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.
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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 …
Cat declawing may soon be a thing of the past in CaliforniaFebruary 27, 2019Assemblyman Bill Quirk has introduced a bill that would ban the declawing of cats in California. "Declawed cats can suffer long-term physical complications as a result of declawing—it's not just a fancy manicure," Quirk said upon introducing AB 1230. "It's painful, unnecessary, and needs to stop… When this bill becomes law, only licensed veterinarians performing the procedure for specific therapeutic purposes will legally be able to declaw a cat, saving them from a lifetime of pain and possible lameness." The practice is already illegal in San Francisco, Los Angeles, and six other California cities. Further, in several other parts of the world, declawing has been banned. "Declawing is one of the most painful and unnecessary surgeries in all of veterinary medicine," said Jennifer Conrad, DVM, CVA, founder of the veterinarian-run nonprofit Paw Project. "We've seen what these cats go through. We are veterinarians who are standing up against the status quo because it is the right thing to do. We want veterinary medicine to be about helping animals, not helping couches." Studies have found declawed cats are more liable to bite or have other behavioral issues and often end up in animal shelters as a result.
Survey highlights impact of opioid shortages in veterinary medicineSeptember 17, 2018A nationwide survey conducted by Wedgewood Pharmacy aims to show the unintended consequences for veterinary medicine caused by the Drug Enforcement Administration's (DEA) efforts to address the national opioid crisis. To address the misuse and diversion of opioids by people, the DEA has proposed an average 10 percent decrease in the 2019 manufacturing quotas for six frequently abused opioids, including five key Class II opioid drugs commonly used by veterinarians. When supplies of these drugs are limited, manufacturers and distributors give preference to allocating supplies for use in human health, creating shortages for veterinary medical practitioners, Wedgewood said in a statement. Key survey findings: In 2017, anywhere from 27 to 73 percent of veterinary professionals have had difficulty obtaining necessary supplies of five opioids (hydromorphone, morphine, fentanyl, hydrocodone, and oxymorphone) they consider "important to your practice and to your patients' health" by 50 to 80 percent of respondents. Shortages of these opioids have led to the use of less effective, non-narcotic alternatives such as NSAIDS (83 percent), increased patient suffering (71 percent), use of a local anesthetic (49 percent), postponed procedures (26 percent), and patient deaths (3 percent) 88 percent of respondents "rarely" …
OSU enrolling dogs with mammary cancer for clinical trialAugust 29, 2018Oregon State University's Lois Bates Acheson Veterinary Teaching Hospital is now enrolling dogs with mammary cancer in a new clinical trial. Dog owners considering standard tumor removal surgery may be able to choose a new surgical procedure involving an intravenous injection of a cancer cell-illuminating nanoparticle compound that highlights exactly which tissue needs to be removed. After the mammary tumor is removed, the surrounding tissue is irradiated with an infrared laser that causes the nanoparticle compound to heat up, killing any remaining cancer cells. The compound, developed by researchers in the Oregon State University College of Pharmacy, has been found to effectively cure cancer in mice. The new procedure eventually may be most beneficial for treating tumors in challenging anatomic areas, such as the brain and spine, according to Milan Milovancev, DVM, DACVS-SA, an OSU associate professor of small animal surgery participating in the study. The Oregon State University Carlson College of Veterinary Medicine is a member of a national consortium of veterinary oncology centers, managed by the National Institutes of Health, with a focus on translational veterinary medicine. Owners who believe their pets may be good trial candidates can ask their veterinarian …
University of Florida 3-D printer gives patients new chance at mobilityJuly 27, 2018Chance, a greater Swiss mountain dog abandoned with a severe limb deformity, is walking better. Bebop, a pot-bellied pig is back to rooting in his yard after a painful shoulder injury stopped him. Chance and Bebop are the first two clinical cases treated over the past six months at the University of Florida College of Veterinary Medicine through a state-of-the-art 3-D printer that uses high-performance plastics and offers numerous advances in patient care, teaching, and research, according to UF veterinarians. Among the printer's capabilities are the ability to create bone models with which veterinarians can "practice" a surgical procedure prior to actual surgery, as well as patient-specific surgical guides that improve accuracy and reduce surgery time, according to the university. "We have the Rolls Royce of 3-D printers," said Adam Biedrzycki, BVSc, Ph.D., an assistant professor of large animal surgery at UF, who purchased the printer with startup funds when he was hired by the UF College of Veterinary Medicine three years ago. "It can not only print parts that are approved in the aerospace industry to go into aircraft but also parts that are biocompatible for medical applications. That is, they can be used in live tissues." …
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 …
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.
Why an oral tumor diagnosis isn't always straightforwardJune 6, 2018When I was in veterinary school, my naïve impression of the process for obtaining a histopathologic diagnosis of tumors was this: fix the specimen in formalin, section and stain the tumor, look into the microscope, and obtain a definitive diagnosis.
A deeper look into endoscopyJune 4, 2018One of the first things veterinarians learn in school about endoscopes is how gastrointestinal endoscopy (GI) can be used to aid in the diagnostic evaluation of clinical signs referable to the esophagus, stomach, as well as proximal small intestine.
