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scott@vtx-cpd.com

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  • scott@vtx-cpd.com
    Keymaster
    20:09 22/07/20

    And one more…

    There is never such a thing as a silly question!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    15:03 21/07/20

    Sara…

    Were they saying that the alpha 2’s had a renoprotective effect? Could you ask them a bit more about it/do they have a reference. Not something I have heard before and really interesting!

    Thanks for that.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    06:57 21/07/20

    Really interesting!!!

    Is this generally, or in cases of urethral obstruction. I have not heard this but have just fired off an email to an anaesthesia specialist to find out more! I will let you know.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    06:54 21/07/20

    Keppra is a good shout!

    I often escalate like Zoe says. Diazepam/midazolam first choice with phenobarbitone next and then Keppra, then propofol?! It often feels like we are giving all at once!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:52 20/07/20

    Hey.

    It does seem like it was a last resort in these cases. What would you use in really refractory cases in practice?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:48 20/07/20

    Thanks.

    Is the diazepam and methadone alone enough to unblock some?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:46 20/07/20

    You may need the whole bottle by the end!

    Let me know how you get on.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:34 20/07/20

    HAHA!

    Agreed!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    20:21 19/07/20

    Hello Charlotte.

    I hope you are well. Thank you so much for joining the course. I hope you are enjoying it so far.

    It is a really good question regarding the notes. We had decided that we would not provide formal notes from previous feedback we have had. We are happy to provide PDF copies of all of the lectures if that would help.

    Just drop me an email and we can sort that out info@vtx-cpd.com

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    20:17 19/07/20

    Indeed… spread the word!

    It is a nice paper.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    19:18 19/07/20

    It seems cost is the biggest issue.

    That is such a shame because it is so much easier! I still have nightmares about having to give them that powdered form!

    I wonder why is costs so much?! I would heave thought the active ingredient was quite cheap!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    19:16 19/07/20

    It is indeed.

    It is that back and forward motion.

    This is also the first time someone has posted a video in the forum… it works really well. Thank you for that.

    I do like to have my patients a bit more sedated than this for liver FNA’s. I think especially if you are going it for the first time, it helps if they are still and not reactive!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    19:11 19/07/20

    Great question Sara and great points Simon.

    There are a couple of studies in dogs where both drugs are used. Problem is that most involve maropitant being given and then around an hour later the apomorphine is given:

    https://pubmed.ncbi.nlm.nih.gov/28042152/
    https://pubmed.ncbi.nlm.nih.gov/19000276/

    I think the main point is due to the timing of the drug administration and how long to peak effect. If we are giving the maropitant SC after the apomorphine, it is probably starting to work after the emetic effect of the apomorphine has passed. I think it probably has little effect.

    Makes us feel better for sure.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    18:18 19/07/20

    I think that is a really good point.

    I definitely use them in a cumulative way. If maropitant id not effective enough. I will add in metoclopramide and then ondansetron. I really do think some cases need all three.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    18:11 19/07/20

    Interesting!

    Have you often given it IV?

    Scott 🙂

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