Midwest Anesthesia Consulting Veterinary Services LLC

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Midwest Anesthesia Consulting Veterinary Services LLC

MACvet provides mobile veterinary anesthesia consultations & RACE-approved training services. Our aim is to make advanced anesthesia accessible to all animals.

09/28/2026

CAT EXTUBATION TIP:
🐱 Kitties are EARLY extubators! If you wait for a swallow reflex, as we do in dogs, then that might potentially put your feline patients at risk.

Everyone is frustratingly mindful that cats often have laryngospasm at intubation, but did you know this can come back to bite us during extubation too?! 🙀 If a cat is extubated in a more “awake” depth of anesthesia, this also means the nerves that fire and tell their larynx to close will also be more awake & ready. When cats are extubated too awake, this can result in the extubation process stimulating their laryngospasm to occur & result in asphyxiation now that the ETT is out and the airway is closed 😵

To minimize this from occurring, it is recommended to extubate feline patients on the “sleepier” side of depth, therefore minimizing those laryngeal nerves from being stimulated to spasm & close their larynx. “When” to extubate is usually when you see a tongue or an ear flick — this is often enough indication their swallow reflexes will be appropriate to minimize risk of aspiration AND ensures the risk of laryngospasm is minimized.

Always have a pulse oximeter to ensure they are breathing & oxygenating their best once extubated 😮‍💨

P.S. that gurgling sound was the suction tubing & NOT fluid in the ETT in this video 😅

💨💉💊🩺 😴🐶🐱🦜🐰🐢

09/25/2026

MACvet is supporting teams all across the country 🇺🇸

This past weekend we had the amazing opportunity to provide a full day of in-person anesthesia training to the Intermountain Pet Hospital teams of Idaho 🥔
Intermountain Pet Hospital - Overland Intermountain Pet Hospital Chinden Intermountain Pet Hospital - Nampa Intermountain Pet Hospital Middleton

What started out as a single DVM’s inquiry to get more anesthesia support for her team, turned into a collaborative learning day involving multiple teams to extend the knowledge across all IPH hospitals 🙌 It was so wonderful to see all levels of vet professionals - from assistants to managers to nurses to doctors - take time out of their weekends to learn & provide fantastic anesthetic care for their patients 🤓

Thank you to Zoetis Petcare Zoetis for sponsoring this much wanted learning event and sharing an insightful L&L on Librela 🦴 And a huge shout out to Dr.Ashley Kimbel of the IPH-Overland team for spearheading this amazing CE day! We know their future patients (and cutie kitty Reba who got RACE-approved training) will be receiving fantastic anesthetic care in the future!

💨💉💊🩺 😴🐶🐱🦜🐰🐢

09/09/2026

LATERAL INTUBATION TIP 🫡

Whether indicated for a certain situation, procedure, or CPR, it’s important all anesthetist’s feel comfortable with lateral orotracheal intubations.

Key ways to success, especially when holding onto those big ETTs, is to always “think parallel” — 70% of success is in the assistant keeping the maxilla/snout in parallel with the table & the other 30% is in the anesthetist keeping their laryngoscope blade also parallel with the table. For the laryngoscope, use a forearm-based ventral motion 💪 , rather than a wrist-based tilting motion (which be a tough muscle habit to break 😅)

Because of the lateral recumbency & the notable neck extension required for this form of intubation to occur successfully, it is contraindicated in patients with:
🙅🏻‍♀️ high intracranial/intraocular pressure
🙅🏻‍♀️ cervical spinal disease and/or pain
🙅🏻‍♀️ GERD (no more gravity to help minimize regurge)
🙅🏻‍♀️ atelectasis (one lung side is squished now)

Share below any other tips you find helpful in gaining comfort with lateral intubations 👇💬

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/27/2026

We are SO excited to share that we have now launched our MACvet CLIENT PORTAL 📣

Our mission to make advanced anesthesia accessible to all animals involves collaboration across all fields - not just medical. Our very own Dr.Gaby’s husband and MACvet co-founder, Jeff Zhu, has utilized his computer engineering and software development background to work on this Client Portal for the past year 👨🏻‍💻🗓️ Including his expertise from the tech industry significantly enhances the level of support we’re able to provide our clients & patients

We know this Client Portal will streamline how easy it for teams to get anesthesia support for their teams & patients 🫶 If you’re interested in learning more on receiving MACvet anesthesia support services, reach out to us 👉 www.macvetservices.com

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/25/2026

Version 2 of our previously posted DOUBLE NIBP METHOD!

This is a great example of how to use both Doppler BP & Oscillometric BP together on the SAME limb. Oftentimes, this method shows how Doppler represents Systolic BP in dogs, however, it can sometimes represent a BP between the SAP & MAP in cats (see Version 1 video previously posted 🐱)

This is an easy & reliable BP measurement technique that is the most accurate when Invasive/Direct arterial pressure isn’t available. Bonus: it also means your nurses don’t need to squeeze that sphygmomanometer every 5minutes… 🥹

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/21/2026

NASOTRACHEAL TUBES for O2 Support in Brachycephalic Dogs👃🐽🌬️

NTT placement is an alternative form of “nasal” O2 supplementation where the cannula is placed by entering the nose & then the end/tip of the cannula directed down the trachea manually. This is different than traditional “nasal cannulas” which are considered nasopharyngeal, as the tip of the cannula ends just in front of the larynx. NTT cannulas are a nice O2-supplementation alternative for BOAS patients since this method bypasses the upper airway obstruction, while nasopharyngeal cannulas do not & are unlikely to support these patients’ oxygenation needs.

The supplies you’ll need for an NTT are quick & inexpensive:
* 8-12Fr red rubber cannula — the larger size is preferred; some nasal bleeding is expected & often self-limiting
* appropriate ETT-breathing circuit adapter (if using the ax machine O2) or Christmas-Tree adapter (if using drop-down O2)
* Long forceps — CRUCIAL for successfully redirecting cannula down trachea, especially in BOAS patients w/o soft palate correction 🚨
* Pulse Oximeter (SpO2)
* Suture of choice

This is a technique Dr. Gaby utilizes often in a prophylactic manner in higher-risk BOAS patients. She has found notable success in avoiding respiratory-distress and need for re-intubation in post-ax BOAS patients that fail room air O2 once the ETT has been removed 🎉 The biggest limitation to NTT is they only provide O2, but not ventilation support — if lower airway disease or ventilation concerns exist, that requires HFNT methods.

Here is a nice review of O2 Supplementation techniques in small animals 👉 https://www.ivis.org/library/current-techniques-small-animal-surgery-5th-edition/supplemental-oxygen-delivery-and-feeding-tube-techniques

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/19/2026

Welcome BILL to the MACvet Mindset! 💕

Bill’s mom works in the emergency veterinary field and knows all too well the risks that bulldogs and other brachycephalic breeds have when undergoing anesthesia 😮‍💨 So she reached out to the Advanced Veterinary Dentistry Care & Oral Surgery team to ensure Bill had the safest dental procedure possible!

Working alongside veterinary dentist Dr. Laura Sasser, our anesthesiologist Dr.Gaby was there with Bill to ensure his anesthesia went smoothly 🦷✨

Given Bill’s brachycephalic breed confirmation & not ever having corrective airway surgery, he was at a much higher risk of upper airway obstruction on recovery once extubated. To prevent him from de-oxygenating & going into respiratory distress, Dr.Gaby introduced the AVDCOS team to a novel method of oxygen delivery called a nasotracheal tube [NTT]. Similar to a nasopharyngeal tube, this tube is actually fed past the pharynx/larynx and directly into the trachea, thereby bypassing the upper airway obstructive structures in brachycephalic breeds 🫁 NTTs are easy, inexpensive, and effective in avoiding devastating recoveries for many brachycephalic breeds.

Bill’s NTT was placed as a precautionary measure, should he de-oxygenate at extubation — Bill did need supplemental O2 via his NTT for the first 20min after extubation, but was able to be weaned off O2 supplementation once more awake & had no respiratory distress signs up until discharge 🐶 His NTT (or “nose ring” as Dr.Gaby likes to call them) was removed before discharge & he continued recovering comfortably at home!

Collaborative efforts, like having an on-site anesthesiologist, allows teams to learn new techniques that enhance patient care & comfort 🫶 We’re grateful to be a part of each pet’s care team — MACvet is here to help patients, Pet Parents, and vet teams feel supported from intake to recovery 🤝

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/16/2026

COLLABORATIVE MEDICINE = GREAT MEDICINE 🤝 We’re excited to share we are partnering with the newly-opened Advanced Veterinary Dentistry & Oral Surgery in the Chicago Suburbs 🐾🦷🪥

Board-Certified Veterinary Dentist, Dr. Laura Sasser and her intelligent team of veterinary nurses, have partnered with us to help ensure safe & compassionate anesthetic events for their higher-risk patients (yes we’re looking at you brachycephalic dog parents 🐽🐶)

With this partnership, AVDCOS is THE ONLY veterinary dentistry clinic with an IN-PERSON veterinary anesthesiologist in

Our Dr.Gaby will be supporting their team by providing in-person anesthesia case support, where she is with the pet from intake to discharge. Additionally, she provides AVDCOS Pet Parents the ability to directly chat with her to answer any questions & help alleviate the fear many pet parents have regarding anesthesia 👩🏻‍⚕️ She’s also already provided anesthesia training for the entire AVDCOS team to ensure every ADVCOS patient is receiving fabulous anesthetic care!

If you’re looking for a collaborative approach to your pet’s oral health & anesthetic care, reach out the AVDCOS team in Glen Ellyn, IL to help your pet show off their best smile 😺 https://advancedveterinarydental.com/

💨💉💊🩺 😴🐶🐱🦜🐰🐢

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Chicago, IL

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http://www.macvetservices.com/

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