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scott@vtx-cpd.com

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Viewing 15 posts - 166 through 180 (of 2,247 total)
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  • scott@vtx-cpd.com
    Keymaster

    Thank you for sharing such a brilliant photo, seeing so many infusion pumps would definitely stress me out! 😅

    I completely agree with you about non-invasive blood pressure monitoring, it is so easy to fall into the trap of trusting the number without stepping back and assessing the full clinical picture.

    A couple of quick questions, did you find that the transversus abdominis plane block made a noticeable difference to his post-operative analgesia?

    Also, would you routinely choose pimobendan for cardiovascular support in these cases, or was it more of a specific decision based on how Moose responded intra-operatively?

    Really appreciate you taking the time to share this case!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Yvonne McGrotty 07/04/2025 - 16:39

    Welcome pal!

    Thank you so much again for your contribution!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Interesting!

    Many of my clients will come already on these sorts of supplements. I often just brush over them and not pass too much comment… mostly cause I don’t really understand the full benefit.

    Ignorance is bliss or burying head in sand! Possibly both!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Anna McCosh 06/04/2025 - 20:19

    Hi Anna,

    I was completely unaware of its availability until I started working in Canada, where it’s used fairly routinely in the ICU setting.

    In terms of side effects, yes, that’s definitely the idea. The canine-specific product is considered less likely to trigger hypersensitivity or immune-mediated reactions compared to human albumin, which has always been the main concern with using the human formulation in dogs. That said, adverse reactions still seem possible with the canine product—just much less common based on what I’ve seen and read.

    I haven’t seen a head-to-head comparison in practice, but in terms of tolerance, it does seem to be better. Efficacy-wise, it raises albumin levels predictably, especially the 16 percent formulation, which has shown a more pronounced effect. Whether that translates into a clinical difference beyond the numbers probably depends on the case, but it’s definitely reassuring to have a product that’s species-specific and appears to be relatively safe.

    Let me know how you are getting on with the course.

    All the best

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Raquel M. 06/04/2025 - 13:46

    Hi Raquel,

    You’re very welcome! I think it’s great that you’re being proactive with client education, especially with dogs that are high risk for this kind of emergency.

    The drilled-hole approach in balls is something I’ve seen a few times too. While, as you said, it’s not foolproof, the idea is that a central air channel could reduce the risk of complete occlusion if the ball becomes lodged. I don’t know of any formal studies specifically validating this, but from a first principles perspective, it seems reasonable, especially compared to solid, unvented balls which are much more dangerous.

    Beyond that, some additional points I’ve found helpful for clients:

    Avoid smooth, round balls that are just the right size to occlude the oropharynx, particularly rubber or silicone ones that are hard to grip. Safer options are larger than the dog’s mouth or have irregular shapes.

    Kong-style toys or those with built-in air holes can be a safer alternative for ball-obsessed dogs.

    Supervised play with retrieval toys, especially outdoors or during high-arousal games like fetch, is important to avoid the “gulp and go” moment.

    Teaching a strong “drop it” or “leave it” command can be helpful for prevention.

    Some emergency clinics also hand out basic first aid infographics or QR codes with links to vetted videos like the Heimlich ones we shared so clients have a quick reference if something happens.

    If I come across anything more concrete in the literature, I’ll pass it along.

    Best,

    Scott

    scott@vtx-cpd.com
    Keymaster

    Replying to Helen S. 07/04/2025 - 11:51

    I did not realise there was a diary of a CEO book?

    I love the podcast.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Hello pal!

    Thank you so much for delivering such a brilliant course!

    We appreciate you!

    Scott x

    scott@vtx-cpd.com
    Keymaster

    Hi Janette and Kath,

    Really interesting!

    As you outlined, Janette, the multi-modal benefits are compelling, from analgesia and MAC-sparing effects to its potential role in mitigating reperfusion injury. The Bruchim paper certainly helped shift our practice toward more proactive use.

    Kath, your point about GI motility is a good one. I think it’s one of those grey areas where evidence is mixed. While lidocaine is often used to promote post-op GI motility in equine medicine, there’s some suggestion it may have the opposite effect in certain small animal cases. In the context of GDV, where the GI tract is already compromised and ileus is a risk, it’s something we monitor closely—but to date, we haven’t observed clinically significant worsening of motility when using the low-dose CRI as per Bruchim’s protocol. That said, if a patient is particularly unstable or has evidence of ongoing ileus post-op, we’ll often discontinue early.

    Would be really interested to hear if anyone’s seen adverse effects or has adjusted their dosing protocols based on those concerns?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Katherine Howie 10/04/2025 - 19:00

    I have never heard of these!

    I am now educated. Scary thing is… you can buy them on eBay!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    This whole chat has been fascinating!

    Thank you everyone for your contribution!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Georgia 01/04/2025 - 08:55

    Thanks for sharing the picture of Nelly!

    Have a great weekend.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Raquel M. 02/04/2025 - 13:49

    Thank you!

    The recordings are available now!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Katherine Howie 04/04/2025 - 09:47

    The one vet, one nurse set up can be stressful!

    Makes me think of CPR situation too… not enough hands!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Katherine Howie 04/04/2025 - 09:54

    This is so interesting!

    Thank you for sharing!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    I love this discussion!

    I think you raise a great point about the one VS and one RVN presented with a GDV and another emergency at the same time.

    I have definitely been faced with this situation overnight in practice in the early days of my career.

    That decision making about what to do when can be really tricky… and stressful1

    Scott 🙂

Viewing 15 posts - 166 through 180 (of 2,247 total)