January 23, 2018

Rehab: Passive Range of Motion

These videos and handouts will aid your with visuals about the exercises your veterinarian has prescribed for your pet. It is very important to perform all exercises in a controlled and comfortable environment. Physical Rehabilitation is to encourage leg usage by increasing comfort and function while also improving health. If your pet is ever uncomfortable […]

Topical Long-Acting Fentanyl is Available For Your Patients

Elanco has done a great job of marketing their product to make us all aware of the new topical Fentanyl.  You apply it safely, hold the dog until it dries, then put a t-shirt on the dog for 72 hours to be safe.  And of course any time you touch the dog you should wash […]

Tramadol, Are You Up to Date?

There has been a lot of talk in the clinics I visit lately due to Tramadol becoming a controlled drug.  However, most of you have already been treating it as such.  The bigger questions asked of me is how to use it and at what dosage.  Tramadol is not as bioavailable in dogs as it […]

Lowering Your Surgical Infection Rates

The normal incidence of clean surgical wound infections is 0-4.4%.  Keeping your hospital and staff under good surveillance will help minimize nosicomial infections.  Washing hands between patients, using soap for at least 20 seconds and using care when taking rectal temperatures to clean equipment and hand will help.  The main sources of surgical infection come […]

Bad hips or bad knees? Or Both?

A fairly recent study* showed that 32% of dogs referred to a surgeon for hip dysplasia treatment had, in fact, a torn ACL. Indeed, differentiating between a torn cruciate ligament and hip dysplasia can be tricky if not frustrating. Let’s review the differences between the two conditions. Cranial Cruciate Ligament Tear Severity of lameness depends […]

Are you floating your surgery patients?

Adapted from AAHA 2013 Fluid Therapy Guidelines The paradigm of “crystalloid fluids at 10 mL/kg/hr, with higher volumes for anesthesia-induced hypotension” is not evidence-based and should be reassessed. Those high fluid rates may actually lead to worsened outcomes, including increased body weight and lung water; decreased pulmonary function; coagulation deficits; reduced gut motility; reduced tissue […]

Anesthesia Records are becoming required for AAHA

Our Vetgard+ monitoring system has non-invasive blood pressure, body temperature, respiratory rate, ECG, heart rate, and SpO2.  When we hook up our Bluetooth monitor for you, during our surgery, you get a large computer display of all the parameters. We send you a computer printout from our surgical procedure that lists 5 minute interval data […]

Anesthesia

Presurgical Premedication Protocols: Orthopedic Procedures: • Hydromorphone 0.05-.1mg/kg and Acepromazine 0.03mg/kg IV or IM • Morphine .5mg/kg -1mg/kg and Acepromazine 0.03mg/kg IV or IM Soft Tissue Procedures: • Buprenex .01mg/kg +/- acepromazine or valium for extra abdominal procedures • Hydromorphone 0.05mg/kg-0.1mg/kg and valium 0.2mg/kg IV for abdominal procedures • Morphine 0.5mg/kg-1mg/kg and valium 0.2mg/kg IV […]

Clean versus Dirty? When to be concerned about cancer

Most surgeons and oncologists think that the Goodman/Enneking system is fading in popularity and any “clean but close” nomenclature is too imprecise for systematic use. So what’s the new system all about? I think of them like this: R0 (complete resection, as you said, with negative* margin) *Negative here is really going with the KISS principle.  It […]

A stronger TPLO

There are at least a dozen ways to fix a cruciate tear for our patients.  Dr. Wardlaw offers the traditional lateral suture, a lateral plus (bone anchor and braided suture-similar to the tight-rope), and a locking plate TPLO. Locking TPLO plates and screws are now common place in academics, progressive referral practices and at Gateway […]