one first-authored manuscript for publication in a refereed journal. This manuscript may describe the results of either a clinical or basic science research investigation. The manuscript will be prepared to meet requirements for board eligibility. The Anesthesiology section encourages its residents to present the results of the investigation at a national or international meeting. There are opportunities for financial support for this purpose.
Continuation in the program is based on an acceptable level of performance. A "Certificate of Residency" will be issued following successful completion of all requirements of the program. The opportunity exists for graduate studies following completion of the residency program, and is dependent upon acceptance by the Graduate School of Cornell University and the availability of funding for stipend and research.
Applicants must hold a Doctorate in Veterinary Medicine or its equivalent, and have at least one year in general practice or a rotating internship. We encourage candidates for the residency to visit our section or schedule a phone interview with the faculty. Application is usually through the annual VIRMP.
Applicants from both foreign and American colleges of veterinary medicine are welcome to apply. Preference is generally given to applicants from American Veterinary Medical Association (AVMA) accredited colleges. Cornell University is an affirmative action/equal opportunity employer/educator.
American College of Veterinary Anesthesiologists
An organization that promotes the advancement of veterinary anesthesiology and to assist the veterinary profession in providing exceptional service to all animals.
The European College of Veterinary Anaesthesia and Analgesia
An organization to advance the study, research into and practice of veterinary anesthesia and intensive care in Europe and to increase the competence of those who practice in this field.