What Changes When An Anesthesiologist Can Be Everywhere At Once

A board-certified veterinary anesthesiologist can be the difference between “we got through it” and “we managed it with confidence” but most clinics will never have one in the building. That’s the problem we dig into with Gianluca Beanie, founder of Safe Pet Anesthesia, and it’s also why his team built a real-time video teleconsulting service that stays with a case from induction all the way through recovery.

We talk through the practical workflow: clinics upload medical records, get a protocol suggestion, then start a live video call when the patient is ready. A specialist watches the monitors, asks the right verification questions, and helps the team respond to changes as they happen. Gianluca also shares what surprised him most while scaling across North America, including how Safe Pet Anesthesia jumped from three practices to 147 largely through veterinarian word of mouth rather than traditional marketing.

The biggest takeaway is a mindset shift for veterinary anesthesia safety. We can debate drug combinations all day, but many cases live or die on monitoring, interpretation, and timely adjustments. “There is a safe anesthetist, there is no safe protocol” lands hard when you remember how often veterinary teams are asked to monitor anesthesia while also performing surgery. We also get concrete on the unsexy stuff that saves lives: investing in better anesthesia monitors, paying for focused continuing education, and opening the emergency box tonight to confirm every emergency drug is there and everyone knows how to use it.

If you want clearer thinking on veterinary anesthesia monitoring, practical risk reduction, and how telemedicine can expand access to specialist care, listen now. Subscribe, share this with a practice owner or manager, and leave a review with the one anesthesia safety upgrade you’d prioritize first.

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Bill Butler – Contact Information

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Transcript

Teleconsulting Anesthesia In Real Time

SPEAKER_02 0:00

So we created the service where we do anesthesia teleconsulting on video. So people log into our website, they upload the medical records, they get an anesthetic protocol, and then whenever they're ready to anesthetize that patient, they just log in, click on that patient, start video, and one of our team is there with them the whole time from induction to recover. So we watch the whole anesthetic event.

SPEAKER_01 0:24

And it's literally like having one of us there without the cost of having a anesthesiologist, but you've got somebody over your shoulder, so to speak, the whole time during the surgery. Absolutely.

SPEAKER_00 0:35

Welcome to the Veterinary Blueprint Podcast, brought to you by Butler Vet Insurance, hosted by Bill Butler. The Veterinary Blueprint Podcast is for veterinarians and practice managers who are looking to learn about working on their practice instead of in their practice. Each episode, we will bring you successful proven blueprints from others, both inside and outside the veterinary industry. Welcome to today's episode.

Meet Safe Pet Anesthesia

SPEAKER_01 0:59

Welcome to this episode of the Veterinary Blueprints Podcast. I'm your host, Bill Butler, and today we are joined with by Gianlanka Beanie, who is a board-certified anesthesiologist and owner and founder of Safe Pet Anesthesia. We did a podcast episode with him last year, and I ran into him at VMX uh 2026 and he said, Man, we've had an awesome year. It'd be awesome to be on the podcast and update the listeners on where we are. So we're honored to have him join us a year from our last podcast episode as he continues to grow his anesthesia empire across North America. Welcome, Gianluca.

SPEAKER_02 1:37

Thank you so much, Bill. Thank you so much for having me here. Yeah, we we met last year and it's it's been this year's been crazy. Like it's it's nuts.

SPEAKER_01 1:47

It's been crazy. We were chatting at VMX. So last year, uh, truth be told, you sucked me in with your golden retriever because you have a golden retriever that you bring to your booth. We were just chatting before we started recording, and you uh you suck everyone in with this golden retriever, it's just the best dog. And uh I started talking to you last year at VMX. We recorded a podcast episode, and then I ran into you this year at VMX. You said, Bill, we've grown like gangbusters. Uh we should, and we're working with practices all across North America, not just the United States, but also Canada. And so uh we we've grown like gangbusters. But for those listeners who don't know about safe pet anesthesia, describe kind of what you are, who you uh service, and the vision for why you thought that this was something that needed to be out there in the vet industry world.

SPEAKER_02 2:36

Yeah, so safe pet anesthesia came from you know an idea of you know, we we have only 260 uh more certified anesthesurgists in the US, right? 99% of pets don't have access to one of us. And so we me and my wife kind of tried to figure out a way to expand access to to one of us. And so we we created uh this service where we do anesthesia teleconsulting on video. So people log into our website, they upload the medical records, they get an anesthetic protocol, and then whenever they're ready to anesthetize that patient, they just log in, click on that patient, start video, and one of our team is there with them the whole time from induction to recovery. So we watch the whole anesthetic event, and it's literally like having one of us there without the cost of having.

SPEAKER_01 3:32

You're not flying in an anesthesiologist, but you've got somebody over your shoulder, so to speak, the whole time during the surgery. Absolutely.

SPEAKER_02 3:39

Yeah. I was I was chatting with uh you know a practice owner uh yesterday, actually, where you know she was saying that you know they have somebody that they, you know, they could potentially bring it in, but uh in person, but you know, every time they have to charge you know several thousand dollars to do so, because of course, I mean, if you're coming in for one single case, you know, you need to pay the the daily fee for the anesthesiologist and then the flights and then the lodging and all that stuff, and and the cost racks up pretty quickly, you know. Um versus like this, it's you know for the first couple of hours we we we charge uh you know a tenth of that. So uh, you know, it's it's extremely affordable, and most owners can can do it. And so that's what we wanted to the only way to do this was online. We wanted to expand access to care, and this was the only way. Um yeah, it's been an it's been a kind of a journey. Like, you know, it's it's we we had to create our own platform, right? There wasn't anything like this out there. You know, we tried to reach out to Zoom, tried to reach out to Microsoft Teams Enterprise. There was nothing in existence like that. We had to start from scratch. And so we hired developers who created our thing, and and yeah, so so far it's been interesting.

Scaling From Three To 147

SPEAKER_01 4:59

So last year, when you were, you know, you were starting this up, you were working in some practices. I mean, tell us where you were a year ago and where you are now and how you've scaled from last. So you're providing this service in practices, you're providing access for clients to be able to have a certified board-certified anesthesiologist providing oversight care for the. I mean, I've got a little cat Louie. Um, and you know, cats have a hard time with anesthesia sometimes. So, like, if my vet said, yeah, for an extra$200, you could have a board certified anesthesiologist provide uh uh oversight of this the surgery, and it's like, oh, well, yeah, I'm already paying two grand. What's an extra 200 bucks at that point? Sure, why not? Yeah, and so you're providing the service. So talk about the scale that you've gone from you know a couple practices to where you are now.

SPEAKER_02 5:51

Yeah, we started 2025 with about I think we had like three practices in January 2025, and now today we are uh 147. Wow. Um, and so across US and Canada. Um to be honest with you, you know, people will say, you know, you need to do marketing and whatnot. What made us grow? It's word of mouth. You know, it's it's people that they know each other, they talk about us, and then the other, you know, clinic wants to use us. People that see it on, you know, they refer the patient to a specialist, and then the specialist put it in the medical record, and then the the GP now is like, oh, now I want these guys too. And so they reach out to us. You know, I I always open my meetings with, you know, how did you find out about us? And uh and it's all word of mouth. It's all word of mouth. We do we do spend on marketing and whatnot, but in reality, we may as well not.

Word Of Mouth Growth Engine

SPEAKER_01 6:57

You do your booth, you know, and that's it to be fair. Like, I think um in the vet industry, and this is what we found, because we're getting leads and referrals online, but it's word of mouth inside of Facebook owner groups for veterinarians. Like, I can't get in there, I'm not a DVM, like I'm not gonna, you know, sub subliminally or subvert and say, Oh, yeah, I'm a DVM and try and get in there and market, like it's just happening organically because this veterinary world and industry, they all speak to each other somewhere, they're in a VMG group or they're they're in a their practice manager is or in a practice management group somewhere. And so that word of mouth inside the vet industry specifically is very unique, I think, and very powerful. And so if one vet's using you, like, okay, well, if they use you, I you must be fine, otherwise the veterinarian wouldn't be using you. So that word of mouth inside the industry is very powerful. Veterinaries might be on Facebook, they're not buying on Facebook marketing, but they're in Facebook groups speaking, Facebook owner groups speaking to each other and that sort of thing. Um so from a scale perspective, what has been one of the you talked about having to build your own platform. I mean, what has been one of the biggest hurdles going from three in being in three practices uh start of 2025 to now here we are uh end of the first quarter of 2026 and 140 practices? What's been one of the biggest hurdles that you've had trying to scale? Um, you talked about having to develop. What what else what else has been a big hurdle for you?

SPEAKER_02 8:22

Yeah, they I think you know thankfully a lot of people when they scale, they have they the problem they have is finding help. Um we thankfully don't have that issue. Like we have a wait list of anesthesiologists that want to join and want to want to help us. Like, you know, it's uh they see the value.

SPEAKER_01 8:45

So anesthesiologists see the value in what you're doing, they want to help out. Maybe they're in academia and they say, Well, I'd like to do some practice work, and it's a way for them to be involved in practice, even if they're in academia, keep their hands in stuff versus just doing things at their the hospital or at the at the vet school or whatever.

SPEAKER_02 9:02

Yeah, absolutely. That's that's that's a big one. I think that part of it is also like, you know, they see how much more reach you can have, right? Like if you're stuck within the four walls of your hospital, you're limited to dealing with those kind of patients, right? Like we're not versus here you have reach from, you know, you may do a case from Manitoba, Canada, and then two hours later you have somebody from you know Fort Lauderdale or you know, San Antonio, Texas. You know what I mean? Like it's it's it's crazy. And so like I think that they they love that. They they also, I think a lot of people, um, you know, especially in our in our job, um, for the longest time, anesthesiologist have been in very, very highly specialized places, sure, and that comes with a very high um bill sometimes, right? And so like I think then giving access to you know to a service like this.

Monitoring Beats Perfect Protocols

SPEAKER_01 10:09

Some guy who owns a cat named Louie in Minnesota, like I would never pay to fly in an anesthesiologist to oversee uh uh sedation on my cat. But if the vet offers it as an additional add-on, because you know how vets are like, well, we can do this, we can do this, we can do this. It's a lot of a la carte services that vet practices when you're you know option A is this much and option B is this much, and if you want the CT scan on top of it, it's this much. And I was like, Well, for$200 more, I can have a board certified C anesthesiologist checking in on my cat while the surgery is performed, and it's a known issue that anesthesiology for especially small animals is a problem, then uh let's take care of that. I mean, my mom is an example. Her uh mentioned Gordon Setter, I think, before we were on the call on our podcast. Her dog had a lot of problems. It they think that the dog ate cannabis or or CBD at a county park because the dog went wacky one day and had eaten some cannabis or CBD, and from then on had problems with anesthesia. And one day my mom had it in for a teeth cleaning, it was under anesthesia. The dog uh freaked out at the elevator, wouldn't ride the elevator down, and then had to take stairs and all this stuff. And every time they did anesthesia after that, the dog wouldn't wet my mom couldn't hit the dog out of the car when she got home because it was it was over sedated or something. And so, like, I think it is is such an issue. So, you know, for you and what you see, where are some things that go wrong? Um, you know, we were talking before the podcast about, you know, practices rely heavily on drug protocols, but you talk about monitoring being one of the main issues. And we chatted about that on the first podcast. Why don't you touch on that a little bit about drug protocols versus monitoring of cases and how that plays in with what you provide as a service or what you see practices doing right or wrong?

SPEAKER_02 12:05

Yeah, they they I initially be bold, they they ask you like, you know, what's your, you know, what's the protocol they focus up, they focus so much on the on the drugs combination and whatnot. And in reality, you know, for most cases, um you can literally pick whatever drug combination you want. As long as you stay within the dose range and it's within reason, most pets do fine. As long as you know what the drugs do and how to fix it. If something happens, that's that's what you need to know. Um, and in fact, you know, at Safe Pet Anesthesia, we don't even we don't even charge them for the protocol. Like, you know, they we charge them for the time that we are on the call with them. Sure. But the work of reviewing the medical records and then coming up with the protocol and giving them a protocol suggestion is not, we don't charge for that. Right. Wow. Um, and and because in reality, again, you know, that's a protocol suggestion. If somebody logs into the call and is like, hey, you know, we actually did something different and it worked fine for them, as long as we know what they're what they did, you know, that's one of the things we asked, right? Like we double check, is this the right patient? Is this the correct weight? What did you give for pre-medication, right? Like, and so um in reality, the protocol matters in very few specific select cases. The management and the monitoring is what matters. There is a safe anesthetist, there is no safe protocol, you know. Um, and so that matters a lot, but people have this misconception of you know focusing on the drugs when in reality they need to focus on the monitor, you know.

SPEAKER_01 13:49

Which is the service that you're providing with a board-certified anesthesiologist to have them almost in the room. Because at a certain point, because you know, on our first podcast, we talked about the process, right? So you've got a basically you have the you tell them how to set up a camera, monitoring the equipment, and if something's happening during the procedure, you chime in over the call and say, here's what you need to do, do this, this, and this. And as long as they have those drugs on hand to adjust the monitoring, the veterinarians know how to administer those. It's just they may not know or see the change the basic changes. Yeah. And instead of having uh nothing against our technicians, uh licensed, unlicensed assistants out there, but you know, there's I think having a board-certified anesthesiologist versus uh uh technician monitoring the vitals, I mean that's that's the service, right?

SPEAKER_02 14:45

Yeah. Well, yeah, so we we are we're kind of an extra layer on top of the function. Like so you did you need to have a technician or an assistant there. Yep. Um, and to be honest, you you know, a lot of them do a really, really good job, you know, and it's not and it's not their fault. You know, they if they don't sometimes like you know, there is so many variables at play, right? Like that they don't really, it's not it's not their their their fault, neither the doctor nor the tech. It's it's a matter of you know, um it's I don't have a clue. I always tell them, I was like, I have I don't have a clue on what vaccines to give to my dog. Like I have no idea, right? Like I take him to a general practitioner, that's not my job. Yeah, you know, we've been asking these people to do two jobs at the same time for the longest time, you know, and and it's not fair, right? Like we um we had a human anesthesologist on our podcast, and and you know, she was when she learned that people have to do two things at once, she was turning.

SPEAKER_01 15:51

Doing the surgery and I'm monitoring anesthesia at the same time, which is a little crazy in the human like you wouldn't expect a human doctor to monitor anesthesia while they're performing the appendectomy.

The Specialist Shortage And Its Cost

SPEAKER_02 16:01

Yeah. Can you imagine their malpractice insurance? How expensive would be it would be crazy. That would be insane. It would be insane, right? So, like, and and and unfortunately in VebMed that's how it is, because there is no no other option out there, right? There is no there is no option. And so, like, you know, it's not their fault. Like, you know, this is our job.

SPEAKER_01 16:26

This allows somebody to focus on this, I think is what we're getting at. It's interesting because um I was at uh uh when I was at VMX, I'm part of vetpartners.org, and Dr. Peter Weinstein in Florida at our annual meeting said a veterinary clinic is the only professional in the United States where they're your dentist, they're your grocer, they also are your mortician, uh, they are your general practitioner, they provide vaccines, you go grocery shopping there. It's like the only professional, and I'm missing a whole bunch that veterinarians provide, right? And they're your surgeon and your anesthesiologist, as we're chatting about right now. And so it's it's such a unique profession. The veterinary industry is such a unique profession where you have this one professional who's the dentist, the surgeon, your general practitioner, uh, you know, end-of-life care and the grocery store and your pharmacist. That's crazy. All wrapped into one. It's crazy. And so, you know, talking about what you do and how you provide it. Um you mentioned, you know, the 260 roughly board-certified anesthesiologist um in the United States. You know, what does that gap mean for, you know, we've chatted about a little bit, we touched on it, but what does that gap mean for general practitioners, surgeons, even specialty surgeons versus um and what that means in a day-to-day practice?

SPEAKER_02 18:53

I mean, what that means is that they don't they don't really have the help they need. You know, they can't get the help. Like we, I literally got conducted by a group of you know, a specialty placed, and they were like, you know, they have four or five locations, and they were like, we've been trying to find somebody for three or four years, and we can't find it in anesthesiologist. I'm sure they pay really well. I didn't know what I didn't I didn't ask what you know what the there's not enough.

SPEAKER_01 19:21

There's pay gaps. Like, if I can go make$400,000 a year at University of Oklahoma versus$250 a year, some I mean I'm just throwing out numbers, but like, you know, that's real money. Like you're trying to make up pay gap, and there's there's not enough, right?

SPEAKER_02 19:36

It's really it's really it's really, really hard. And so you you know, they they don't have an option. Like even if they want to, there is places that I I keep looking at, you know, we have our um, you know, the the board has their job listing, and there's some of them that have been sitting there for four or five years and they're unfilled, and there's you know, 30 or 40 jobs open at all times, which is a third of or a fourth of what you know how how how many anesthesiologists are there. Like it's crazy. Like there is a huge, huge gap. And and and so, like, and it's not that that's what I'm saying. In reality, you know, it's not their fault, it's a matter of like you literally have no access.

Stop Skimping On Monitors And CE

SPEAKER_01 20:22

Yeah, it's a matter of access. I mean, I would wager, you know, here we are in many, you know, I'm in the suburbs of Minneapolis, St. Paul. We have specialty practices here, we've got animal emergency referral center, you just drop names. I mean, we've got animal emergency referral center, we have allied, uh, which are specialty that have board certified, you know, you name it. We've got Blue Pearl hospitals here. Um, and so even within that, I would wager there's probably only a handful of board-certified anesthetic University of Minnesota, which is a you know, large, well-known, renowned uh veterinary school, like among those, there's probably only a handful, dozen maybe max in the state of Minnesota, um, if that. And I'm sure every single one of those places I just named would hire one uh or two board-certified anything. And so if you're a vet student out there in school right now, if you if there's a demand for veterinarians, but if you want to invest some more time and money in school, there's probably uh access out there. Um yeah, absolutely. So, where do you see you know the biggest mistakes or risks and anesthesia in general practice? I mean, where are those biggest risks for practitioners out there?

SPEAKER_02 21:34

Yeah, I think they one of the things I see the most is people don't still nowadays they don't invest in good um monitors, right? Unfortunately, you know, and again, some of it is part of it. You don't, you know, there are some things that they may not be aware of, like how it works or how to interpret it. Um, but you know, I see people make the mistake of skimping on um, you know, one or two thousand dollars piece of equipment.

SPEAKER_01 22:11

So two thousand dollars from a piece of equipment, and I just I was actually on a call with a veterinarian today talking about equipment and you know, uh not equipment on insurance, on insurance costs, just to dive into the insurance thing for a second. And I said, you know, the bottom to the top, if you bought the least amount of insurance, and this is for her practice, this is unique, but the bottom to the top is like$4,000 a year difference. If you're really concerned about saving money at your practice, you should dive into your cost of goods. Like anesthesia equipment's probably not somewhere you should cut a corner, insurance is not somewhere you should cut a corner. You know, there's places to not cut corners, and and so what you're saying is like if you just invest a couple thousand dollars more into a couple models up or a different piece of equipment for anesthesia, you can have a better clinical outcome.

unknown 23:00

Yeah.

SPEAKER_01 23:00

Just because you're able to monitor things better or differently.

SPEAKER_02 23:03

Yeah, absolutely. And and you know, the other important thing is like invest in to see, you know, make sure the the training the like you know and I and I don't wanna you know blame anybody here, but you know, a lot of these clinics, what I've seen is that they rely heavily um on lunch and learns from companies that do sell products. Here's a one-hour talk on our product and how it works and it and it's and it's great, but usually those companies they do not sell anesthesia stuff, right? Like they don't, they're not drug companies. They're not or or they are, but they don't they're not promoting the the anesthetic or or something like that. You know, a lot of the anesthetic drugs we use have been on the market for 10 or 20 or 30 years. So now the patents are gone, right? And so like they they don't have an interest in you know promoting. They make it, they sell it, but it's not their breadwinner, right? And so like a lot of the times they they're lacking that's those specific talk. Maybe they know everything about ticks and fleas and and you know, right. Yep. You you need to know that. But like I think that investing a little bit more into you know CE send them to some more um you know focused conferences on on this those kind of topics, and I think I think it would be good.

Emergency Drugs And Onboarding Walkthrough

SPEAKER_01 24:36

Um it's the exact same in the insurance industry. Like, I could get a free lunch and learn on glass claims for auto claims, but like I don't get involved in that. I don't like it, just go get your windshield replaced. I have nothing to do with that. So we try and invest in higher quality continued education that gives us either designations or you know, what's happening in the industry from cyber liability or employment practice. Like, what's what's the future of what's happening out there in insurance versus just like a check the box, get a free lunch? And and so I that's whether it's anesthesia or something else, like investing in high quality continued education and hearing from you know experts like yourself out there. We're participating in one later this month down in Nashville on um with a board certified ophthalmologist. And so Oh, yeah, I saw that. I'm not sure if he's board certified, so I'm gonna I'm gonna hold that comment. Yes, he is okay. He is. So I'm I'm sure he is because he owns a especially ophthalmology practice. He is. So um he's a really good one, too. Yeah, he is. He's he speaks all over the place uh just to promote that. But you know, but going to a going to listen to somebody and picking their brain, like yourself or whatever you're getting into, um, again, trying to be the the jack of all trades, master of none, like it gets hard because you're trying to do so many things as a veterinarian. Um I I say affectionately not a veterinarian, have knowing idea, and I'm not clinical at all. I talk about stuff I have no idea about on this podcast. But um so as we start to wrap up here, um if you uh if you could give every veterinary clinic out there one simple immediate improvement uh for safety, what would it be?

SPEAKER_02 26:19

One of the things that I would definitely do tonight is go through your emergency box, make sure that you have all your emergency drugs. You'll be surprised how many times clinics are missing those, um, or one of more of them, um and and know how to use them.

SPEAKER_01 26:39

So when you onboard so so at safe pet anesthesia, when you go through an onboarding of a practice, is that part of the protocol that you guys go through? Absolutely. Okay, so if I'm you know, Bill Butler's vet clinic, LLC up here in Minnesota, PLLC up in Minnesota, you know, Billy's Cat Clinic, and I want to onboard you to do anesthesia for us. That's one of the things that you would work through is say, hey, this is what you need in your emergency box if you're doing uh cat sedations for dentals.

SPEAKER_02 27:11

Yeah, we do it two ways. So we do they fill out the questionnaire first, okay, and then we have a practice tour on FaceTime. Oh we go through their whole area for an hour on, you know, we check that you have the appropriate stuff, where it's at, where you show us the drug box, where the emergency stuff is, we go one by one through it, make sure you actually do have it. Um so like you know, we we go through a very thorough process because we don't want to be in the position where you hired us to help you out on the specific pet, and then we're in a position where we can't help you because you know that the stuff can be. Right. So we that's a that's a very and we don't charge anything for it. Like that's the setup processes, right? Like we don't we don't have any setup fee, no, no contract, nothing. So it's you know, you can technically do one case a year, one case a month, or you can do your hooking real quick.

SPEAKER_01 28:12

It doesn't matter what I need on hand, huh?

SPEAKER_02 28:16

Yeah, yeah.

Where To Find Them And Closing

SPEAKER_01 28:17

Well, you're very passionate about what you do. Um, it's it's exciting to see you a year on from when I number one, again, if you go to any national event, you should look up and see if Safe Pet Anesthesia has a booth at any place you're going, because if they do, they're gonna have this awesome golden retriever that you just get it's like there's a line of people not to talk with Gianluca or his wife, they're there to pet this awesome golden retriever. So, number one, you should check them out, check their booth out for this awesome dog. Uh but number two, they're just really great people, um, passionate about helping out the vet industry in a very unique role. It's been cool to see. Um happy to do this podcast when you when you ran into me, you just had this really awesome like glow, like you were super pumped, like, man, we've had a great year. We should be on the podcast. Like, I'd love to have you back on. Um, and so it's been cool to see uh your growth and and uh the service that you're providing in a unique nature to the vet industry. Um, where can people find you and safe pet anesthesia? Safe petanesthesia.com. Perfect. Just go on, I'm sure there's links, set an app, yep, fill out a call, and then uh you too, as a veterinary practitioner out there in the world, can have access to a board certified anesthesiologist providing uh remote care to your uh to your clinical patients as you're doing uh sedations at your practice. Well, awesome! Thanks for joining us on this episode of the Veterinary Blueprints Podcast. Thanks for joining us, Gianluca. Thank you, Bill. Thank you so much for having me. All right, make sure to check us out on all the social media and everything uh out there. Like and share the podcast with your friends, and we hope you join us on another episode of the Veterinary Blueprints Podcast.