Diabetes and dental diseaseAugust 16, 2018As veterinary practitioners, we see our fair share of diabetic patients who require extensive dental work. The goal with these patients is to improve their quality of life and, in some cases, improve glycemic control by removing a source of chronic infection in the form of periodontal disease. The challenge is to “do no harm” in the process. Invariably, oral surgery will set back the appetite of any patient. Lack of appetite becomes a bigger issue when a patient has diabetes and is supplemented with injectable insulin.
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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.
College of Veterinarians of British Columbia bans onychectomyJune 14, 2018The College of Veterinarians of British Columbia (CVBC) has banned the practice of partial digital amputation, also known as onychectomy or declawing, of domestic cats, effective immediately. The province is the second in Canada to ban declawing, following the procedure's condemnation from the Canadian Veterinary Medical Association (CVMA). "Elective and nontherapeutic declawing is ethically problematic and not an appropriate means of dealing with feline behavior issues," reads CVBC's statement. The college acknowledges there are medical conditions that may necessitate partial or full digital amputation as an appropriate medical therapy, such as biopsy for diagnosis, severe trauma, or medical conditions affecting the health of the nail (i.e. onychodystrophy, paronychia, neoplasia of the nail bed/phalanges), but adds there is no medical condition or environmental circumstance of the cat's owner that would justify declawing. Declawing has already been banned in the United Kingdom, Europe, Australia, and several cities in California. Earlier this year, Nova Scotia became the first Canadian province to ban the procedure, with the Nova Scotia Veterinary Medical Association amending its code of ethics to declare the practice, when performed electively, "ethically unacceptable." While CVMA does not regulate veterinarians in Canada and cannot enforce a nationwide ban, the association announced …
Aratana Therapeutics seeks feline label expansion for NocitaJune 12, 2018Aratana Therapeutics Inc. announced it has submitted a supplemental new animal drug application with the FDA to approve the use of Nocita in cats to provide regional analgesia following onychectomy. Nocita (bupivacaine liposome injectable suspension), which provides up to 72 hours of analgesia postoperatively using multivesicular liposomal technology, was first approved in August 2016 for canine use following cranial cruciate ligament surgery. "We believe veterinarians are in need of safe and effective, nonopioid alternatives to provide pain relief to their feline and canine patients," said Ernst Heinen, DVM, Ph.D., chief development officer of Aratana Therapeutics. "If the supplemental NADA is approved, NOCITA will help control feline pain for up to 72 hours by blocking pain signals at their source, the nerve." Visit aratana.com.
Hydrocephalic fur seal undergoes brain surgery at TuftsDecember 28, 2017A neurosurgical team at Cummings School of Veterinary Medicine at Tufts University has successfully performed a first-of-its-kind brain surgery on a female adult Northern fur seal in an attempt to address her worsening neurologic condition. Ziggy Star is recovering well at her permanent home at Mystic Aquarium in Mystic, Conn. Ziggy was first seen at the Henry and Lois Foster Hospital for Small Animals at Cummings Veterinary Medical Center at Tufts University in September for a progressive condition that was causing severe neurologic episodes, difficulty moving, reduced training response, and cluster seizures. An MRI revealed an accumulation of cerebral spinal fluid in the brain—hydrocephalus. Mystic Aquarium took in Ziggy approximately four years ago after she was found stranded on the California coast and deemed non-releasable by the federal government. At the time, she had an MRI that showed some neurologic abnormalities. She received treatment, but her symptoms continued to progress at a concerning rate, with the seizures emerging more recently. "The MRI taken recently by our team showed that the brain was disappearing due to the excess fluid, and it was significantly worse than the last study four years ago," said Ane Uriarte, DVM, Diplomate of the European College of …
Bone grafting in oral surgeryDecember 6, 2017Dentigerous cysts can be expansive and cause a large amount of bone loss. I have seen a case where a large dentigerous cyst resulted in a pathologic fracture of the mandible in a dog.
10 mistakes to avoid before veterinary surgeryNovember 6, 2017Trying to cut corners in the anesthesia and surgery world can lead to countless medical and legal problems. Let’s review 10 all-too-common mistakes to avoid before taking a patient to surgery.
American Association of Feline Practitioners revises declawing positionSeptember 7, 2017The American Association of Feline Practitioners (AAFP) has revised its previous 2015 position statement on declawing to strongly oppose onychectomy as an elective procedure.
Dog with severe maxillofacial trauma adapts wellJune 28, 2017I want to share with you a story about a special patient. Teresa is a 2-year-old mixed breed dog, originally from Thailand, who was flown to New Jersey for medical treatment of prior maxillofacial trauma.
A look at veterinary lasersMay 1, 2017Surgical lasers offer numerous benefits, including little to no hemorrhaging (resulting in a clear operative field), reduced swelling and pain, and increased precision. Lasers can yield superior results compared to scalpels, particularly with certain procedures. As the technology continues to improve, their veterinary applications grow.
