The case for multiparameter patient monitoring systemsMarch 12, 2020Veterinary-specific multiparameter patient monitoring systems can play an invaluable role in diagnostics for companion animals during each phase of a surgical procedure.
SPONSORED CONTENTOne dose protects for 12 months.One ProHeart® 12 (moxidectin) injection puts compliance in your control. + Get started
Orofacial manifestations of BDLDNovember 12, 2019BDLD: four letters often listed at the top of the sheet of an emergency room visit as the presenting problem.
Are your patients waking up during surgery?August 15, 2019Surgical procedures require skill and knowledge, but they also require reliable equipment that your team knows how to use.
Aratana Therapeutics' Nocita 10 ml gets FDA approvalJune 13, 2019Aratana Therapeutics announced the U.S. Food and Drug Administration (FDA) Center for Veterinary Medicine (CVM) has approved an additional vial size (10 ml) of Nocita. "Since its launch in 2016, Nocita has drastically changed veterinary multimodal pain management protocols because it safely and effectively controls pain in patients for up to 72 hours following certain canine and feline surgeries," says Aratana Therapeutics chief development officer, Ernst Heinen, DVM, PhD. "Ultimately, we believe a smaller vial size may allow for expanded use and improve the level of care veterinarians provide for certain painful surgeries." Nocita, which is currently available in a 20-ml vial size, is a local postoperative analgesia for cranial cruciate ligament surgery in dogs and a peripheral nerve block following owner-elected onychectomy (declawing) in cats. The smaller vial size is expected to be made commercially available in fall 2019.
Four bold questions about hand asepsisMay 24, 2019Hand asepsis is one of the most critical components of surgical asepsis to lower the risk of nosocomial diseases. In this column, we answer four critical and bold questions related to hand asepsis. Could you lose your driver's license by scrubbing in? With the emergence of alcohol-based hand-rub solutions (ABHRS), you may be concerned that with repeated use, you could have enough alcohol in your bloodstream to lose your driver's license. Alcohol is indeed absorbed through the skin, and you inhale plenty of it while scrubbing (or "rubbing"). So could a breathalyzer test be positive? A 2006 Australian study1 looked at 20 health-care workers and their use of ABHRS repeatedly over a short period of time: 30 applications in an hour! Then serum and breath ethanol and isopropanol absorption were assessed. Traces of ethanol were detectable in the breath of 30 percent of subjects at one to two minutes after application and in the serum of 10 percent of them at five to seven minutes postexposure. Serum isopropanol levels were undetectable at all time points. Even though ethanol did have a positive result, whether through cutaneous absorption or inhalation of fumes, neither level would be considered positive during a police-issued …
How to improve your surgical skillsMay 6, 2019What can you do to improve your surgical skills? Assuming your career path does not include a surgery internship or a residency and board certification, here are some tips to raise the surgical bar. Prerequisites Some traits are self-understanding. In order to perform surgery, you need to have dexterity and think in 3D. You'll also need the following: "Good hands"—no shaking allowed. A keen sense of observation. Observe the patient. Observe the tissue. Observe others perform surgery. Some will teach you what to do, while others will teach you what not to do. Use the correct suture material, the correct needle, and the correct size. Know and apply the seven principles of William Stewart Halsted, MD, our 19th-century forefather (see The basics of surgery). Speaking of forefathers… believe the sayings they crafted: "Measure twice, cut once." "If it's worth taking out, it's worth turning in" (i.e. masses belong in the lab, not the trash). "There are routine surgeries, but there is no routine anesthesia." "Dilution is the solution to pollution." It is critical to thoroughly understand anatomy, indications, and surgical approaches. Reading books to acquire a good understanding of anatomy and a great knowledge of approaches is a must. But …
Widening the scope of laparoscopyJanuary 10, 2019The advantages of laparoscopy are obvious—smaller incisions, less pain, faster recovery, and less scarring. It is no wonder, then, that laparoscopy continues to advance in application, instrumentation, technique, and training.
Purdue students offer mobile spay and neuter surgeries to animal sheltersJanuary 3, 2019A traveling surgery unit partly run by veterinary medicine students, is helping dozens of animal shelters perform spay and neuter procedures.
Acute neurologic injuries in the horseDecember 27, 2018Acute, traumatic injury to the horse’s central nervous system is an occasional, and often devastating situation facing equine veterinarians, most often caused by a collision or fall. Injuries to the spinal cord and/or brain may result in a variety of different clinical presentations, however, the damage incurred by the tissues and cells of the nervous system are similar.
Idiopathic osteomyelitis/osteonecrosis of the jaw in dogsDecember 13, 2018Osteomyelitis of the maxilla, mandible, or incisive bone, can occur due to severely diseased teeth in an area, but some cases don’t seem to be simply the result of an extension of periodontal or endodontic disease. These cases are often more than just osteomyelitis. Instead, they show evidence of dead bone, often in the form of a sequestrum, a necrotic piece of bone that may want to come out in one large piece during surgical exploration. In the absence of any history of radiation therapy or bisphosphonate administration, these cases are best described as idiopathic osteomyelitis/osteonecrosis. When they enter your exam room, you will smell what’s going on before you are able to see it.
