I feel it is unrealistic to only have LVT's monitor anesthesia.  How many LVT's are there in Virginia vs how many are needed? We have had a shortage of LVT's in Virginia as long as I can remember and in our neighboring state of Md, one does not have to be liscensed to even perform these duties. That being said, I believe standard of care would dictate that only a liscensed LVT or DVM should be inducing and should always be on hand during anesthetic episodes.  Veterinary Assistants commonly play a role in helping to monitor patients as well as receiving valuable training in this area.  Is it safer to have an LVT performing a dental and trying to monitor anesthesia by themselves or to have an assistant monitoring and recording and conveying information to either an LVT or a DVM? I feel closer attention is payed to the patient when multiple people are involved.  I would propose the Board does not limit the ability of practices to utilize this important part of staffing.