In the Horiba-sponsored webinar, Kit will draw on personal experience and case study examples to illustrate how the innovative use of adjunctive tests can support rapid clinical decision-making when triaging patients.
For example, Kit will consider whether inflammation markers such as C-reactive protein (CRP) and serum amyloid A can be used to assess if current signs are likely associated with inflammatory diseases, such as pancreatitis, or whether further investigation is required to determine cause of illness.
Kit will also consider the case of Ollie a 10-year-old German shorthaired pointer presenting as vaguely unwell with reduced appetite.
Is this just a flare-up of his chronic osteoarthritis and likely to respond to pain relief and anti-inflammatory treatment, or something else?
Attendees will be able to questions in a live Q&A session at the end of the webinar.
Horiba's team will also be on hand to answer questions on in-house diagnostics.
For free registration, visit: https://bit.ly/3wGADcm
The survey of 1,019 dog owners was conducted by petbuzz in December 2022.
Veterinary cardiology specialist, Dr Rachel James, said: “The CKCS has long been a very popular breed of dog in high demand, due to their loving and placid nature making them perfect family pet.
"We know that sadly at least 50% of CKCS have evidence of MVD disease by the time they are five, with 98% of dogs affected in their lifetimes.
"However, we can help our clients when selecting this breed to choose a puppy that is less likely to develop MVD at an early age, by utilising the heart testing scheme (Doppler heart testing).
"Prospective owners should be asking to see test results for the parents, grandparents, and even better great grandparents too, on both maternal and paternal sides.
"In addition breeders need more support and education to encourage the use of the heart testing scheme and how this can enable them to choose the best dogs to breed from.
"Furthermore we should be encouraging breeders to breed from dogs only when they are at least 3 years of age.”
Vita Animal Health commissioned the survey to raise awareness of the condition and to remind owners to use their vet’s expertise.
Vita’s veterinary nurse, Tara Evans, said: “The CKCS is a very popular breed of dog, perhaps set to be more so now King Charles III is reigning monarch.
"This survey has shown that awareness of mitral valve disease – which is very common in this breed – is not as good as it could be.
"We want to support vets in raising awareness and have useful resources such as our heart disease infographic (www.vitaanimalhealth.com/common-signs-of-heart-disease) that we welcome all vets in using.”
Speakers include Dr Ian Stroud, founder and veterinary director of Pet People, an independent small animal practice in Richmond, South West London, Jack Peploe, a veterinary IT expert and Certified Ethical Hacker, and Ciaran Milford, ezyVet’s EMEA sales manager, who has worked with every type of veterinary practice, from aspiring independents right through to established universities and corporate groups.
Lance Rice, creative director at ezyVet, who will moderate the webinar, said: “Our speakers are all vastly experienced and ideally positioned to explain what makes a successful launch, as well as the key mistakes and common traps that new owners fall into.
"Ian has a unique understanding of the challenges and opportunities involved with starting a veterinary practice.
"Jack is an expert in helping practices leverage technology to save time, whilst delivering exceptional patient care and bolstering their security posture.
"Ciaran is passionate about helping practices find the right solutions for their needs and business goals."
To register, visit: https://www.ezyvet.com/webinar/starting-a-vet-practice-uk
Andy said: “High functioning practices, revolve around the nurses. Naturally, they are a communication hub.
"It makes sense to recognise the essential role they play and develop a nurse-centric structure.”
“Start by making sure you’ve enough nurses and look at how the rota is set up.
"Ensure everyone understands the practice’s vision and mission, as well as the shared values and the behaviours which demonstrate those values.
“When there’s alignment between individual and organisational goals and values, you all naturally pull in the same direction.
“Then it’s about how the day is set up and who runs each part.
"In our practice, the nurse is responsible for the running order, for allocating who’s doing what and making sure everyone understands their roles, and liaising with the vets.
"It’s about ‘working in flow’.”
Helen (pictured right) says empowering nurses is as much about how the team interacts, as its structure: “Like anyone else, nurses need to be acknowledged and have a psychologically safe space to discuss ideas and challenges.
“We can all build trust by being curious and asking lots of different questions.
"Experienced team members need to be fallible and humble, setting the scene so that everyone in the team has voice.
"Ideas should be expected, and welcomed – after all, the outcome of a patient is rarely due to just one person’s expertise.”
She added: “Where nurses’ contribution and potential are recognised, and the hierarchy is shallowed, they make incredible leaders."
“At BSAVA Congress 2023, I’ll be speaking about delegation.
"As leaders we feel we have to ‘own’ tasks and that inevitably means doing it ourselves.
"But that’s not always the best option.
"It can leave leaders feeling overwhelmed, whereas delegating tasks can empower others, build resilience within the team and help with retention.
“Small practices often have that traditional command and control structure – it’s the classic triangle, where the owner sits at the top with others underneath.
"Broadening that hierarchy is both possible and practical.
"Leverage the talent on the team, grow it, develop it and you’ll be nurturing next level of the leaders.”
Andy says he has sometimes found it a challenge to let go: “Like many vets, I used to be a bit of a control freak and had to consciously learn to delegate.
"It’s accepting that others may do it differently, and at first, not as well or as quickly as you.
"The temptation is do it yourself but it immediately blocks others from learning the skill and hampers growth within the team.”
Helen says that when considering promoting anyone into a leadership position, it is important to remember that it isn’t always an innate skill.
“Often, nurses become experts clinically, and then get asked to become leaders in that area.
"This is difficult for some people.
"They feel they should be able to do it, but have had very little training on the subject, don’t have the knowledge or skills and therefore feel unsupported in their role.”
"As the pressure mounts, stress levels rise and it starts to impact on their wellbeing, potentially great leaders step down.
“When this happens everyone loses, and is why I’m so passionate about leadership training.”
www.bsavaevents.com/bsavacongress2023.
Bringing together people working at the cutting edge of small animal and equine osteoarthritis treatment with the companies driving technology, supplies and services, the Veterinary Osteoarthritis Congress is open to both VOA members and non-members, including veterinary surgeons, nurses, physiotherapists and others engaged in hydrotherapy and rehabilitation.
Day 1 has two small animal streams – session headings include ‘Managing OA’ and ‘Dealing with chronic pain’; and an equine stream looking at ‘Multidisciplinary management of OA’, ‘OA treatment options’ and ‘Unusual presentations’.
On day 2, ‘Biomodulation in OA’, ‘Working dogs’, ‘Mobility clinic’, and ‘Feline OA focus’ will run alongside sessions on ‘Rehab in action’, ‘Surgery in OA’ and ‘Dietary supplements’.
There’ll also be case presentations and interactive sessions on both days, with demonstrations and lectures from some of the leading firms.
Seven sessions in each stream offers two days of CPD.
After the first day’s sessions there’ll be a happy hour followed by a gala dinner in the Kings Hall. The event is being sponsored by Animalcare (Platinum), TVM UK and the Canine Hydrotherapy Association (Gold) with more to be announced soon.
Professor Stuart Carmichael, co-founder and director of the VOA, said: “Exciting developments are happening in veterinary OA, so we felt now is the right time to put this event on.
"There’s nothing specialist about osteoarthritis treatment and management: every small animal and equine practice deals with OA every day.
“There’s a real need and enthusiasm for bringing the latest thinking to as wide an audience as possible, so VOACON offers sessions for all members of the practice, whatever their interest is, along with rehab and physio teams.
"It’s actually been pretty difficult fitting everything in, but we’re confident we’ve got a great programme offering real, practical CPD that will benefit practices, their clients and their patients.”
Delegate rates for VOA members are:
Non-members (who can join the VOA when booking to qualify for members’ rates):
Rates include a hot buffet lunch, congress book and CPD certification.
To book or to download the programme, visit www.vet-oa.com/voacon.
The poster gives information about things like lillies, chocolate, raisins, fertilisers, weedkillers and adders.
TVM will also be running its annual social media campaign about the most common spring dangers, giving practices digital content which they can share with clients.
To get a poster for your practice, contact your local TVM territory manager or visit https://www.tvm-uk.com/pet-dangers-order-free-display-materials-for-your-practice.
During the day, visiting RVNs will be treated to a tour of the state-of-the-art, £16 million, 40,000 sq ft hospital, which opened last summer.
Nicola Barrigan, Head of Nursing Services at Southfields, said: “The open day will give visitors an informal opportunity to speak to members of our nursing team in relaxed surroundings to find out a bit more about what life is like here at Southfields.
“There will also be the chance for them to attend nurse-led presentations, including Q&A sessions, chat with our clinicians and discuss progression opportunities with the Linnaeus professional development team.
"Information will also be available on our post-registration programme.”
The open day will begin with pastries and refreshments at 8:45am.
Hospital director Daniel Hogan, himself an RVN, will then give an introduction to Southfields after which there will be a presentation about Linnaeus's referral nursing post-registration programme (PRP) and progression at the hospital.
There will then be a meet the team session with both vets and RVNs, plus a Q&A session before a lunch is provided at 12.30pm, followed by a tour of the hospital and oncology building.
To end the day, there is an optional CPD featuring bite-size nursing sessions from 2pm to 4pm.
To sign up, visit: https://southfields.co.uk/nurse-open-day.
There are 5 candidates standing for two available places on RCVS VN Council this year. They are:
The biographies and election statements for each candidate are available at https://www.rcvs.org.uk/who-we-are/vn-council/vn-council-elections/
Ahead of the start of the election in mid-March, the RCVS is asking veterinary nurses to email questions for candidates to: vnvote23@rcvs.org.uk in order to better understand them and their views.
You have until Friday 24 February 2023 to submit your question.
The voting period for RCVS VN Council opens on Monday 13th March and closes at 5pm on Friday 21 April 2023.
For the study, 21 owners were interviewed and transcripts thematically analysed.
Owners who reported positive experiences with their vets described the value of comprehensive initial explanations of their dog’s condition, seeing the same veterinary surgeon for each consult, and individual attributes of vets, including current knowledge on epilepsy management and good communication skills.
The authors say these factors are likely to contribute to improved two-way vet-owner communication, owner satisfaction and adherence to care instructions.
The implications of a negative relationship were also highlighted by the study.
Owners’ dissatisfaction with perceived insufficient expertise from their general practice vet (resulting in referrals to specialists), and when referred, poor communication between referral specialists and their primary care vet.
Owners’ pre-existing views and values were identified as drivers of negative experiences including strong dog-owner bonds leading to extremely high expectations for veterinary care.
Another factor was pre-existing distrust and perceived biases of the veterinary pharmaceutical industry.
Owners who had a more negative experience with veterinary surgeons were found to be more likely to perform their own personal research, putting them at higher risk of being influenced by the large amount of misinformation online.
The authors say that vets often report that they find epilepsy challenging to manage, particularly as a high proportion of dogs do not respond sufficiently to available medications.
This study aimed to help provide a better understanding of owners’ wants and needs.
Dr Rowena Packer, Primary supervisor on this study and Lecturer in Companion Animal Behaviour and Welfare Science at the Royal Veterinary College, said: “Epilepsy is a challenging condition to manage for dog owners and veterinary surgeons alike.
"Owners’ emotions often run high due to the trauma of witnessing their beloved dog’s seizure, and the ongoing stresses of caregiving for their dog.
"In tandem, vets can feel frustrated at not always being able to reduce seizures as much as they’d hope.
"Combined, the capacity for disappointment and conflict is high.
“Forging strong, trusting partnerships of care between owners and vets is key to maintaining wellbeing for all three members of the ‘treatment triangle’ – affected dogs, owners and vets."
Amy Pergande, Royal Veterinary College Veterinary graduate who conducted this research as part of her Master of Research degree, said: “Improving availability of reliable information sources for epilepsy management could help veterinary teams to confidently prescribe ’information prescriptions’ that boost owner confidence and help them to feel empowered to contribute more actively in decision-making for their dog, in partnership with their vet.”
Dr Zoe Belshaw, EBVS Recognised Specialist in Small Animal Medicine, of EviVet Evidence-based Medicine Research Consultancy and co-author of the study, said: “Our research suggests owners really value vets taking the time, once the initial shock has receded, to share information, answer questions and signpost to external resources, including peer-to-peer support forums.
"Ensuring that owners feel confident and competent about caring for their dog with epilepsy is likely to benefit the dog, its owners and the veterinary team providing their ongoing care”.
The BVA Voice of the Veterinary Profession research found the most cited welfare issue facing exotics was ‘irresponsible animal ownership’ (82%).
Vets who treat NTCAs reported that 58% of the NTCAs they see do not have their five animal welfare needs met and 26% have seen a rise in the number brought in for treatment in the past year.
BVA Senior Vice President and zoo veterinary surgeon Justine Shotton said: “The welfare of non-traditional companion animals has long been a concern of many vets and this is demonstrated in our recent research.
"It is worrying that a quarter of vets are seeing an increase in the number brought in for treatment and sad to hear that so many cite irresponsible ownership as the top cause behind welfare issues.
"We know people who keep these animals have the right intentions to give them best care they can but their needs are so complex it can be difficult to do so, particularly if they are a new pet and owners are not sure exactly what they need.
"It is so important that potential buyers give careful consideration to buying such an animal before bringing one home.
"We’d also urge any vets who are approached by potential keepers for advice to strongly encourage them to do their research to ensure they have the skills and knowledge to care for them properly before buying an exotic species.”
BVA's new policy position calls for more regulation of online sales and third-party advertising of NTCAs and an end to the import of wild-caught reptiles and amphibians for non-conservation reasons.
BVA also recommends a pre-purchase test, both demonstrating a potential owner’s knowledge on how to properly care for an NTCA, and helping to improve education around the needs of the species.
Past BVA President and Chair of the Working Group Sean Wensley said: “The new policy position makes recommendations which will help to protect the welfare of NTCAs, including calling for improved regulation of their keeping and sale.
"It highlights issues such as the welfare risks of certain breeding practices and stresses the need to move away from the wild-capture of animals for the pet trade.
"Taken together, the 32 recommendations present a clear veterinary view on the ethical sourcing and care of these species.”
www.bva.co.uk/exoticpets
Staffies were by far the most commonly stolen animal, accounting for 25.7% of all reported dogs thefts in the UK between 2017 and 2021.
Meanwhile, Devon and Cornwall had the highest number of pet thefts: 140.6 per 100,000 people.
Northumbria came second, with 61.5 pet thefts per 100,000 people, and Lancashire third (52.9 per 100,000).
On the other end of the scale, one breed that was less likely to be stolen was the pug (4.5%), although that's perhaps not surprising: after all, who'd want to steal an animal whose face you can't differentiate from its backside?
The safest animal in the country is probably an Akita (1.9%) living in Surrey (6.8 pet thefts per 100,000 people).
Full report: https://www.adt.co.uk/blog/the-adt-pet-theft-report
Vetlife says the cost of running its Helpline, Health Support, and Financial Support services for the veterinary community is forecast to exceed the £1million mark for the first time in its history, and it is heavily reliant on donations from fundraisers.
If you'd like to support the charity's work and hold a fundraiser, you can do so individually or as part of a team.
First, you're asked to decide on a goal to set yourself or your team.
This could be an overall distance, a total step count, or to be active each day.
The more adventurous can set walking, running, cycling, swimming, kayaking, rock-climbing, or horse-riding goals.
Then create a fundraising page through JustGiving, so you can share the link and spread the word about your event.
Vetlife asks that you tag the charity in any pictures you share on on social media.
Vetlife Communications Officer Eve Ritchie said: “The links between physical activity and mental health are well documented.
"Active October, is the perfect opportunity to get your friends and colleagues together to boost your wellbeing and raise some much-needed funds for our charity.”
You can buy running vests and t-shirts from Vetlife through its website.
If you have any questions about fundraising for Vetlife, email: fundraising@vetlife.org.uk.
www.vetlife.org.uk
Zenalpha provides restraint, sedation and analgesia during non-invasive, non-painful or mildly painful procedures and examinations intended to last no more than 30 minutes2.
It is administered intramuscularly and takes effect within 5-15 minutes1, 2.
Dechra says patients also recover more rapidly2, potentially avoiding hospitalisation and allowing them to get home sooner.
Zenalpha contains the active ingredients 0.5 mg/ml medetomidine hydrochloride and 10mg/ml vatinoxan hydrochloride.
Medetomidine is an alpha-2 agonist used for its sedative and analgesic properties.
Vatinoxan is a peripherally selective alpha-2 antagonist which Dechra says has limited penetration across the blood-brain barrier, so it works to antagonise only the alpha-2 receptors located in the periphery, reducing cardiovascular side effects without impacting the quality of sedation or analgesia.
In a study of 223 dogs1 comparing a traditional alpha-2 agonist with Zenalpha, Zenalpha was found to minimise cardiovascular side effects while preserving reliable sedation and analgesia.
Claire Westoby, brand manager at Dechra said: ‘The next generation of alpha-2 agonists have evolved to provide the same effective and reliable sedation and analgesia, but with reduced cardiovascular side effects and a reduced chance of vomiting.
"This improves the sedation experience for the canine patient, as well as reducing the associated stress commonly experienced by veterinary teams and dog owners.”
Matt Gurney FRCVS, an RCVS and EBVS European Specialist in Veterinary Anaesthesia and hospital director at Anderson Moores, said: “It is really exciting to see the launch of an innovative new product, especially one with a unique mechanism of action that will improve the sedation experience for the vet team and our patients.
"Zenalpha not only provides a solution to cases where IV placement is not possible and a rapid onset IM option is required, but it also offers a rapid and complete recovery which ensures that dogs can be reunited with their owners and return home as soon as possible.”
Zenalpha is presented in a 10 ml glass vial in individually packed cardboard boxes.
For more information: www.dechra.co.uk/zenalpha or contact your local Dechra territory manager.
To watch Matt Gurney’s ‘Zennovation in sedation – the next generation of alpha-2 agonists’: www.dechra.co.uk/academy.
References
Sedaxylan 20 mg/ml contains the short acting alpha-2 agonist xylazine and is licensed for I/V administration.
It is also licensed for I/M administration in cattle; it has zero milk withdrawal and short one day meat withdrawal and sedation occurs in cattle within two minutes I/V and five to 10 minutes I/M.
Sedaxylan 20 mg/ml joins Dechra’s Nerfasin vet 100 mg/ml solution in the company’s anaesthesia and sedation range. Nerfasin vet also contains xylazine and is licensed for I/V administration for sedation and premedication prior to general anaesthesia in horses and cattle.
Alana McGlade, national sales manager at Dechra, said: “Dechra offers a comprehensive range of anaesthesia and sedation products allowing vets to customise protocols to the individual animal.
"Sedaxylan 20mg/ml and Nerfasin vet 100 mg/ml solution provide vets with flexible and convenient dosing options.”
Both Sedaxylan 20 mg/ml and Nerfasin vet 100 mg/ml are available in 25ml vials.
For more information, talk to your Dechra territory sales manager.
www.dechra.co.uk.
For those new to the club, the idea is that every two weeks, we pick an article in Veterinary Practice and invite the author to join us on VetNurse.co.uk, so that you can ask questions and discuss the subject with one another.
As a bonus, you can claim time spent reading or participating in the discussion towards your annual CPD requirement.
Just press the claim CPD button at the top right of the discussion thread.
For this first discussion of 2023, author Shelly Jefferies RVN, NCertPT, a clinical coach with over twenty years experience as a veterinary nurse (and founder of the Facebook group SVN2RVN) will be joining us this week to answer questions about 'Becoming a Cat-friendly Clinic'.
To take part, first read her article here: https://www.veterinary-practice.com/article/becoming-a-cat-friendly-clinic
Then come and join the VetNurse Clinical Article Club and post your questions here: https://www.vetnurse.co.uk/vetnurse-clinical-article-club/
VetNurse.co.uk Editor, Arlo Guthrie said: "I hope lots of you will come and join the club. It really is a great opportunity to learn from experts in a professional, moderated forum, where you can be confident of a friendly welcome."
There'll be tours of the hospital, including the new consulting suite, together with the opportunity to meet NWVS specialists, clinicians, nurses and client care personnel.
Food and refreshments will be served throughout the day, and the practice is also laying on some physiotherapy demonstrations.
Clinical director Prue Neath said: “Our open day for veterinary practice teams is a great opportunity to showcase to the veterinary profession the modern facilities and cutting-edge equipment we have on offer, further enhanced by our major expansion.
“The upgrades ensure we can continue to deliver the very best of care and treatments to our pet patients, while offering a first-class working environment for our valued colleagues.”
To book a place: www.nwspecialists.com/vet-professionals/open-day/registration
The new course, which starts in February, is only the second such course to be offered to practice nurses in the UK. It's designed for anyone who wants to advance their knowledge and skills in practice nursing to a mastery level, beyond that of the RCVS Day One Skills and Competences.
CVS says the course is applicable to working within the practice consulting room or district nurse environments. Modules cover professional practice and legislation, consulting skills, nutrition and diet, medical clinics, prescribing and dispensing for the practice nurse, coaching, mentoring and support, and practical practice nurse skills.
The 12-18 month course will be taught online, with a face-to-face induction and assessments.
Jacqueline Evans, Head of CVS Group’s Chester Veterinary Training Centre, said: “Our veterinary nurses are hugely important to us.
"A good nurse, offering great care, is fundamental to a good practice.
"So we wanted to increase the breadth of veterinary nurse training – both for CVS and external nurses – to give them the opportunity to progress their careers and be the very best they can be."
The course costs £2500 + VAT
To apply, visit www.chestervtc.co.uk or email: nursingschool@cvsvets.com.
Willows says it is currently the only centre in the UK to offer the procedure, and one of very few in the world.
Simon Swift, an RCVS and European specialist in small animal cardiology (pictured right), heads the cardiology team at Willows.
He said: “Transcatheter edge-to-edge mitral valve repair (TEER) is already considered an alternative to surgical repair in human patients and there have been some very promising early clinical results in dogs.
“The procedure is performed under general anaesthesia through a small incision in the chest wall.
“Access within the beating heart is achieved by a needle puncture at the apex of the heart which is highlighted by continuous X-ray images and an ultrasound of the heart via a probe placed in the oesophagus.
“This allows correct positioning of a V-clamp across the mitral valve to reduce the amount of leakage.
“It’s a procedure that delivers meaningful results and an improved quality of life and, because it’s a minimally invasive process, patients are typically discharged from hospital within two days.”
www.willows.uk.net
Ear cropping in UK dogs was exposed by BBC’s Panorama as a growing problem particularly with extreme mix breeds such as American Bullies and XL Bullies.
Dave said: “We need to urgently relook at legislation in the UK to prevent the serious rise in ear cropping which we’ve witnessed in recent years.”
It is currently illegal for a dog’s ears to be cropped in the UK, and proposals for a ban on importing dogs with cropped ears have been put forward by the Government. However, Dave says this legislation doesn’t go far enough to prevent an exponential rise in dogs with cropped ears, which some owners see as a status symbol: “At the moment the legislation in the UK is very hard to enforce unless you actually catch someone in the act of cropping the dog’s ears.
“It’s not currently illegal for someone to own a dog with cropped ears.
"So, if an owner were challenged by enforcement agencies, they’d just say ‘I bought the dog like this’ and there’s no liability.” “We propose that any dogs who already have cropped ears at the time the ban is due to come into force, must be registered on a database, which enforcement agencies and the veterinary profession would have access to.
"And for anyone owning an unregistered dog with cropped ears after the legislation comes into effect, then it’s a criminal offence.”
The Panorama programme also exposed co-ownership – where the breeder and the pet owner share ownership of the dog, often the bitch – as a system which has enabled unscrupulous breeders to get around current laws on dog breeding in the UK.
The breeder retains ownership of the stud dog and uses the network of co-owned female dogs for reproduction purposes. Dave said: “People need to be made aware of the risks of entering into a legal contract as a co-owner of one of these extreme mix breed dogs. “All the contracts I have seen in my role as an expert witness are strongly weighed in favour of the breeder. “So for example if the bitch does not have the requisite number of litters, or becomes ill or injured and has to be put to sleep, then the co-owner is fully liable for the full purchase cost of the dog to the breeder. “Considering that the female dogs are often valued in excess of £12k and the breeder may well have connections to organised crime or have a criminal record, there are huge risks for people entering into co-ownership.”
The new machine is a modular system using low-flow anaesthesia for animals from 2-80kg.
The company says that compared to anaesthetic techniques which use high fresh gas flow rates, it functions without posing a risk to team members from the huge amounts of oxygen and inhalational anaesthetic agents that would otherwise be released.
In turn, this results in cost savings from unwasted agents, and a typical 5 to 10 times reduction in environmental damage.
Darvall founder, Dr Colin Dunlop, said: “For optimal outcome from anaesthesia, veterinary anaesthesiologists and veterinarians routinely make decisions about the physiological well-being of the patient, the environmental impact of their actions, the operational efficiency of their practice and cost-effectiveness.
"Having suitable equipment that uses low-flow anaesthesia will reduce the risk of hypothermia, improve team safety, reduce environmental emissions and reduce costs.”
“Low-flow anaesthesia not only reduces oxygen flows and inhalant agent consumption to less than 10% of high-flow, non-rebreathing systems, it can help reduce anaesthetic hypothermia because it uses warm gas when using the Darvall heated breathing circuits.
"Using our specifically designed modern system for veterinary patients addresses the traditional challenges associated with low-flow anaesthesia and hypothermia.
Darvall says the use of just one system will also simplify staff training and ensure familiarity.
https://darvallvet.com
Dr Power faced a number of charges relating to alleged clinical and communications failings surrounding surgery carried out on two separate dogs on two separate occasions.
The first concerned laryngeal tieback surgery carried out on Harvey, a Tibetan Terrier in March 2018, and the second concerned oesophageal surgery carried out on a boxer dog, Boss, in October 2018.
The College withdrew a number of the charges at the start of the hearing, and more later after hearing from witnesses.
Of the remainder, Dr Power admitted that she had not undertaken pre-operative radiographs before proceeding with the laryngeal surgery, had failed to perform the surgery appropriately (she dissected excessive tissue and had inappropriately placed sutures), and had undertaken the surgery when it was outside her area of competence.
In relation to the oesophageal surgery, Dr Power admitted failing to provide a referral report and/or clinical records to the veterinary practice he was referred from, despite requests from the practice.
The Committee found that the majority of the charges which had not been withdrawn or admitted by Dr Power, not proven.
However, the Committee found that in addition to the admitted charges, Dr Power had subjected the dog undergoing oesophageal surgery to an excessive 9.5 hours of anaesthesia.
The Committee then went on to consider whether the proven charges amounted to serious professional conduct.
Counsel for the College submitted that Dr Power’s conduct breached the part of the Code of Professional Conduct relating to veterinary surgeons keeping within their area of competence and referring responsibly; and providing veterinary care that is appropriate and adequate.
In terms of aggravating factors, the College submitted that there was both actual injury to the animal, as well as actions that posed a risk of injury, that Dr Power financially benefitted from the alleged misconduct as she was paid to perform a procedure outside her competence, and that she occupied a position of increased trust and responsibility as she advertised herself as a practitioner who accepted referrals and was competent to perform soft tissue surgery.
Dr Power’s counsel submitted that the charges that had been found proven amounted to clinical and administrative failings and that this was not a case of a veterinary surgeon deliberately or recklessly acting outside of their capabilities, but rather a case where a diligent and responsible veterinary surgeon had fallen short in discrete areas of her clinical practice and had reasonably believed at the time that she was competent to perform the surgery.
The Committee found that although the conduct within the proven charges fell short of what would be reasonably expected of a veterinary surgeon, it did not fall so far short that her conduct constituted serious professional misconduct.
Paul Morris, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee understood that it had a responsibility to consider the wider public interest, taking into account the view of a reasonable member of the public in possession of all the relevant facts and information.
“The Committee considered that such a member of the public would understand that veterinary surgery is a challenging profession. It was of the view that such a member of the public would not expect perfection, but understand that any professional practitioner may make mistakes in the course of their practice.
“It is the judgement of this Committee that the respondent’s conduct does not constitute disgraceful conduct in a professional respect.”
The full findings of the Disciplinary Committee can be found at www.rcvs.org.uk/disciplinary
Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession includes contributions from a range of organisations including the RCVS, Mars Veterinary Health and Investors in the Environment (iiE).
The report covers upcoming changes to the RCVS Practice Standards Scheme, the value of external accreditation to support sustainability, and how to approach behaviour change within your team.
Two further articles highlight how changes in clinical practice can combat antimicrobial resistance and reduce levels of surgical waste.
The report also features the personal experiences of practice sustainability leads, who discuss how they have worked with others to improve their sites.
Ellie West, Environmental Sustainability Lead at Linnaeus said: “Changing how we work day-to-day, when we are all so busy as a profession, can be a lot to juggle but sustainability brings a huge range of benefits.
"As well as helping the environment, it can promote the wellbeing of our patients and colleagues while also improving our performance as a business.
“It is important, however, to avoid dictating what sustainable change should be made because it will vary greatly between different teams and locations.
"This report shares ideas from contributors with a variety of roles and responsibilities, who have taken different approaches to supporting the environment but are all united in their commitment to delivering excellent clinical care.”
Sue Paterson, RCVS Junior Vice-President and RCVS Council lead for Environment & Sustainability, said: “Contributing to this report highlights the importance of working together as a profession to understand the environmental challenges we face and adopt solutions that will benefit our planet and the animals we care for.
"Upcoming changes to the RCVS Practice Standards Scheme will cover sustainability across a range of areas and we are committed to ensuring the veterinary profession can fully realise the benefits of this new guidance.”
April Sotomayor, Principal Consultant at iiE, added: “This report offers a range of perspectives that highlight how the veterinary profession can become a leader in sustainability and a shining example to other sectors.”
Download Turning Over a New Leaf – How to Make Sustainable Change in the Veterinary Profession here.
For locum nurses, the growth was even more pronounced, with daily rates up 38% to £199 and hourly rates up 18% to £23.50.
Student nurses lagged behind somewhat, with a growth of only 4% in median salary over the same period.
Salaries were predictably highest in London, Central and South East England, where the median was £31,074.
Meanwhile in the North of England, the median was £25,273.
SPVS says it is very grateful to everyone that took the time to fill in the survey, and it hopes the survey provides an up to date benchmark tool to be used in practice as part of responsible leadership for employers and as valuable information to employees.
Full survey results are available to SPVS members here: https://spvs.org.uk/spvs-survey/
The study1, which was conducted by surgery resident Dr Charlie Brincin at Highcroft Veterinary Group (soon to be Bristol Vet Specialists) and orthopaedic surgeon Dr Matt Matiasovic at Manchester Vet Specialists, looked at the records of 825 dogs that had been treated surgically for unilateral MPL at 10 referral centres, and then had a planned follow-up visit, including radiographs.
The frequency of, and reasons for, changes in further recovery recommendations were investigated.
The findings demonstrated that if the dog made an uneventful2 recovery after surgery, was presented without owner concern, and if no abnormality was found on physical examination, then radiographic findings only led to a change in recommendation in 3% (13/432) of these dogs.
Researchers say that this reflects similar research on the influence of follow-up radiographs in human medicine, and those of previous veterinary studies on post-operative radiographs, following uncomplicated tibial plateau leveling osteotomy (TPLO). These particular studies3,4 showed radiography had an impact on post-operative management in just 2%-3.8% of cases.
As a result of the MPL and TPLO studies, Highcroft Veterinary Referrals and Manchester Veterinary Specialists will no longer systematically perform follow-up radiographs on their patients, unless justified clinically.
Charlie said: “Radiographs are not without additional costs or risks - including radiation exposure, sedation-associated risks and strain on veterinary staff.
"Radiographic intervention should be clinically justified and our study suggests that if the dog had an uneventful recovery and is presented without owner or clinician raised concern, then repeat radiographs might not be necessary.
"This study also highlights the value of a thorough owner history and clinical examination for clinical decision-making when re-examining dogs following this orthopaedic surgery.”
The MPL study also evaluated factors which significantly increased the risk of finding radiographic abnormalities at routine follow-up, and those which led to a change in post-operative recommendation.
Lameness, administration of analgesia at follow-up, and history of unplanned visits prior to routine re-examination were associated with increased odds of a change in postoperative plan (P < 0.001).
In the absence of owner and clinician concerns, the odds of having a change in convalescence plans were not different, whether or not isolated radiographic abnormalities were present (P = 0.641).
The webinar will be presented by veterinary behaviourist, Sarah Heath BVSc PgCertVE DipECAWBM(BM) CCAB FHEA FRCVS, RCVS and EBVS European Specialist in Behavioural Medicine.
It will cover how to take a cat friendly approach to the microchipping appointment to reduce feline stress and make the process easier for both pet owners and veterinary staff.
A consent-based care approach will be discussed, together with the importance of educating cat owners and veterinary professionals on how to handle cats to minimise feline stress.
The webinar will also advise on the use of adjunctive therapies, such as pheromones and nutraceuticals, as well as the strategic use of pre vet visit medication, and will be followed by a Q&A session.
Tammie O’Leary, commercial lead at identi, said: “The introduction of the new cat microchipping legislation will lead to an increased number of feline patients being seen by veterinary practices.
"Our cat microchipping legislation webinar will help provide cat friendly advice for veterinary professionals and will include hints and tips to make cat microchipping appointments as stress free as possible.”
To register for the webinar, email contact@identichip.co.uk or call 0330 9128077.