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1.
Agonist
stimulate receptors
2.
Analgesia
relief from pain and control of pain
3.
Anesthesia
state of unconsciousness produced by a controlled, reversible
intoxication of CNS; loss of sensation.
4.
Anesthesiologist
a veterinarian who specializes in anesthesia
5.
Anesthesiology
the study of anesthesia
6.
Anesthetist
any person trained to administer anesthesia
7.
Antagonist
block receptors
8.
Anticholinergics
Parasympathetic Drugs- work by blocking cholinergic receptors
of PNS (not Anesthetics or Analgesics but used w/ them)
9.
Autonomic Nervous System
Involuntary Nervous System
10. Body Composition
amount of body fat or muscle
11. Bradycardia
abnormally slow heart rate
12. Circulation
movement in a regular or circuitous course
13. Dissociogenics
act as over stimulation of CNS instead of depression (trance like
state)
14. Extubation
removal of tube used in intubation
15. General Anesthesia
AKA: GA ( state of unconsciousness produced by anesthetic
agents) (absence of pain over entire body); a state of
unconsciousness with lowered sensitivity to external stimuli
16. Hyperthermia
above normal body temp.
17. Hypotension
low blood pressure
18. Hypothermia
below normal body temperature
19. Induction
production of anesthesia or unconsciousness by use of
appropriate agents
20. Inhalant
agent that is inhaled and absorbed into the blood at the alveoli
21. Intubation
insertion of a tube as into the larynx
22. Local Analgesics
act directly on nerves to block transmission of impulses along
nerve fiber (provides loss of sensation & motor function in area);
blockade of peripheral nerves
23. MAC
"Minimum Alveolar Concentration" (deals w/ Inhalants)
(measure of potency to compare inhalant agent to another)
24. Maintenance
-begins after induction - period in which animal or human
enters anesthetic depth adequate enough for a surgical
procedure -absence of pain over entire body is present
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25. Narcotic Agonist Antagonist
AKA: Partial Agonists (reverses a patient who has
respiratory/cardiovascular depression but need pain relief)
26. Narcotic Antagonists
Reverses effects of a Narcotic (opioids)
27. Narcotics
AKA: Opiates (derived from Morphine- used for pain treatmentOPIOIDS)
28. Neuroleptanalgesia
combo of Narcotic & Tranquilizer/Sedative (gives calming
effect & pain relief)
29. Parasympathetic NS
AKA: Cholinergic (vHR, vBP,o2 consumption w/ more BF to
GI tract)
30. Positive Pressure Ventilation
AKA: PPV or "SIGH" (artificial means of ventilation)
31. Procedure
any surgery operation or diagnostic exam
32. Recovery
period between discontinuation of anesthesia administration and
time the animal is able to stand & walk without assistance
33. Respiration
exchange of o2 & CO2 at cellular or alveolar level
34. Respiratory Minute Volume
amount of air passing in & out of lungs in one minute
35. Saturation Concentration
maximum concentration of vapor that can be reached at a given
temp. for fluid in a closed container
36. sedation
mild degree of CNS depression (patient is awake but calm)
37. sedative
causes sleepiness
38. sedative
agent that calms nervousness, excitement, and irritability
39. Surgical Anesthesia
degree of anesthesia at which surgery may be safely performed
40. Sympathetic NS
AKA: Adrenergic or Fight/Flight ( vHR, vBP, o2 consumption,
respiration, & blood flow )
41. Tachycardia
abnormally fast heart rate
42. Tidal Volume
amount of air passing in & out of the lungs in one breath
43. Tranquilizers
AKA: Sedatives or Neuroleptics (causes a calming w/ decreased
anxiety)
44. Unconsciousness
inability to respond to stimulus (lack of pain)
45. Ventilation
movement of air into & out of the lungs
46. Volatile Liquids
agents stored as liquids & administered as vapor with o2
Other
47. Balanced Anesthesia
a combination of unconsciousness, analgesia and muscle
relaxation
48. Dissociative Anesthesia
a state in which consciousness is not completely lost but
sensory input is dissociated from perception
49. Regional Anesthesia
blockade of peripheral nerves or the spinal cord supplying a
larger area
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50. ASATT
American Society Of Anesthesia Technologists And
Technicians
51. add-on codes
procedures that commonly are carried out in addition to the
primary procedure performed. These codes may not be reported
alone and are identified with a + sign.
52. anesthesia time
begins when the anesthesiologist (or anesthesia provider) begins
to prepare the patient for the induction of anesthesia and ends
when the anesthesiologist (or anesthesia provider) is no longer
in personal attendance.
53. anesthesiologist assistant
a health professional who has completed successfully an
accredited anesthesia assistant training program.
54. arterial line
a catheter inserted into an artery. It is used most commonly to
measure real-time blood pressure and to obtain samples for
arterial blood gas.
55. base unit value
value assigned to anesthesia codes for anesthetic management
of surgery and diagnostic tests. Base unit values will vary
depending on the difficulty of the surgery, and thus the
administration of anesthesia.
56.
cardiopulmonary bypass
(CPB)
a technique that is used during heart surgery to take over
temporarily the function of the heart and lungs.
57. central venous catheter
a catheter placed in a large vein such as the internal jugular,
subclavian, or femoral vein with the tip of the catheter close to
the atrium, or in the right atrium of the heart.
58. controlled hypotension
a technique used in general anesthesia to reduce blood pressure
to control bleeding during surgery.
59. conversion factor
a unit multiplier to convert anesthesia units into a dollar amount
for anesthesia services. These are reviewed annually by CMS
and vary geographically. May also be negotiated with insurance
companies.
60.
CRNA (Certified Registered
Nurse Anesthetist)
A registered nurse who has completed an accredited nurse
anesthesia training program successfully.
CVP (Central Venous
61.
Pressure)
a direct measurement of the blood pressure in the right atrium
and vena cava. CVP reflects the amount of blood returning to
the heart and the ability of the heart to pump the blood from the
right heart into the pulmonary system.
62. emergency
a situation where a delay in treatment would lead to significant
increase in the threat to life or body part. An ASA number with
an “E” notation. Ex. “ASA III-E”
63. Extraperitoneal or
behind the peritoneum. Organs include the ureter and urinary
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Retroperitoneal
tract, kidneys and adrenal glands and lower esophagus. Also
located in the _____ are the aorta and inferior vena cava.
64. flat fee
is based on the physician fee schedule. Payments are made under
the Relative Value Unit, rather than by Conversion Factor. Time
is not a consideration for payment. Examples are arterial lines,
CV lines, emergency intubation and Swan Ganz catheter
insertion.
65. general anesthesia
a drug-induced loss of consciousness during which patients
cannot be aroused.
66.
hypothermic circulatory
arrest
implies a temperature of 20 degrees centigrade or less.
67. intraperitoneal
within the peritoneum; organs in the upper abdomen include the
stomach, liver, gallbladder, spleen, jejunum, ascending and
transverse colon. Organs in the lower abdomen include the
appendix, cecum, ileum, and sigmoid colon.
68. medical direction
occurs when an anesthesiologist is involved in 2, 3, or 4
concurrent anesthesia procedures, or a single anesthesia
procedure with a qualified anesthetist. CMS and other carriers
publish criteria that must be met to report medical direction.
69. medical supervision
occurs when an anesthesiologist is involved in 5 or more
concurrent anesthesia procedures, or fails to meet required
medical direction criteria.
70.
Monitored Anesthesia Care
(MAC)
71. one-lung ventilation (OLV)
72.
PAC - Pulmonary Artery
Catheter (e.g. Swan Ganz)
an anesthesia service where the patient may be sedated. The
anesthesia provider must be qualified to convert to general
anesthetic if necessary. Refers to a continuum of sedation
ranging from light to deep
One lung is ventilated and the other lung is collapsed temporarily
to improve surgical access to the lung. Several anesthesia codes
separately identify utilization of this procedure.
a flow directed catheter inserted into the pulmonary artery. Used
to measure pressures and flows within the cardiovascular system.
73. physical status modifier
a modifier used to report the physical status assigned to each
patient undergoing anesthesia. Patients are ranked by their
individual health status.
74. pump oxygenator
cardiopulmonary bypass (CPB) machine is used to function as
the heart and lungs during heart of great vessel surgery.
75. qualifying circumstances
circumstances that significantly affect the character of an
anesthesia service. These add-on procedures may be reported
only with anesthesia codes. More than one may be reported, if
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applicable. May not be reported separately when a code
descriptor already indicates the circumstance.
76. radical
extensive and complex surgery intended to correct a severe
health threat
77. regional anesthesia
loss of sensation in a region of the body, produced by application
of an anesthetic agent.
78. regional anesthesia
a loss of sensation in a region of the body, using technique such
as: spinal anesthesia, epidural anesthesia, or nerve block.
79. relative value unit
a unit measure used to assign value to services. Determined by
assigning weight to factors such as physician work, practice
expense and malpractice expense.
80. resident
a physician who has completed his medical degree and entered a
residency program specifically for anesthesiology training.
81.
SRNA (Student Registered
Nurse Anesthetist)
a registered nurse who is training in an accredited nurse
anesthesia program.
82. surgical field avoidance
anesthesia provider avoids an area where the surgeon is working
(usually on procedures around the head, neck, or shoulder
girdle). The ASA assigned a minimum base unit value of "5" for
procedures requiring this.
83. total body hypothermia
deliberate reduction of the patient's total body temp, which
reduces the general metabolism of the tissues. Watch anesthesia
record for notes regarding this. Generally temp is reduced 20
percent to 30 percent below a patient's normal temp. This may
not be reported separately when code indicates it is included.