Cranial cruciate ligament insufficiency (CCLI) affects 3% to 5% of dogs1.
Past research has demonstrated satisfactory short (6-12 weeks)2 and medium (mean 16 months)3 term outcomes for lame dogs treated with TTA.
However, Steve says there is limited research on longer (>16 months) follow-up periods.
It has also been speculated that dogs with tibial plateau angles (TPA) of greater than 30⁰ are not well suited for a TTA4.
For the study5, the researchers reviewed patient records for a total of 149 TTA-Rapid procedures carried out in 120 dogs over an 80 month period.
They also reviewed owner questionnaires that evaluated the outcome of at least six months after surgery, using a validated clinical metrology instrument, Liverpool Osteoarthritis in Dogs (LOAD).
Follow-up questionnaires were received from owners of 64 of the 120 dogs (53.3%), with a median follow-up time of 37.5 months.
This cohort included a wide range of breeds, aged between 2&12 years and with bodyweights ranging from 6.3 to 41.8kg.
The dogs included 37 females and 27 males, and of the 79 limbs treated in these dogs, 41 were left and 38 were right.
The researchers found 26 of the dogs (40.6%) had a TTA performed with a TPA less than 30◦ and 38 (59.4%) with a TPA of 30◦ or more.
Of the 79 procedures, meniscal injury was noted in 27 (34.2%), surgery to stabilise the patella was required in 11 (13.9%), there was one surgical site infection (treated successfully with a short course of antibiotics), one dog sustained a fracture of the tibial seven days after surgery, and one sustained a late meniscal tear 12 months after initial surgery (treated successfully by partial meniscectomy).
The outcome was judged to be satisfactory, based on frequency of lameness, in 63 (98.4%), while satisfactory outcomes were achieved in 61 (95.3%) based on severity of lameness and in 50 (78.1%) based on mobility score.
Statistical analysis showed that age, bodyweight, tibial plateau angle (TPA), meniscal injury, and concurrent patellar surgery did not influence the outcome, but time to follow-up positively correlated with mobility score (suggesting mobility declined with time from surgery).
The researchers concluded that the long-term (median of 37.5 months) outcome for dogs undergoing TTA-Rapid for cranial cruciate ligament disease is satisfactory, with no risk factors associated with poorer outcomes identified.
The study also revealed no evidence to support the suggestion that dogs with TPAs of greater than 30◦ may be inappropriate candidates for TTA - after testing several parameters to judge outcome including frequency of lameness, severity of lameness, distance walked daily and mobility score.
Steve said: “This research is important in trying to ensure that decisions on whether to use this treatment modality, are based on sound clinical evidence.
"The only factor identified that influenced the outcome measure was that of time since surgery.
"All other factors, including TPA, had no effect on the outcome.”
References
Each event is designed to help attendees with:
Each attendee will be given a complimentary annual Veterinary Osteoarthritis Alliance (VOA) membership.
Kai Crawshaw, Animalcare Brand Manager said: "We had excellent feedback from our first workshops, so we’re pleased to be able to reach veterinary practices in more locations around the UK.
"We also have plans to run more across the rest of the year.
"We hope that these events will lead to veterinary staff becoming more confident in dealing with OA in dogs and helping owners understand the options open to them."
All events start at 7:30pm (arrival from 7pm) and will finish approximately at 9:30pm.
Hot food and drinks will be provided.
https://www.animalcare.co.uk/oa-workshops
The webinar will be presented by Dr Abigail McGlennon from the Equine Infectious Disease Surveillance (EIDS) team at the University of Cambridge who will present data from the Surveillance of Equine Strangles (SES) network to provide a detailed overview of strangles diagnoses across the UK.
Abigail will explore recent trends in outbreak reports, the genetic makeup of recent circulating strains and transmission links between UK outbreaks.
By linking research from her own PhD work on S. equi genomics and transmission with preventative strategies, Abigail show how to suggest and implement evidence-based prevention measures to clients.
The webinar will also offer advice on ‘the ates’ preventative measures – vaccinate, isolate, investigate and communicate – and will include information on when horse owners should be vaccinating with Strangvac and an outbreak management vaccination plan using the traffic light ‘green, amber and red’ system.
https://go.dechra.co.uk/preventative_strategies_for_strangles
The new clinic will be based in Uttoxeter and have an in-house 1.5T MRI, 32-slice CT, and three purpose-built theatres.
Building work has started and clinic is now recruiting for orthopaedic surgery Specialists, neurology Specialists and experienced veterinary nurses.
Mark Lowrie, RCVS and EBVS European Specialist in Veterinary Neurology (pictured), will lead the new site day-to-day once up and running.
He said: “Our ethos is simple: we aspire to be the place that vets take their own pets.
"By focusing on responsive communication, exceptional clinical standards, and fair pricing, we aim to build trust with both veterinary professionals and clients.
"And for those who join our team, we are committed to creating a supportive and positive environment where everyone can thrive and grow."
“This is a rare chance to be part of something special from day one, to join and help build the culture and success of a dynamic, independent practice and a brand new state-of-the-art clinic.
"With cutting-edge facilities and a supportive team, we want fresh expertise and energy to help shape the future of veterinary care.”
https://www.movementvets.co.uk/
The CMA says its main concerns remain the same as it outlined in March, namely whether consumers are getting enough information to make informed decisions, whether corporatisation is stifling competition in certain areas, whether corporate groups have incentives to act in ways that reduce choice, whether pet owners might be overpaying for medicines and whether the regulatory framework is outdated
Sarah Cardell, Chief Executive of the CMA, said: "The message from our vets work so far has been loud and clear – many pet owners and professionals have concerns that need further investigation.
"We’ve heard from people who are struggling to pay vet bills, potentially overpaying for medicines and don’t always know the best treatment options available to them.
"We also remain concerned about the potential impact of sector consolidation and the incentives for large, integrated vet groups to act in ways which reduce consumer choice.
"In March we proposed that a formal market investigation was the best route to fully explore these concerns and, if appropriate, take direct action to address them.
"That proposal has been overwhelmingly endorsed through our consultation.
"While we’re aware of acute staff shortages and difficult working conditions for vets, we consider a formal market investigation is essential to ensure good outcomes for the millions of pet owners in the UK as well as professionals working in the sector.
"The independent inquiry group will now take this investigation forward and, in the meantime, we’re publishing some tips to help pet owners better navigate vet services."
Meantime, the CMA has published 3 tips for pet owners, which are to look further than their nearest vet, to question treatment options and to consider buying medication elsewhere.
The event, which took place in Manchester in October last year, saw veterinary mental health researchers from across Europe come together to share their insights into a variety of areas of veterinary mental health including moral injury, suicide and suicide prevention, the impact of racism, veterinary nurse mental health, and workplace stressors for autistic veterinary professionals.
There were 77 attendees, including a mix of academic researchers and veterinary professionals.
Talks included an address from Dr Leah Quinlivan on ‘Evidence-based care for people who have self-harmed: risk prediction, psychosocial assessments and aftercare’, presentations of research into the impact of racism on the mental health of veterinary professionals and the impact of moral injury on wellbeing.
Angharad Belcher, Director for the Advancement of the Professions and of the Mind Matters Initiative gave a talk about the work of MMI, including its newly published 5-year strategy and evaluation documents.
She said: “The fourth Mind Matters Mental Health Research Symposium was a massively inspiring and insightful day.
"The field of veterinary mental health research is still relatively small so it remains of utmost importance that we continue to band together to share our knowledge on this subject, so that we can continue to learn and grow together and put these important learnings into practice.
“For us, it is vital that these new ground-breaking research projects are made available to all who want to learn more about helping to improve the mental health and wellbeing of those working within the veterinary professions.
"There is some truly fantastic work going on which provides us with hope that we can all continue to work together towards a brighter future.
“There is no doubt that there is a long way to go, but improvement starts with education and research so I would urge anybody who is interested in what is being done to help improve and support the mental health of those working within the veterinary professions, and who is keen to help us keep these vital conversations going, to have a look through the report or access videos of the talks.”
https://vetmindmatters.org/resources/videos-from-the-day-mind-matters-initiative-research-symposium-2023
https://vetmindmatters.org/resources/report-mind-matters-initiative-research-symposium-2023
Typically, diagnosis of endocrine disease is based on a thorough history and physical examination, followed by laboratory tests.
However clinical signs vary substantially across animals with endocrine disorders, so this new app uses AI and big data from millions of dogs in the RVC VetCompass database to improve the chances of an accurate diagnosis.
Dr Dan O’Neill, Associate Professor for Companion Animal Epidemiology at the RVC, said: "By applying the latest AI technology, the app is designed to assist primary care veterinary surgeons to better detect and diagnose Cushing’s Syndrome.
"The app provides a guide to the probability of Cushing’s syndrome as an explanation in patients showing both typical and atypical clinical signs for Cushing’s"
The app is free to download on both Apple and Android devices in the UK and EU countries by searching for 'the endocrinology app".
The money, which was raised from the annual raffle and auction was nearly 50% more than last year's total, which was an already impressive £27,800.
When the total was announced, former Vetlife President and auctioneer for the evening, Graham Dick was visibly moved and rendered temporarily speechless.
Once he's had a chance to recompose himself, he said “Your continued selection of Vetlife as the nominated charity for your now legendary fundraising at your annual conference not only raises much needed funds to enable it to continue to fulfil its mission, but also provides an excellent opportunity to re-enforce its contribution to the wellbeing of so many fellow veterinary professionals.” \
“This amazing sum raised could not have been possible without the provision by so many of such a wide range of raffle prizes and high value lots for auction and the generosity of those who bid unstintingly for them.
"On behalf of those in our veterinary community for whom such generosity may have made a substantial difference Vetlife is extremely grateful.”
Vet Dynamics Director Vicky Robinson said: “Both Graham and I were virtually speechless to see the amazing generosity from our delegates and exhibitors and, of course, the kindness of the donors.
"It's such a pleasure to be able to contribute to a charity who work tirelessly to help our wonderful profession.”
Photo: Vicky Robinson and Graham Dick
The Big Pain Survey is designed to identifying opportunities to help veterinary professionals improve their patient pain management and take a zero tolerance approach to pain in their patients.
Last year's survey revealed that only 18% of veterinary professionals use pain scoring for chronic pain, 78% of practices don't offer pain clinics, only 23% of vets always prescribe analgesia for acute otitis externa, 70% of vets don't do epidural anaesthesia at their practice, and most veterinary professionals agreed that clients' understanding of pain is low.
The organisers say that last year's survey results also suggest that awareness around educational information such as the WSAVA pain management guidelines needs further promotion, particularly when it comes to the use of local anaesthesia.
For example, 39% of practices don’t use local anaesthesia during bitch spays.
Lack of experience was commonly cited as the reason that local anaesthetic was not used for a variety of procedures that would benefit from it, including dental extractions.
For those vets that do use local anaesthesia more regularly, many said they feel they still need further education about it.
Survey: https://forms.gle/ogQmQsCKupW83u7FA
There are four categories of award:
Veterinary practices who feel they have excellence to showcase are invited to submit their nominations via: https://spvs.org.uk/business-excellence-awards, highlighting why they deserve to receive the award against each of the selection criteria.
The deadline for nominations is 5pm on 31st October 2023.
The SPVS Board then will review submissions and shortlist the top 5 nominations in each category.
Shortlisted practices will be contacted by 5pm on the 15th November 2023, and invited to submit a more detailed statement of 750 words or a 90-second video, giving them another opportunity to showcase their accomplishments.
A panel of SPVS members will evaluate the final submissions and vote for a winner in each category.
Category winners will be announced before the end of the year, and will win full day + evening tickets to SPVS Congress 2024 on Thursday 25th January 2024 for three team members, plus overnight accommodation at the Hilton Birmingham Metropole.
The overall winner will be announced at the SPVS Congress 2024 opening ceremony (25th – 27th January 2024).
The gallery was traditionally held in-person at the NAVC’s annual Veterinary Expo & Meeting (VMX) in Florida.
Now, for the first time since it began in 2012, the gallery is accessible to everyone everywhere months before the live event in June.
The new Virtual VMX New Product Gallery went live this week and will run until 3rd September 2021. It showcases 21 new product innovations from the following companies: BioNote; Boehringer Ingelheim Animal Health; Dechra Veterinary Products; Epicur Pharma; GVL; Hill’s Pet Nutrition, Inc.; Merck Animal Health; Neogen Corporation; Ogena Solutions; Purina; Royal Canin; Vetoquinol; Zoetis Petcare.
NAVC CEO Gene O’Neill said: "Each year, NAVC’s panel of experts select the most innovative new products and services to be showcased as part of the VMX Expo. We are excited to take this VMX staple and, for the first time, make it universally available to members of our global veterinary community everywhere.
"And they don’t have to wait until June to learn about and try these important new products. The VMX Virtual New Product Gallery launch is part of the NAVC’s expanding virtual portfolio which breaks down barriers of geography and time to make the best products the veterinary industry has to offer available to veterinary professionals worldwide.” The gallery is free to access. You can register here: https://vmxvirtual.simexpo.com/page/100
The annual three-day event takes place between Friday 11th – Sunday 13thOctober 2024 at the Telford International Centre.
This year’s theme is ‘Progression’ to inspire reflection on how far the profession has come and enable blue-sky conversations of where it could go in the future.
There are over twenty streams at Congress, covering subjects like emergency and critical care, anaesthesia and analgesia, primary care and first opinion nursing, referral nursing, One Health, feline nursing, behaviour, exotics, zoo and wildlife, nutrition, QI & Audit, VN Education.
On the social side, there's Musical Bingo, and a ‘Blue Light Party’, an emergency services themed gala dinner and awards ceremony.
https://bvna.org.uk/congress/
The company said Folly Vets stood out for their exemplary approach to customer service, demonstrating a deep care for both their clients and colleagues.
Nicky Hart, Practice Manager at Folly Vets, said: “Our reception team is the heartbeat of the practice.
"They create lasting relationships with clients, often creating a level of trust that means clients ask for them by name.
"And they consistently go above and beyond for everyone they support.
"This award is a well-deserved recognition of their unwavering dedication and exceptional service.”
Heidi Bodily said: “I’m incredibly grateful to receive this award.
"Being a receptionist means playing many roles – from supporting clients through difficult times and sharing their joy during happy moments, to ensuring the practice runs smoothly.
"Knowing that my contributions make a difference to others is the most rewarding part of the job and the Krka award is the icing on the cake.”
Runner-up awards went to Weeley Vets in Clacton-on-Sea, Hafren Veterinary Practice in Newtown, Wales, Rebecca Hadley from Poplar Vets in London and Abbie Deabill from North Park Veterinary in North Tawton.
The practice is now accepting dental referrals, including for dental, oral and maxillofacial surgery.
Hannah said: “I am proud to join the Fitzpatrick Referrals team to extend their referral offering to include this very important aspect of small animal veterinary treatment.
"Working alongside a world-class team with state-of-the-art facilities is a fantastic opportunity.”
https://www.fitzpatrickreferrals.co.uk/services/dentistry/
The Veterinary Wound Management Conference will be taking place at the Derby County Football Club, where there'll be workshops, demonstrations and discussions on a range of topics, from burns to post-operative care, covering dressing selection and suture techniques, complications and innovations.
There will be practical sessions on bandaging and casting and delegates will be able to choose from up to seven workshops/demonstrations at a time, on subjects ranging from eye care to maggot therapy and laser treatment.
There will also be an exhibition by companies and organisations specialising in this field.
Organisers say the venue, Pride Park Stadium, is easily accessible by road (there’s masses of free parking) and rail (it’s little more than a 10-minute well-signposted walk from the station); and there’s plenty of accommodation very close by in a Travelodge, Premier Inn, Holiday Inn Express or Penta Hotel.
For veterinary nurses, tickets cost £125 (plus VAT) for the two days or £70 (plus VAT) for one day. For vets, it's £165 for the two days or £90 (plus VAT) for one day.
The price includes a hot buffet lunch each day, morning and afternoon tea, delegate handbook and wi-fi.
Each day will provide seven hours of CPD.
To register, go to www.theveterinaryedge.com/wmc.
Ficoxil contains the active ingredient firocoxib, an NSAID from the coxib class, known for its analgesic, anti-inflammatory, and antipyretic properties.
Ficoxil is available in two strengths, 57 mg and 227 mg in packs of 30.
The tablets, which are presented in presented in a divisible and blister-perforated form, are hypoallergenic, gluten-free, and come in a beef flavour of animal-free origin.
Ficoxil is available now from all major veterinary wholesalers.
https://www.fortehealthcare.com/product/ficoxil
Ki-67 is a proliferation marker used for assessing tumour aggressiveness, however the traditional method of assessing Ki-67 scores involves manually counting the proliferating cells, which is subjective, time-consuming and prone to variability.
Finn says its new AI-assisted Ki-67 scoring test represents a significant advancement in veterinary diagnostic oncopathology.
The AI algorithm analyses Ki-67 labelling across the entire section of tumour.
Positively labelled cells are highlighted, scores are calculated, and the results are validated by a pathologist before reporting.
This more automated analysis enables the evaluation of large volumes of histological data, ensuring consistent and reliable prognostic assessments.
Finn says it also removes the subjectivity and variability associated with identifying areas of highest cell proliferation, which is a crucial aspect of tumour scoring.
https://www.finnpathologists.com
XLVets has called on experts in people development, legal, IT and HR, as well as its practice owners, managers and team leaders to develop a package of coronavirus resources. The package includes guidance and best practice, tips offered by XLVets members, expert guidance in the use of technology to support home workers, access to the XLVets Thriving in Practice wellbeing initiative and more.
To access the resources at www.xlvets.co.uk without charge or obligation, email admin@xlvets.co.uk.
Colm McGinn (pictured right), from XLVets said: "We are very good at working together to develop solutions for problems and supporting each other. This is a national challenge and while our members have faced some difficult decisions, they've been able to share that decision-making process with their peers, calling on them for ideas, guidance and support.
"It's a big ask for just one or two partners to interpret the guidance in a rapidly changing environment and to stay informed about advice from regulatory bodies and associations. We've all benefited from sharing knowledge and it's lifted some of the pressure that comes from taking individual action, while still having freedom to do what's right for your own practice and people. I can't think of a better time for us to share our learning and resources for the greater good."
For more information, visit: https://www.xlvets.co.uk/the-boss.
Ian, who helped devise the PROTECT ME acronym which is now used worldwide to champion the cause of responsible antimicrobial use, said: "Antimicrobial resistance is one of the greatest threats of our time and it affects all sectors of the veterinary profession.
"While there will always remain a need for the use of antimicrobials for the treatment of bacterial infections, it is the duty of every one of us to continue our good work to protect their usage to ensure they remain effective for the future."
PROTECT ME stands for Prescribe only when necessary, Reduce prophylaxis, Offer other options, Treat effectively, Employ narrow spectrum, Cure appropriately, Tailor your practice policy. Monitor, Educate others.
Ian added: "I discussed the issue of restricted prescribing with my Doctor when he was treating my injury back in 2011
"Discussion on the Small Animal Medicine Society (SAMSOC) forum followed and then we developed a working group.
"I came up the name PROTECT when I was in the shower one day experimenting with acronyms on the shower cubicle wall!
"Collaboration with BSAVA enabled the scheme to launch in 2012 and then BEVA adapted the scheme and added the ME.”
PROTECT ME is now used for BSAVA and BEVA’s antimicrobial resources and campaigns and has also been taken up in New Zealand and been translated into French.
Rachael McGregor, Clinical Director at Calder Vets in Yorkshire asked Ian for help in developing antimicrobial stewardship guidelines for the practice last year. She said: “Ian helped us to set up prescribing guidelines using a traffic light system, supported a programme of CPD and supplied prescribing posters. This has made a significant difference to prescribing behaviour across the practice and over the past two months we haven’t prescribed a single critically important antibiotic.”
Davies has produced a range of resources for vets and for pet owners including an explanatory poster and a webinar series. For further information visit: https://vetspecialists.co.uk/insights/webinars/antimicrobial-webinars/
The new formula also contains crataegus, L-carnitine and magnesium taurate, and is designed to be used alongside all heart medications.
Alongside the launch of the new product, Vita has also created an infographic highlighting the common signs of heart disease in dogs.
https://vitaanimalhealth.com/common-signs-of-heart-disease
https://vitaanimalhealth.com/product/omnicardio-plus
Purina says that assessing water intake can be difficult for pet owners and appreciating what is ‘normal’ is of course central to identifying when intake is excessive, requiring further investigation, or inadequate, requiring alternative hydration strategies.
The company developed the water calculator to help vets and nurses give guidance to pet owners on a pet’s recommended daily water intake, depending on lifestage, bodyweight and diet.
Libby Sheridan, Scientific Affairs Manager at Purina said: “All too often a pet has been suffering polydipsia for some time when they are presented at the clinic.
"That may be because water intake isn’t being measured or observed, but often there is a confusion with knowing what is normal for the individual pet.
"Cats, particularly when they are older may struggle to meet their water needs and this tool can be helpful in assessing their intake and suggests some strategies for improving hydration.”
Any member of the clinical veterinary team can email vettechline@purina.nestle.com to get access to webinars on hydration and a short video on how to use the water calculator within Vet Centre.
https://vetcentre.purina.co.uk
Francisco says he decided to launch the podcast after watching how the bond between society and veterinary professionals has been eroded in recent years, with vets increasingly being portrayed as money-grabbers and uncaring in the press.
The aim of the podcast is to show the human behind the surgical mask; that veterinary professionals have the same feelings, motivations, worries and passions as anyone else.
Francisco said: "For those who aren’t part of the veterinary community, I hope to open a window into who we are, so they can better understand what drives our behaviours, decisions and compassion. And for those who are, I hope to make them feel that they’re not alone."
More Than Just a Vet is open for everyone to listen to directly from the website morethanjustavet.net, where you can subscribe to be alerted when there's a new release. The podcast is also available on all major podcast providers.
The initiative seeks to understand the barriers and enablers to delivering contextualised care in companion animal practices, and to set out what contextualised care looks like when done well.
As part of the initiative, RCVS Knowledge is gathering perspectives from across the veterinary community and from pet owners to design a roadmap for the profession.
The work started last week at the National Forum for Contextualised Care in London, which brought together more than 60 people from across the veterinary sector, including leaders from veterinary associations, veterinary educators, students, practice staff, veterinary charities and rescues, pet insurers, regulators, representatives from corporate and independent practices and animal owners.
RCVS Knowledge will now be working with an independent research partner to conduct focus groups, surveys and interviews to gather a representative range of views from across the sector and pet owners.
The work will culminate in a summit in the summer that will use the findings of the research to design recommendations on:
Sally Everitt, Clinical Lead – Evidence at RCVS Knowledge said: “Contextualised care is the way of delivering veterinary care that acknowledges that there are different ways to approach the diagnosis and treatment of an animal, depending on the circumstances of the individual animal and their caregivers and the context in which the care is delivered.
"The term has been used increasingly over the past year, and is now the subject of much debate, alongside other aligned terms such as ‘spectrum of care’ and ‘pragmatic medicine’.
"However, we need to better understand what constitutes good-quality contextualised care, and the barriers and enablers to its delivery in practice.”
Katie Mantell, Chief Executive of RCVS Knowledge, said: “As an independent charity with a mission to advance the quality of veterinary care, we believe RCVS Knowledge is well-placed to bring together all parts of the veterinary community to seek consensus on what good-quality contextualised care looks like and how it can be delivered in practice.
"Our aim is to take a collaborative, robust approach to co-producing a roadmap for contextualised care that will support its widespread delivery for the benefit of animals, the veterinary professions and animal owners.”
To be updated about the progress of this work, and to hear about opportunities to take part in the focus groups, interviews and surveys to follow, sign up to receive RCVS Knowledge’s monthly email newsletter intheKNOW.
Francesca's initiative was recognised with a RCVS Knowledge ‘Highly Commended’ status at its 2024 awards.
The idea for the audit came about after Francesca noticed a trend for patients to become hypotensive during anaesthesia for routine feline neutering and need additional treatment.
CVS says clinical evidence suggests a minimum value of 60mmHg for perfusion of vital organs such as the brain, heart and kidneys.
So a clinical audit was undertaken to look at perioperative blood pressure in both cats and dogs having routine neutering procedures.
The target was for patients to maintain a mean arterial blood pressure of 60mmHg during their anaesthetic.
The animals chosen for auditing were to be classed ASA 1 and under 5 years old.
They received a pre-operative health check including a blood pressure reading to ensure they were normotensive.
A first audit looked at a standard premedication protocol of ACP at a dose rate of 0.02mg/kg combined with methadone at a dose rate of 0.3mg/kg.
A second audit initiated a change to the pre-medication drugs, using 0.005mg/kg medetomidine combined with the same dose of methadone.
Both received anaesthesia induction with Propoflo at a dose rate of 6mg/kg for cats and 4mg/kg for dogs.
All patients under anaesthetic were maintained using isoflurane and kept at a surgical plane of anaesthesia appropriate for that patient.
The patients were monitored throughout their surgical procedure using an oscilliometric monitoring machine - for systolic, diastolic and mean arterial blood pressure – and measurements recorded on an anaesthetic chart.
The collected data revealed that in the first audit, where patients received ACP and methadone, 42% (50% of cats and 38% of dogs) had a mean arterial blood pressure lower than 60mmHg after the first five blood pressure readings post induction.
In the second audit, with medetomidine combined with methadone, only 11% of patients (0% of cats and 15% of dogs) with a mean arterial blood pressure lower than 60mmHg.
In addition to the reduction in hypotensive patients during anaesthesia when the medetomidine/methadone combo was used, Francesca says the audit suggests a link to hypotension with ACP used as a premedication in anaesthetised patients.
Francesca said: “My passion in veterinary nursing is anaesthesia. And there is always room for improvement and striving to achieve gold standard care.
“These results clearly show that a change from our current premedication protocol of ACP and Methodone to Medetomidine and Methadone decreased the number of patients having hypotension during anaesthesia. The change means fewer patients were at risk of developing the side effects associated with hypoperfusion of the vital organs.
“Our quality improvement initiative has made a really positive impact in practice for both patient care and clinical team.”
KISS (which stands for Knowledge, Information, Support and Sharing) will offer: In-Practice Training, The Hill’s Nutritional Ambassador Programme, On-Demand Education and Hill’s Webinars.
There will also be a variety of tailored training sessions designed to help give veterinary professionals the knowledge and tools to broach nutrition.
Michael Unsworth, Hill’s Vet Affairs Manager, UK & Republic of Ireland said: “Vet practices have gone above and beyond during the pandemic, supporting patients and owners alike during extremely challenging times Hill’s wants to extend a helping hand, with support, tips, and tools to stay a step ahead as pet parents return back into the clinic following months of looking out for their pet’s nutrition and wellbeing without the usual level of expert guidance and support from their veterinary team.
“Vets and their teams face multiple challenges on the pet nutrition front, whether it be the plethora of ‘self-appointed experts’ out there, trying to encourage loyalty from their clients, or the long-lasting effects of COVID, all of which are yet to play out over the long haul. The KISS initiative will provide clinics access to a dedicated team of passionate nutritional experts, ensuring vets have the right support and knowledge base - and one less thing to worry about as they strive to improve pets’ lives on a daily basis."
For more information, contact your Hill’s representative.