Panel Discussion – Take Heart! Optimizing Anesthesia for the Geriatric Cardiac Patient

Small Animals

Panel Discussion
Venue: On-Demand Panel Discussion
Contact Hours: 3 Hours
Course Language: English
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Panel Discussion – Take Heart! Optimizing Anesthesia for the Geriatric Cardiac Patient (Recorded 25 March 2021)


Panelists:Berit FischerDVM, DACVAA, CCRP, CVA – Crown Veterinary Specialists, USA
Virginia Luis Fuentes  MA, VetMB, PhD, CertVR, DVC, MRCVS, DACVIM, DECVIM – RVC, UK
René Dörfelt  Dr. med. vet., DECVAA, DECVECC – University of Munich,

Moderator:Khursheed Mama   DVM, DACVAA – Colorado State University, US


The international multidisciplinary panel of veterinary cardiologist/internists, criticalist and anaesthesiologists will discuss common cardiac diseases of geriatric patients and how the diseases and therapies impact anaesthesia management. Anaesthesia medications, monitoring, support and adjunctive management strategies will be included. The important roles and perspectives of the cardiologist, internist, criticalist and the anaesthesiologist in ensuring a favorable outcome for the patient will be addressed. In addition to potential cardiac related morbidities (e.g., pulmonary edema, arrhythmias, etc.), common co-morbidities (e.g., renal disease) and their management in these patients will also be discussed. The question of whether to refer a patient to a tertiary care center will furthermore be considered.


Panel Discussion Registration Process:    Once you have registered and upon payment, you will receive the link to access the on-demand recording for a period of 8 weeks. If you wish to receive a Certificate of Attendance after having viewed the webinar, please get in touch with us and we will send it to you electronically.


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    Virginia Luis Fuentes
    MA, VetMB, PhD, CertVR, DVC, MRCVS, Dipl.ACVIM, Dipl.ECVIM

    United Kingdom

    American & European Specialist in Internal Medicine
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    Virginia graduated from Cambridge Veterinary School in 1984. She spent five years in practice (obtaining RCVS Certificates in Radiology and Small Animal Cardiology) before becoming a Lecturer in Veterinary Cardiology at the University of Edinburgh (obtaining the RCVS Diploma in Veterinary Cardiology in 1992). She was awarded the PDSA Scholarship between 1992-1995 towards a PhD in the echocardiographic assessment of canine dilated cardiomyopathy, and gained RCVS Specialist status in Veterinary Cardiology in 1994.

    Virginia moved to the University of Missouri, Columbia as an Assistant Professor in 1997, and then in 2001 became a Clinical Assistant Professor at the Ohio State University College of Veterinary Medicine until joining the Royal Veterinary College in 2004. She was awarded the British Small Animal Veterinary Association Woodrow award for outstanding contributions in the field of small animal veterinary medicine in 2006, and was Chair of the Cardiology Specialty of the European College of Veterinary Internal Medicine from 2012-2018.

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    Berit Fischer

    United States

    American Specialist in Veterinary Anesthesia and Analgesia
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    Dr. Fischer is a board-certified specialist in veterinary anesthesia and analgesia® who has been with Crown Veterinary Specialists since 2017. She attended the University of Wisconsin-Madison where she earned her Doctor of Veterinary Medicine degree in 2001. After completing a large animal rotating internship at the University of Georgia in 2002, Dr. Fischer entered private equine practice where she discovered her true calling of becoming an anesthesiologist. She completed a residency in veterinary anesthesia and pain management at Cornell University and became a Diplomate of the American College of Veterinary Anesthesia and Analgesia in 2008.

    Dr. Fischer joined a specialty veterinary practice in Chicago where she was integral in establishing one of only a few successful anesthesia and pain management departments in private practice at that time. In 2013, she was invited to join the faculty at the University of Illinois College of Veterinary Medicine as a Clinical Assistant Professor of Anesthesia and Analgesia where she taught veterinary students and performed research before moving to the East Coast. Prior to joining Crown Veterinary Specialists, Dr. Fischer served as Head of Anesthesia and Pain Management at the Animal Medical Center in New York City.

    Dr. Fischer currently serves on the American College of Veterinary Anesthesia and Analgesia Board of Directors. She has written several anesthesia book chapters and lectured both nationally and internationally. Since becoming boarded, she has continued her education by becoming a certified canine rehabilitation practitioner and certified veterinary acupuncturist. She remains dedicated to promoting and teaching veterinary anesthesia and pain management to the veterinary community.

    Dr. Fischer enjoys spending time outside of the hospital with her husband, two daughters, her dogs Margaret and Gizmo, and cat, Pinto Bean. She is passionate about crossfit, cooking, traveling, and being outdoors.

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    René Dörfelt
    Dr. med. vet., Dipl.ECVAA, Dipl.ECVECC


    European Specialist in Emergency & Critical Care and Veterinary Anesthesia and Analgesia
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    Dr. Dörfelt studied at the University of Leipzig, Germany, qualifying in 2003. After completing a dissertation on hemodialysis and an internship at the Small Animal Clinic of the Freie Universität Berlin, he worked at the Norderstedt Veterinary Clinic in Germany from 2005-2007 before undertaking a residency in anesthesia and analgesia at Vienna’s University of Veterinary Medicine. Since 2011 he has been head of the Emergency and Critical Care Service at the Medical Small Animal Clinic of Ludwig Maximilian University in Germany. In addition to being a Diplomate of the European College of Veterinary Anesthesia and Analgesia, Dr. Dörfelt is also Diplomate of the European College of Veterinary Emergency and Critical Care.

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    Khursheed Mama
    DVM, Dipl.ACVAA

    United States

    American Specialist in Veterinary Anesthesia & Analgesia
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    Dr. Mama developed her keen desire to work with animals while growing up in India where she was fortunate to have opportunities to ride horses and care for pet animals including dachshunds, guinea pigs and chickens. At the age of nine, while watching a procedure on a horse, she thought to herself, "surely we can do better," but wasn’t seeing great training opportunities close to where she lived. So, after finishing high school in India, she applied and was accepted to Washington State University where she completed both her undergraduate and veterinary degrees. The Palouse was a stark contrast to the city of millions she grew up, but she was grateful to still be able to ride horses and through that build many cherished friendships.

    Upon graduation and still holding onto the thought that she would be an equine veterinarian (despite having enjoyed her anesthesia rotations in veterinary school) she pursued a large animal rotating internship at the University of Guelph. It was there she became convinced her true passion was indeed anesthesia. Therefore, she pursued an anesthesia and critical care residency at the University of California, Davis and worked there for a few years before moving to Colorado State University where she has been a faculty member since 1996. She enjoys managing a variety of species while also teaching DVM and graduate students and has pursued research interests directed at improving patient care and safety. She feels fortunate that as part of her job she has had the opportunity to advance anesthesia and pain management through continuing education for veterinarians in many different venues both nationally and internationally.

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"Informative and engaging."

Kate Hatcher, Animal Referral Hospital, Australia

Panel Discussion - Take Heart! Anaesthesia of the geriatric patient 2021