
Anesthesia
Our service develops tailored anesthetic plans based on your pet’s needs, history, and physical exam, ensuring the safest and most effective approach.
What We Do
Our team comprises board-certified veterinary anesthesiologists, resident veterinarians, and skilled nurse anesthetists. Our service develops tailored anesthetic plans based on your pet’s needs, history, and physical exam, ensuring the safest and most effective approach. Our techniques, procedural sedation, and pain management provide the best outcomes for your pet. We also provide continuous monitoring during and after procedures, detailed instructions, and support once your pet is discharged.
Our Services
Types of Treatment
For patients at Ryan Hospital, an assigned anesthetist will create a detailed anesthetic protocol designed specifically for your pet, based on their physical exam and history.
Our Services
Types of Treatment
For patients at Ryan Hospital, an assigned anesthetist will create a detailed anesthetic protocol designed specifically for your pet, based on their physical exam and history.
General Anesthesia
When a patient is rendered unconscious through the injection of drugs and/or by inhaling an anesthetic gas. This also provides muscle relaxation and lack of pain perception, making it possible to perform surgery and other procedures.
Possible complications include:
- Respiratory depression
- Low heart rate and low blood pressure
- Adverse or allergic reactions to the anesthetic drugs
- Equipment malfunction and infection. The possibility of these complications is higher in critically ill patients. At Penn Vet we make every effort to minimize these risks by tailoring the anesthetic protocol uniquely to the patient.
Procedural Sedation
When an animal is sedated for a diagnostic procedure or minor surgery. This technique is often integrated with locoregional anesthesia. Although sedation does carry similar risks as those for general anesthesia, it typically has less impact on the respiratory and cardiovascular system, and allows for faster recovery.
Locoregional Anesthesia
Locoregional anesthesia targets specific areas of the body. Two of the common locoregional techniques are peripheral nerve blocks and epidural/intrathecal injection.
Peripheral Nerve Block:
Local anesthetic is injected around the nerves that supply the target area of surgery, preventing pain sensation.
Possible complications include:
- Failure of the block
- Adverse or allergic reactions to the drugs or drug toxicity
- Hemorrhage
- Infection
- Rare complications of the nervous system which may lead to temporary or permanent paralysis.
Epidural/Intrathecal Injection:
A needle is placed between the vertebrae and medication is injected into the epidural or intrathecal space to provide regional anesthesia and/or pain relief.
Possible complications include:
- Failure of the injection
- Adverse or allergic reactions to the drugs or drug toxicity
- Low blood pressure
- Reactions
- Hemorrhage
- Infection
- Rare complications of the nervous system which may lead to temporary or permanent paralysis, urinary retention, pruritus (itchiness); slow regrowth of hair over the injection site.
If your pet is getting any diagnostics or procedures that require sedation or anesthesia, please follow any instructions and inform staff of any known allergies to medications, serious illnesses, or complications with previous anesthesia.
When the procedure is finished, your pet will be transferred and further monitored in a recovery area, and we will administer medications as needed. When your pet is discharged, you will notice multiple patches of clipped hair. These allow us to perform injections, place catheters, and attach monitoring devices. If your pet has any bandages present at the time of discharge, please be sure to discuss their timely removal with the attending veterinarian or veterinary nurse.
Our Care Team

Head of Anesthesia
Giacomo Gianotti, DVM, DVSc, DACVAA
Associate Professor of Clinical Anesthesia
Veterinarians
Residents and Staff
Emma Gorenberg, VMD, DACVIM (LAIM)
Resident, Anesthesia
Ismar Lutvikadic, DVM
Resident, Anesthesia
Allison Mika, VMD
Resident, Anesthesia
Miranda Starr, VMD
Resident, Anesthesia
DeAnna Theiss, DVM, MPH
Resident, Anesthesia
Melissa Allen, CVT
Anesthesia Assistant Nursing Supervisor
Casey Bacon, CVT
Anesthesia Scheduler
David Brown, CVT
Robert Cantagallo, CVT
Carly Carpenter, CVT, VTS
(Anesthesia & Analgesia)
Amy Dowling, CVT, VTS
Anesthesia Assistant Nursing Supervisor
Caroline Fitch
Julie Hirsch, CVT, VTS ECC
Brooke Karpovich, CVT
Marintha Kimport, CVT
Jena King, CVT
Mary Lyle CVT,
Shannon McMahon, CVT
Michelle Pantelis, LVT
Lithza Miranda CVT,
Brogan Mills CVT,
Lila Sierra CVT, VTS
(ECC)
Dominque Tirado
Veterinary Nurse Assistant RITZ
Kim Vargas, CVT
Elizabeth Waters CVT
Lauren Anderson
Assistant
Ryan Veterinary Hospital
Emergencies:
(215) 746-8911
By Appointment:
(215) 746-8387