Anesthesiology & Pain Management

At EVS, we tailor each anesthetic plan to the needs to the individual patient. This starts with medications to reduce stress and nausea, which may be prescribed for you to administer the night before a procedure. We monitor our patients continuously throughout the peri-anesthetic episode, from before the administration of sedatives prior to anesthesia all the way through to recovery, when the endotracheal tube (airway tube) is safely removed. Each pet has a dedicated individual to ensure that the anesthetic event is as safe as possible, and they can consult with the veterinary anesthesiologist as needed to respond appropriately to an individual patient’s needs. You can learn more about this specialty by visiting the American College of Veterinary Anesthesia and Analgesia’s website.


What is an Anesthesiologist?


A veterinary anesthesiologist is a veterinarian who has pursued post-doctoral training with a focus on anesthesia and analgesia (pain management) in all veterinary species, from chameleons to dogs and cats to zoological species. With this training, the anesthesiologist develops a strong understanding of normal physiology, disease processes, and how different anesthetics may affect different patients. This allows for them to offer the highest level of care to your pet, even when they are very sick. In some instances, the anesthesiologist may even be present throughout the entire procedure, in patients that have complex medical conditions.

What services are provided?

  • ♦  Individualized anesthetic plans based on an individual patient’s temperament, health status, and procedure being performed.
  • ♦  Oversight and troubleshooting during all anesthetic procedures.
  • ♦  Pre-emptive treatment of pain
  • ♦  Locoregional anesthesia (i.e. local blocks) to reduce post-operative pain
  • ♦  Consultation appointments with the anesthesiologist for high-risk procedures
  • ♦ Mechanical or assisted ventilation under anesthesia
  • ♦ Active heating as needed in patients to maintain a normal body temperature
  • ♦ Collaboration on post-operative pain management strategies

How are pets monitored under anesthesia?

  • ♦ Respiratory rate and efficacy (capnography to measure carbon dioxide levels)
  • ♦ Heart rate and rhythm with electrocardiography (ECG)
  • ♦ Serial blood pressure monitoring
  • ♦ Oxygenation (pulse oximetry)
  • ♦ Body temperature

Meet our Anesthesiologist:
Nicole Trenholme, DVM, MS, DACVECC, DACVAA