Improving analgesia and monitoring in sterilization clinics.

Regardless of the setting, the goals of anesthesia remain the same: achieving reversible unconsciousness, immobility, muscle relaxation, amnesia, and analgesia while preserving cardiopulmonary function. However, providing optimal anesthetic care in the high-volume sterilization clinic is often challenging due to a variety of factors, including high caseload, limited time for physical examinations, significant financial constraints, lack of adequate assistance, and the challenges of pediatric and feral patients. These constraints make it difficult to implement flexible anesthetic plans and provide adequate perioperative monitoring. In this editorial, we describe cost-effective options for improving analgesia and perioperative monitoring in the high-volume sterilization clinic. Balancing the limitations inherent to a high-volume clinic with the desire to provide excellent anesthetic care takes forethought and commitment. In our experience, the following techniques can be useful: