How to reduce surgical site infectionsJuly 11, 2018Considering the emergence of resistant bacteria, having a solid plan to decrease infection risk becomes increasingly important. A surgical site infection (SSI) is defined by the Centers for Disease Control and Prevention as an infection occurring at the surgical site within 30 days following a procedure, or within one year of placing an implant. You can significantly decrease risk in your practice by scrutinizing four factors that contribute to SSI incidence: patients, environmental and human factors, and miscellaneous risks.
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American Association of Feline Practitioners releases new anesthesia guidelinesJuly 11, 2018The American Association of Feline Practitioners (AAFP) released the first feline-specific anesthesia guidelines to the veterinary community, which are published in the Journal of Feline Medicine and Surgery. General anesthesia is an essential component of feline practice, without which surgery and certain other treatment modalities and diagnostic procedures would be impossible, the AAFP stated. Due to their unique physiology and small size, cats undergoing anesthesia are at a relatively greater risk of complications and mortality than many other species; empirical evidence shows that cats undergoing anesthesia have a higher mortality rate compared with dogs.1,2 The new guidelines address specific causes of disparities and ways of avoiding perioperative complications associated with monitoring, airway management, fluid therapy, recovery, perianesthetic anxiety and stress, perianesthetic monitoring by physical and electronic means, the role of underlying diseases such as hypertrophic cardiomyopathy, the correct use of anesthesia equipment, and total injectable anesthesia. An associated client brochure provides cat caregivers with digestible information that enables them to understand anesthesia, what to expect, properly prepare their cat for a procedure, and care for them during recovery (catfriendly.com/anesthesia). "By proactively developing an individualized anesthetic plan that considers the uniqueness of each feline patient and recognizing …
What is a placebo?July 10, 2018There is no consensus definition of a placebo or of the placebo effect. It is generally accepted that a placebo is an inert treatment with no direct physiologic effect on a patient’s disease or symptoms. Placebo effects, then, are effects associated with the administration of an inert treatment that are perceived as beneficial by the patient or that of observers.
UC Davis treats uncommon AVM in German shepherdJuly 10, 2018Crash, a six-year-old male German shepherd, was starting to tire more easily on his walks and seemed zoned out and listless, according to his owners, Sally Fuess and Steve Yant from Boulder Creek, Calif. He also displayed signs of what were perceived as severe headaches. He would "bury" his head and squint his eyes, suggesting that something was bothering him. Those headache signs started occurring more frequently and affected his overall well-being. "It was like watching someone have a massive migraine and be nonfunctioning," said Fuess. "The bigger the headaches, the more disorientated he would become. His hearing would get distorted, his perception … all his senses were affected." Fuess and Yant discussed this with an internal medicine specialist who was already treating Crash for some unrelated gastrointestinal issues. The veterinarian performed an MRI of Crash's head that revealed an intracranial arteriovenous malformation (AVM) located within the brain behind his eyes. A consultation with Bill Culp, VMD, DACVS, at the University of California, Davis veterinary hospital was arranged. Redirecting the blood flow "AVMs, in general, are very uncommon in veterinary patients," said Dr. Culp. "A brain AVM is extremely rare and not a situation that I have encountered before. Because …
Use a joint approach to osteoarthritisJuly 9, 2018As they age, approximately 20 percent of dogs experience osteoarthritis, a condition exacerbated by excess weight as well as by stress on joints from working or performance activities. Breeds such as golden and Labrador retrievers are overrepresented, but degenerative joint disease isn’t limited to highly active dogs or even to old dogs.
The other ED: Ectodermal dysplasiaJuly 8, 2018From time to time, I will pull out a “dental zebra” from the archives: a case that you won’t see every day, but you’ll see it at least once in your career.
Will death do you part?July 7, 2018There’s an underlying expectation among pet owners that veterinarians understand the human-animal bond is everlasting. As such, how a veterinarian handles this end-of-life process can determine the client’s future relationship with the practice.
Blue Buffalo Clinical Trials Office celebrates second year of OSU partnershipJune 27, 2018The Blue Buffalo Veterinary Clinical Trials Office (BBVCTO) at The Ohio State University College of Veterinary Medicine is celebrating its second year supporting studies to improve the animal and human health. In the past year, the BBVCTO assisted with the design and management of more than 30 clinical trials, enabling 300 client-owned pets to participate in studies that aim to extend the lives of dogs and cats through advanced treatments. "Our partnership with Blue Buffalo has made it possible for us to provide support for studies that test new diagnostic tests and treatments across a wide spectrum of pet health including cancer, renal failure, heart disease, and arthritis," said Cheryl London, DVM, Ph.D., director of the BBVCTO and professor of veterinary biosciences. "Clinical trials in veterinary medicine are critical for identifying new approaches to more effectively detect and treat diseases in the pets we love. They also have the added benefit of advancing outcomes for people with similar diseases." Providing hope to pet parents The BBVCTO supervises clinical trials involving client-owned dogs and cats. The pets continue to live with their families during these studies with the ultimate goal of finding new therapies, diagnostic tests, and medical devices that …
Is tramadol an effective analgesic for dogs and cats?June 26, 2018Awareness of the importance of analgesia for veterinary patients has increased significantly over the past two decades. It is widely considered important, for medical and ethical reasons, to provide effective pain relief for dogs and cats, whether their pain is due to surgery, injury, or chronic medical conditions.
4 scientific articles to use in everyday practiceJune 25, 2018What would you consider to be the definition of a classic scientific article? In my mind, it is an article that changes the way you think. It is an article that changes the status quo. That changes the way you practice—the very next day.
