DOCSLIB.ORG

Partners in Care – September 2020

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Partners in Care – September 2020 Partners In Care Fall 2020 | Volume 14:3 | angell.org | facebook.com/AngellReferringVeterinarians VETERINARY REFERRAL NEWS FROM ANGELL ANIMAL MEDICAL CENTER ANESTHESIA ANESTHESIA PAGE 1 Anesthesia and Anesthesia and Analgesia for the Cesarean Section Analgesia for the CARDIOLOGY Cesarean Section PAGE 1 Kate Cummings, DVM, DACVAA | angell.org/anesthesia | [email protected] | 617-541-5048 Oral Antiarrhythmic Therapy n considering an anesthetic protocol for both emergent barrier also cross the blood-placental barrier. Enzymes and elective cesarean sections (C-sections), it’s responsible for hepatic metabolism are ineffective until 3-5 INTERNAL MEDICINE important to first understand maternal physiologic weeks of age. Finally, the fetal oxyhemoglobin dissociation PAGE 6 changes associated with pregnancy and fetal physiology curve is shifted to the left, meaning that there is less unloading Diagnosis and Treatment Iconsiderations. Major body systems affected by pregnancy of oxygen to tissues.1,2,3 of Chronic Hepatitis in include the cardiovascular (CV), respiratory, gastrointestinal, An ideal protocol for C-section patients provides adequate Dogs: Summary of the and renal systems — all of which are equally important to consider during any anesthetic event. A brief summary of how analgesia to the mother, optimal operating conditions, rapid 2019 ACVIM Consensus these systems are impacted during pregnancy and anesthesia recovery, and minimal fetal depression (Table 2). It is important is outlined in Table 1 on page 2. In regard to fetal physiology, to note that maternal and puppy or kitten mortality increases SURGERY it is imperative to know that drugs that cross the blood-brain (CONTINUED ON PAGE 2) PAGE 8 Idiopathic Chylothorax in the Dog EMERGENCY PAGE 11 Addison’s Disease CARDIOLOGY DENTISTRY Oral Antiarrhythmic Therapy PAGE 12 Canine and Feline Rebecca L. Malakoff, DVM, DACVIM (Cardiology) Extractions and angell.org/cardiology | [email protected] | 617-541-5038 Dealing with Common hen your patient’s heart beats too are most likely to prescribe or encounter. (Dosages for the Complications fast or irregularly, it’s enough to make a medications can be found in Plumb’s Veterinary Drugs). veterinarian’s heart speed in response. My SURGERY hope is that this review of the most commonly QUICK REVIEW OF Wused oral antiarrhythmic medications in veterinary medicine ANTIARRHYTHMIC CLASSIFICATIONS PAGE 14 will help to reduce the heart rate of patient and doctor alike. Patellar Groove On page 4 you will find a quick reference of the actions, side You may not have spent much time thinking about the Replacement effects, and considerations for selection of the four drugs you Vaughan-Williams classification scheme for antiarrhythmic (CONTINUED ON PAGE 4) INSIDE: REFERRAL CONTACT INFO AND ADDITIONAL RESOURCES ON A REMOVABLE POSTCARD ANESTHESIA Anesthesia and Analgesia for the Cesarean Section CONTINUED FROM PAGE 1 ANESTHESIA TABLE 1 — MATERNAL PHYSIOLOGIC CHANGES AND THEIR ANESTHETIC IMPACT.1,2,3 Body System Changes During Pregnancy Anesthetic Impact Cardiovascular • Blood volume increases ~40% with larger increase in plasma • Common to battle hypotension with patients in dorsal recumbency volume); thus, relative anemia develops as venous return is compromised by pressure of large uterus on • Increased cardiac output (CO) due to increased heart rate and vena cava stroke volume • Following removal of the uterus, abdominal vessels may vasodilate, • Right shift of oxyhemoglobin dissociation curves facilitates oxygen leading to systemic hypotension delivery to fetus • Judicious use of IV fluids recommended unless patient is at risk for • Increased myocardial work and reduced cardiac reserve — susceptible developing CHF +/- use of vasopressors animals incapable of mounting a significant response to CV stressors • Animals with preexisting myocardial dysfunction may decompensate and develop heart failure Respiratory • Oxygen consumption increases by ~20% (due to developing fetus, • Patients predisposed to hypoxemia — pre-oxygenation IMPERATIVE placenta, uterine muscle, and mammary tissue) • Increase in alveolar ventilation and reduced FRC result in reduced • Functional residual capacity (FRC) and total lung capacity reduced MAC requirements • Increased tidal volume and respiratory rate result in increased • Reduced PaCO2, generally in the range of 30-33 mmHg minute ventilation Gastrointestinal • Positioning of uterus and increased progesterone result in reduced • Increased risk of regurgitation and aspiration gastric emptying and reduced gastric motility • Higher percentage of brachycephalic breeds requiring C-section adds to this risk • Rapid sequence induction and intubation to quickly protect the airway • Consider use of metoclopramide and/or an H2-receptor antagonist Renal • Renal blood flow and GFR increased • Elevated renal values may indicate dehydration or underlying • Patients often have low or low normal BUN and creatinine kidney disease • Pre-surgical fluid resuscitation and adjusted fluid therapy/use of vasopressors during anesthesia necessary to maintain kidney perfusion TABLE 2 — ELECTIVE AND EMERGENT C-SECTION PROTOCOL SUGGESTIONS IN DOGS AND CATS.3 Species Anesthetic Protocol Analgesia Dog 1. Pre-oxygenate, clip, and prep 1. Line block with bupivacaine (1 mg/kg) or lidocaine (2 mg/kg) 2. Propofol (4-6 mg/kg) or alfaxalone (2-3 mg/kg) titrated to effect IV 2. Buprenorphine (0.01 mg/kg) or hydromorphone (0.05-0.1 mg/kg) IV 3. Maintenance on isoflurane or sevoflurane after removal of puppies 4. Balanced crystalloid IVF at 5-10 mL/kg/hr (adjust if preexisting 3. Single dose of carprofen (4.4 mg/kg) or meloxicam (0.1 mg/kg) SC heart disease) Cat 1. Same as above 1. Same as above aside from these changes 2. Buprenorphine (0.02 mg/kg) IV after removal of kittens 3. Single dose of meloxicam (0.1 mg/kg) or robenacoxib (2 mg/kg) SC with emergent versus planned C-section.4,5 Fetal initial abdominal clipping and prepping before effects. Both drugs cross the placenta, but there is and neonatal mortality can be minimized by administration of anesthetic agents. Pre-anesthetic rapid clearance and minimal fetal depression. avoiding placental hypoperfusion and hypoxemia medications can and should be avoided unless the Newer studies have shown improved APGAR and providing proper neonatal care upon patient is overly fractious or unmanageable. scores within the first 60 minutes following delivery.6,7,8 Prior to anesthesia, the mother should If dealing with an aggressive patient, consider delivery in neonates with an alfaxalone induction have a full physical exam, thorough history short-acting and reversible drugs such as fentanyl compared to propofol.9,10 Survival out to 3 months taking, and a minimum database of blood work and midazolam. Alpha-two adrenergic agonists, was similar between groups, however, indicating (e.g., PCV/TP/Azo/iCa/Glu). In debilitated particularly xylazine, should be avoided as they that either induction agent is appropriate.9 patients or those with comorbidities, a complete have been linked to decreased survival in the database of lab work should be performed prior to neonate.4 All patients should be pre-oxygenated for Following induction, maintenance can be anesthesia. Correction of electrolyte and/or at least five minutes and induced in the or when achieved with isoflurane or sevoflurane, keeping hydration/volume deficits should occur before possible. The primary determinant of fetal viability in mind that maternal anesthetic requirements are induction. is the time from anesthetic induction to delivery, often reduced due to pregnancy-induced changes. with a target of < 15 minutes.4,5,6,7,8 Propofol or Occasional small boluses of propofol or alfaxalone Most dystocia patients are easy to handle and alfaxalone are induction agents of choice, both can be used if patient depth suddenly lightens. calm, allowing for IV catheter placement and short-acting and with similar CV and respiratory Multimodal analgesia is important and possible 2. Partners In Care Fall 2020 Volume 14:3 ANESTHESIA Anesthesia and Analgesia for the Cesarean Section CONTINUED FROM PAGE 2 INTERNAL MEDICINE INTERNAL ANESTHESIA in the mother. Prior to surgery, a line block can be FIGURE 1 performed quickly with either bupivacaine or lidocaine. After delivery (Figure 1), an opioid and 4 Successful delivery and survival following emergency C-section. chosen intra-operatively antibiotic can be administered. Inhalants should be adjusted following removal of the puppies/kittens since the opioid effectively reduces anesthetic requirements. Buprenorphine, a partial mu agonist, is recommended as it results in minimal sedation and adequate analgesia. A full mu agonist (e.g., hydromorphone or methadone) can be used as an alternative, but lower doses are recommended to minimize CV and respiratory depression as well as limit the degree of sedation. An epidural can be considered postoperatively with morphine alone or morphine and lidocaine. If an epidural is performed, owners should be made aware of possible urinary retention and hind end weakness (short duration) if lidocaine is used.1,2,3 Finally, a single postoperative dose of an NSAID can be considered in patients with normal blood work and adequate intraoperative blood pressures (MAP > 65 mmHg). Neonatal management and resuscitation begins by having one person dedicated to each neonate when possible. Early and frequent rubbing to dry helps stimulate respiration and keep the neonates warm. A bulb syringe can be used
Load more

Recommended publications
  • Chylothorax After Left Side Pneumothorax Surgery Managed by OK-432 Pleurodesis: an Effective Alternative
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Available online at www.sciencedirect.com ScienceDirect Journal of the Chinese Medical Association 77 (2014) 653e655 www.jcma-online.com Case Report Chylothorax after left side pneumothorax surgery managed by OK-432 pleurodesis: An effective alternative Sheng-Yang Huang a, Chou-Ming Yeh b, Chia-Man Chou a,c,*, Hou-Chuan Chen a a Division of Pediatric Surgery, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC b Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan, ROC c National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC Received June 13, 2013; accepted September 23, 2013 Abstract Chylothorax, a relatively rare complication of thoracic surgery, mostly occurs on the right side. We present a 16-year-old male who received thoracoscopic surgery for left spontaneous pneumothorax. Chylothorax developed on the postoperative 2nd day and resolved after diet control on the 4th day. Unfortunately, chylothorax recurred 2 weeks later. Chest drainage and nil per os with total parental nutrition were given but in vain. Thereafter, chemical pleurodesis with OK-432 was performed. Chylothorax resolved on the next day. The relevant literature is reviewed and possible pathogenesis clarified. Copyright © 2014 Elsevier Taiwan LLC and the Chinese Medical Association. All rights reserved. Keywords: chylothorax; pleurodesis; pneumothorax 1. Introduction 2. Case Report Postoperative chylothorax is infrequent but potentially A 16-year-old male patient had the history of left chest pain life-threatening and time-consuming to manage. Associated for 5 days.
    [Show full text]
  • Section 8 Pulmonary Medicine
    SECTION 8 PULMONARY MEDICINE 336425_ST08_286-311.indd6425_ST08_286-311.indd 228686 111/7/121/7/12 111:411:41 AAMM CHAPTER 66 EVALUATION OF CHRONIC COUGH 1. EPIDEMIOLOGY • Nearly all adult cases of chronic cough in nonsmokers who are not taking an ACEI can be attributed to the “Pathologic Triad of Chronic Cough” (asthma, GERD, upper airway cough syndrome [UACS; previously known as postnasal drip syndrome]). • ACEI cough is idiosyncratic, occurrence is higher in female than males 2. PATHOPHYSIOLOGY • Afferent (sensory) limb: chemical or mechanical stimulation of receptors on pharynx, larynx, airways, external auditory meatus, esophagus stimulates vagus and superior laryngeal nerves • Receptors upregulated in chronic cough • CNS: cough center in nucleus tractus solitarius • Efferent (motor) limb: expiratory and bronchial muscle contraction against adducted vocal cords increases positive intrathoracic pressure 3. DEFINITION • Subacute cough lasts between 3 and 8 weeks • Chronic cough duration is at least 8 weeks 4. DIFFERENTIAL DIAGNOSIS • Respiratory tract infection (viral or bacterial) • Asthma • Upper airway cough syndrome (postnasal drip syndrome) • CHF • Pertussis • COPD • GERD • Bronchiectasis • Eosinophilic bronchitis • Pulmonary tuberculosis • Interstitial lung disease • Bronchogenic carcinoma • Medication-induced cough 5. EVALUATION AND TREATMENT OF THE COMMON CAUSES OF CHRONIC COUGH • Upper airway cough syndrome: rhinitis, sinusitis, or postnasal drip syndrome • Presentation: symptoms of rhinitis, frequent throat clearing, itchy
    [Show full text]
  • Chylothorax As Rare Manifestation of Pleural Involvement in Waldenström Macroglobulinemia: Mechanisms and Management
    210 Lymphology 49 (2016) 210-217 CHYLOTHORAX AS RARE MANIFESTATION OF PLEURAL INVOLVEMENT IN WALDENSTRÖM MACROGLOBULINEMIA: MECHANISMS AND MANAGEMENT G. Leoncini, C.C. Campisi, G. Fraternali Orcioni, F. Patrone, F. Ferrando, C. Campisi Unit of Thoracic Surgery (GL), Unit of General & Lymphatic Surgery - Microsurgery and Department of Surgical Sciences and Integrated Diagnostics (DISC) (CCC,CC), Unit of Pathology (GFO), Unit of Internal Medicine and Medical Oncology and Department of Internal Medicine (DIMI) (FP,FF), IRCCS San Martino University Hospital - National Institute for Cancer Research, and University School of Medicine and Pharmaceutics, Genoa, Italy ABSTRACT increase of IgM level. Pleuropulmonary involvement is reported to be rare (from 0 Here we report the clinical, pathological, to 5% of cases), and it usually occurs during and immunological features of a rare case of the late phase of the disease (3,4). In such a Waldenström macroglobulinemia (WM) with scenario, chylothorax is rarely observed in pleural infiltrations. An atypical chylothorax, WM patients; indeed only seven cases have successfully treated by videothoracoscopy, been reported in the literature (5-11). We represented the main clinical feature of this report the case of a 66-year old man with the case of low-grade lymphoplasmacytic main clinical presentation of pleural lymphoma. Pleuropulmonary manifestations infiltrations with right chylothorax following are rare (from 0 to 5% of cases) in WM, with immunochemotherapy. An extra-bone chylothorax observed in just seven patients marrow involvement was suggested by both worldwide. In addition to describing this pleural fluid examination and multiple uncommon clinical presentation, we investi- pleural biopsies in parallel with a marked gate hypothetical pathogenetic mechanisms decrease of bone marrow (BM) participation causing chylothorax and through an up-to- (tumor cells in BM from 70% to 8%).
    [Show full text]
  • 001-017-Anesthesia.Pdf
    Current Fluid Therapy Topics and Recommendations During Anesthetic Procedures Andrew Claude, DVM, DACVAA Mississippi State University Mississippi State, MS • Intravenous fluid administration is recommended during general anesthesia, even during short procedures. • The traditional IV fluid rate of 10 mls/kg/hr during general anesthesia is under review. • Knowledge of a variety of IV fluids, and their applications, is essential when choosing anesthetic protocols for different medical procedures. Anesthetic drug effects on the cardiovascular system • Almost all anesthetic drugs have the potential to adversely affect the cardiovascular system. • General anesthetic vapors (isoflurane, sevoflurane) cause a dose-dependent, peripheral vasodilation. • Alpha-2 agonists initially cause peripheral hypertension with reflex bradycardia leading to a dose-dependent decreased patient cardiac index. As the drug effects wane, centrally mediated bradycardia and hypotension are common side effects. • Phenothiazine (acepromazine) tranquilizers are central dopamine and peripheral alpha receptor antagonists. This family of drugs produces dose-dependent sedation and peripheral vasodilation (hypotension). • Dissociative NMDA antagonists (ketamine, tiletamine) increase sympathetic tone soon after administration. When dissociative NMDA antagonists are used as induction agents in patients with sympathetic exhaustion or decreased cardiac reserve (morbidly ill patients), these drugs could further depress myocardial contractility. • Propofol can depress both myocardial contractility and vascular tone resulting in marked hypotension. Propofol’s negative effects on the cardiovascular system can be especially problematic in ill patients. • Potent mu agonist opioids can enhance vagally induced bradycardia. Why is IV fluid therapy important during general anesthesia? • Cardiac output (CO) equals heart rate (HR) X stroke volume (SV); IV fluids help maintain adequate fluid volume, preload, and sufficient cardiac output.
    [Show full text]
  • Pharmacology – Inhalant Anesthetics
    Pharmacology- Inhalant Anesthetics Lyon Lee DVM PhD DACVA Introduction • Maintenance of general anesthesia is primarily carried out using inhalation anesthetics, although intravenous anesthetics may be used for short procedures. • Inhalation anesthetics provide quicker changes of anesthetic depth than injectable anesthetics, and reversal of central nervous depression is more readily achieved, explaining for its popularity in prolonged anesthesia (less risk of overdosing, less accumulation and quicker recovery) (see table 1) Table 1. Comparison of inhalant and injectable anesthetics Inhalant Technique Injectable Technique Expensive Equipment Cheap (needles, syringes) Patent Airway and high O2 Not necessarily Better control of anesthetic depth Once given, suffer the consequences Ease of elimination (ventilation) Only through metabolism & Excretion Pollution No • Commonly administered inhalant anesthetics include volatile liquids such as isoflurane, halothane, sevoflurane and desflurane, and inorganic gas, nitrous oxide (N2O). Except N2O, these volatile anesthetics are chemically ‘halogenated hydrocarbons’ and all are closely related. • Physical characteristics of volatile anesthetics govern their clinical effects and practicality associated with their use. Table 2. Physical characteristics of some volatile anesthetic agents. (MAC is for man) Name partition coefficient. boiling point MAC % blood /gas oil/gas (deg=C) Nitrous oxide 0.47 1.4 -89 105 Cyclopropane 0.55 11.5 -34 9.2 Halothane 2.4 220 50.2 0.75 Methoxyflurane 11.0 950 104.7 0.2 Enflurane 1.9 98 56.5 1.68 Isoflurane 1.4 97 48.5 1.15 Sevoflurane 0.6 53 58.5 2.5 Desflurane 0.42 18.7 25 5.72 Diethyl ether 12 65 34.6 1.92 Chloroform 8 400 61.2 0.77 Trichloroethylene 9 714 86.7 0.23 • The volatile anesthetics are administered as vapors after their evaporization in devices known as vaporizers.
    [Show full text]
  • Standard Operating Procedures
    A-PDF Merger DEMO : Purchase from www.A-PDF.com to remove the watermark STANDARD OPERATING PROCEDURES FOR STERILIZATION OF STRAY DOGS UNDER THE ANIMAL BIRTH CONTROL PROGRAMME Compiled by Animal Welfare Board of India Animal Birth Control (ABC) & Anti-Rabies Programme is being implemented in almost all major metros of India Over 1 lakh stray dogs are sterilized & vaccinated against rabies every year under the Animal Birth Control (2001) Dog Rules The Animal Birth Control Programme is currently being implemented in over 60 cities all over India, including major metros like Delhi, Jaipur, Chennai, Mumbai, Bangalore, Hyderabad, Kolkata, Jodhpur and Kalimpoong. In Tamil Nadu & Goa, since 2007, the Animal Birth Control and Anti-Rabies Vaccination Programme has been successfully implemented for the entire state. This has led to Tamil Nadu state pioneering a new concept of a Participatory Model of the ABC Programme in 50 Municipalities and 5 Municipal Corporations, with 50% cost sharing by local bodies on participatory basis. Similarly, the Union Territory of Delhi too has adopted the Participatory Model of the ABC Programme since 2008. Tamil Nadu has also been at the forefront of rabies control initiatives, having constituted the country’s first State level Coordination Committee on Rabies Control and Prevention in January, 2009, with the first meeting held on April 20th, 2009. The Animal Welfare Board of India is promoting such initiatives throughout the country. In all Metros, where the ABC Programme has been successfully implemented in India, a significant reduction in the number of human rabies cases has been noted. The Animal Birth Control Programme is the only scientifically proven method to reduce the stray dog population in a city or town.
    [Show full text]
  • Veterinary Anesthesia and Pain Management Secrets / Edited by Stephen A
    Publisher: HANLEY & BELFUS, INC. Medical Publishers 210 South 13th Street Philadelphia, PA 19107 (215) 546-7293; 800-962-1892 FAX (215) 790-9330 Web site: http://www.hanleyandbelfus.com Note to the reader Although the information in this book has been carefully reviewed for cor­ rectness of dosage and indications, neither the authors nor the editor nor the publisher can accept any legal responsibility for any errors or omissions that may be made. Neither the publisher nor the editor makes any warranty, expressed or implied, with respect to the material contained herein. Before prescribing any drug. the reader must review the manu­ facturer's correct product information (package inserts) for accepted indications, absolute dosage recommendations. and other information pertinent to the safe and effective use of the product described. This is especially important when drugs are given in combination or as an adjunct to other forms of therapy Library of Congress Cataloging-in-Publication Data Veterinary anesthesia and pain management secrets / edited by Stephen A. Greene. p. em. - (The Secrets Series®) Includes bibliographical references (p.). ISBN 1-56053-442-7 (alk paper) I. Veterinary anesthesia-Examinations, questions. etc. 2. Pain in animals­ Treatment-Examinations, questions, etc. I. Greene, Stephen A., 1956-11. Series. SF914.V48 2002 636 089' 796'076--dc2 I 2001039966 VETERINARY ANESTHESIA AND PAIN MANAGEMENT SECRETS ISBN 1-56053-442-7 © 2002 by Hanley & Belfus, Inc. All rights reserved. No part of this book may be repro­ duced, reused, republished. or transmitted in any form, or stored in a database or retrieval system, without written permission of the publisher Last digit is the print number: 9 8 7 6 5 4 3 2 CONTRIBUTORS G.
    [Show full text]
  • 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats*
    VETERINARY PRACTICE GUIDELINES 2020 AAHA Anesthesia and Monitoring Guidelines for Dogs and Cats* Tamara Grubb, DVM, PhD, DACVAAy, Jennifer Sager, BS, CVT, VTS (Anesthesia/Analgesia, ECC)y, James S. Gaynor, DVM, MS, DACVAA, DAIPM, CVA, CVPP, Elizabeth Montgomery, DVM, MPH, Judith A. Parker, DVM, DABVP, Heidi Shafford, DVM, PhD, DACVAA, Caitlin Tearney, DVM, DACVAA ABSTRACT Risk for complications and even death is inherent to anesthesia. However, the use of guidelines, checklists, and training can decrease the risk of anesthesia-related adverse events. These tools should be used not only during the time the patient is unconscious but also before and after this phase. The framework for safe anesthesia delivered as a continuum of care from home to hospital and back to home is presented in these guidelines. The critical importance of client commu- nication and staff training have been highlighted. The role of perioperative analgesia, anxiolytics, and proper handling of fractious/fearful/aggressive patients as components of anesthetic safety are stressed. Anesthesia equipment selection and care is detailed. The objective of these guidelines is to make the anesthesia period as safe as possible for dogs and cats while providing a practical framework for delivering anesthesia care. To meet this goal, tables, algorithms, figures, and “tip” boxes with critical information are included in the manuscript and an in-depth online resource center is available at aaha.org/anesthesia. (J Am Anim Hosp Assoc 2020; 56:---–---. DOI 10.5326/JAAHA-MS-7055) AFFILIATIONS Other recommendations are based on practical clinical experience and From Washington State University College of Veterinary Medicine, Pullman, a consensus of expert opinion.
    [Show full text]
  • Veterinary Clinical Subjects
    NEW AND RESTRUCTURED POST-GRADUATE CURRICULA & SYLLABI Veterinary Clinical Subjects Animal Reproduction, Gynecology & Obstetrics Veterinary Clinical Medicine, Ethics & Jurisprudence Veterinary Epidemiology & Preventive Medicine Veterinary Surgery & Radiology Education Division Indian Council of Agricultural Research New Delhi April 2009 Contents Page(s) Executive Summary 3-4 BSMAC Composition 5 Preamble 6-8 Organization of Course Contents & Credit Requirements 9-10 Animal Reproduction Gynaecology & Obstetrics 11-22 Course Structure – at a Glance 11 Course Contents 12 List of Journals 22 e-Resources 22 Suggested broad Topics for Master’s and Doctoral Research 22 Veterinary Clinical Medicine, Ethics & Jurisprudence 23-33 Course Structure – at a Glance 23 Course Contents 24 List of Journals 33 e-Resources 33 Suggested broad Topics for Master’s and Doctoral Research 33 Veterinary Epidemiology & Preventive Medicine 34-49 Course Structure – at a Glance 34 Course Contents 35 List of Journals 48 e-Resources 48 Suggested broad Topics for Master’s and Doctoral Research 49 Veterinary Surgery & Radiology 50-62 Course Structure – at a Glance 50 Course Contents 51 List of Journals 62 e-Resources 62 Suggested broad Topics for Master’s and Doctoral Research 62 Compulsory Non credit courses 63-65 2 EXECUTIVE SUMMARY I. The New Approach The proposed course curricula and syllabi in veterinary science disciplines have been prepared in the light of PG programs in vogue at different veterinary colleges in India and contemporary developments in veterinary sciences. The guiding principle of the proposed new approach is to impart comprehensive and practical knowledge by covering all important aspects of the subject area of study at Master’s level.
    [Show full text]
  • Mission Statement
    Newsletter of the Theriogenology Foundation Vol. 7, Summer 2019 Mission Statement The Theriogenology Foundation is a global resource that supports education and research in reproductive medicine; ensuring that future generations of animals continue to enrich our lives through service, companionship, and food for a growing human population while conserving our natural resources. From the pen of the president The Theriogenology Foundation: a wealth of knowledge, spirit and Celebrating a Decade of Dedication to resources that has lifted students up, the Future of Animal Reproduction pushed research forward and promoted our specialty. They are the advocates Ten years ago, in Albuquerque, New for the pets in our lives, supporters Mexico, newly minted SFT President of military and assistance dog teams, Dr. Tom Riddle announced that the educators of the next generation of combined boards of the SFT and ACT specialists and ambassadors for how were successful in jointly completing the reproductive health of all animals the formation of the Theriogenology impacts human health. Foundation. Following the Therio Awards ceremony, Tom spearheaded the First The great news is that the Foundation Annual Theriogenology Foundation has helped many. The challenge is that Auction which surpassed all expectations many still do not know who we are and by bringing in nearly $13,000 for the what we do. If you’ve taken the time to brand-new 501c3. read the last 10 issues of our biannual publication, THERiver, you already I revisited the Albuquerque International know the numbers which justify our Airport this winter, and was drawn to the tremendous pride in accomplishment. same Lincoln Fox sculpture that attracted me in 2009, accompanied by a plaque We are poised to further scale up our with his words: program goals, collaborations and research initiatives when additional funding is secured.
    [Show full text]
  • Supplemental Anesthesia & Analgesia Information This Supplemental
    Supplemental Anesthesia & Analgesia Information This supplemental information was prepared by members of the Veterinary Task Force to Advance Spay-Neuter (VTFASN) as a companion piece to the Association of Shelter Veterinarian’s Veterinary Medical Care Guidelines for Spay-Neuter Programs (Guidelines). Anesthesia and Analgesia Guidelines for High Quality, High Volume Spay/Neuter Initiatives Andrea L. Looney, DVM, DACVA, Leslie D. Appel, DVM, Mark W. Bohling, DVM, PhD, DACVS, Y. Karla Rigdon-Brestle, DVM, Philip A. Bushby, DVM, MS, DACVS, Nancy J. Ferguson, DVM, Brenda Griffin, DVM, MS, DACVIM, David J. Sweeney, DVM, Kathy A. Tyson, DVM, Adriana H. Voors, DVM, Sara C. White, DVM; Edited by Joan E. Dempsey, MFA INTRODUCTION As a recent ad campaign for inhalant anesthesia stated, “There’s a lot more to good anesthesia than simply life and death or waking from the event (1).” In other words, the fact that an animal makes it through surgery is no longer a good criterion by which to measure adequacy in our choices of anesthetic drugs, monitoring or stabilization. We understand now that what we have done or failed to do pre-, intra- or postoperatively has sometimes caused animals to succumb to perioperative disease within weeks or months of the surgery. Our historical presumptions of successful anesthesia, indicated by animals that appear stable under anesthesia or wake up quickly or well, are no longer adequate. Why is this so? The answer is relatively simple. Despite all our advancements within the fields of both human and veterinary anesthesiology, and regardless of whether we use simple mask inhalants or potent premeds such as Xylazine, anesthesia remains a profound cardiorespiratory depressant event which is capable of causing disease and death.
    [Show full text]
  • 2019 AAHA Dental Care Guidelines for Dogs and Cats*
    VETERINARY PRACTICE GUIDELINES 2019 AAHA Dental Care Guidelines for Dogs and Cats* Jan Bellows, DVM, DAVDC, DABVP (Canine/Feline), Mary L. Berg, BS, LATG, RVT, VTS (Dentistry), Sonnya Dennis, DVM, DABVP (Canine/Feline), Ralph Harvey, DVM, MS, DACVAA, Heidi B. Lobprise, DVM, DAVDC, Christopher J. Snyder, DVM, DAVDCy, Amy E.S. Stone, DVM, PhD, Andrea G. Van de Wetering, DVM, FAVD ABSTRACT The 2019 AAHA Dental Care Guidelines for Dogs and Cats outline a comprehensive approach to support companion animal practices in improving the oral health and often, the quality of life of their canine and feline patients. The guidelines are an update of the 2013 AAHA Dental Care Guidelines for Dogs and Cats. A photographically illustrated, 12-step protocol describes the essential steps in an oral health assessment, dental cleaning, and periodontal therapy. Recommendations are given for general anesthesia, pain management, facilities, and equipment necessary for safe and effective delivery of care. To promote the wellbeing of dogs and cats through decreasing the adverse effects and pain of periodontal disease, these guidelines emphasize the critical role of client education and effective, preventive oral healthcare. (JAmAnimHospAssoc2019; 55:---–---. DOI 10.5326/JAAHA-MS-6933) AFFILIATIONS * These guidelines were supported by a generous educational grant from Boehringer Ingelheim Animal Health USA Inc., Hill’s® Pet Nutrition, Inc., From All Pets Dental, Weston, Florida (J.B.); Beyond the Crown Veterinary and Midmark. They were subjected to a formal peer-review process. Education, Lawrence, Kansas (M.L.B.); Stratham-Newfields Veterinary Hos- These guidelines were prepared by a Task Force of experts convened by the pital, Newfields, New Hampshire (S.D.); Department of Small Animal Clin- American Animal Hospital Association.
    [Show full text]