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.

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/

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/10/2026

ASSESSING AX DEPTH in Horses 👁️🐴

Clinical signs of anesthetic depth varies across species due to anatomical & neural differences — this makes ax depth assessment super challenging in veterinary anesthesia since not all our patients show the same signs!

In horses, changes in HR or palpebral reflex aren’t reliable clinical indicators of whether your patient is light or deep. Jaw tone specifically is unreliable because of the anatomical shape required for their herbivorous lifestyle — it’s the same in rabbits and many other herbivores species.

Instead, eye position & signs of nystagmus are the most clinically useful indicators of a horse’s plane of anesthesia. Each eye globe can have a different position during anesthesia, so it’s important to check both so you don’t miss early signs of depth changes. When present, nystagmus is the easiest sign a horse’s brain signals are transitioning to a light ax plane 😵‍💫 The speed of the nystagmus can also help you gauge how quickly their plane may change… (fast nystagmus = 🚨)

If your horse patient has nystagmus, this is a critical moment for the anesthetist ‼️
You better be ready to either:
💉Deepen them quickly before they kick off the Sx table
or
🐎 Get ready for them to attempt to move in recovery (like this video here)

Always keep an eye on them eyes 👀😉

💨💉💊🩺 😴🐶🐱🦜🐰🐢

08/03/2026

BLOOD TRANSFUSIONS 🩸

When and how to transfuse blood products to your patient can be a tricky decision. There are a variety of blood products to choose from in vet med & it’s important the anesthetist know which makes most sense for their patients’s clinical scenario:

🩸 Fresh Whole Blood (contains all blood components - RBCs, plasma proteins, WBCs, platelets, coagulation factors)
✅ Indication = hypovolemia & hypoxemia secondary to hemorrhage

🩸 Stored Whole Blood (all the above, but lose platelet function after 14 days)
✅ Indication = hypovolemia & hypoxemia secondary to hemorrhage

🩸 Packed RBCs (only RBCs, trace plasma, WBCs, platelets, trace anticoagulant)
✅ Indication = hypoxemia secondary to anemia

🩸 Fresh Frozen Plasma (only plasma proteins & coag factors)
✅ Indication = hypoproteinemia, coagulopathies

🩸 Frozen Plasma (only plasma proteins & only some coag factors - missing factors V, VIII, and vWF)
✅ Indication = hypoproteinemia, some coagulopathies

🩸 Cryoprecipitate (only coag factors V, VIII, vWF, and fibrinogen)
✅ Indication = von Willebrand’s Disease or Hemophilia-A coagulopathies

🩸 Canine Albumin (only concentrated albumin)
✅ Indication = hypoalbuminemia

🩸 Platelet-Rich Plasma (only platelets & plasma)
✅ Indication = thrombocytopenia

Transfusions of blood products are “high stakes & high rewards”, so its important to BE INTENTIONAL with your chosen product 🧐

💨💉💊🩺 😴🐶🐱🦜🐰🐢

07/29/2026

🔎 SCIENTIFIC ARTICLE OF THE MONTH:
Nasotracheal Tube [NTT] Oxygen Supplementation Aids BOAS Anesthetic Recoveries

This retrospective study assessed the outcomes and complications of NTT-placement in BOAS canine patients at one veterinary teaching hospital.

The study found that prophylactic NTT placement provided notably higher success for anesthetic recovery & reduced rate and severity of complications, as opposed to placing a NTT in a “rescue” manner after post-extubation upper airway obstruction already occurred. Larger sized NTTs (10Fr or larger) showed improved outcomes as well.

NTT placement, especially in BOAS patients, is becoming increasingly more common given the ease, general patient-tolerance, & notably reduced need to resort to extreme O2 support methods (e.g. temporary tracheostomy) 😱

Who’s placed & used NTTs in your patients? Share your thoughts below on your experience using nasotracheal tubes! 📩

💨💉💊🩺 😴🐶🐱🦜🐰🐢

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Chicago, IL

Website

http://www.macvetservices.com/

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