scott@vtx-cpd.com

Replying to Victoria Hughes 31/07/2023 - 06:48

Hello Victoria.

I am so glad that helped! Blood gasses are so tricky. I always have to remind myself. Trying to get some examples to work through is really helpful. I will try and pop some on the forum.

Have a lovely week.

Scott 🙂

Replying to Siriol B. 23/07/2023 - 21:15

Thank you again for sharing the details of this interesting case.

Please keep us updated with how the case progresses.

Have an amazing weekend.

Scott 🙂

Replying to Talia C. 25/07/2023 - 11:00

I completely agree Talia.

I would often initially sample from the IV when it is placed, but less likely to do it again if the catheter is left in place.

Hope you are having a lovely weekend.

Scott 🙂

Replying to Talia C. 25/07/2023 - 11:55

Talia!

Your thoughts are great! I would completely agree with these comments, we were in the same position with this case. Due to the significant red blood cell shape changes, we were still suspicious that the spleen might be more significant. For that reason, we did decide to perform splenectomy in this case. Histopathology confirmed hemangiosarcoma!

This was confirmed as a case of microangiopathic haemolytic anaemia (MAHA). MAHA refers to mechanical haemolytic anaemia characterized by red blood cell fragmentation as they traverse small-calibre blood vessels, typically seen as schistocytes on peripheral blood smear.

We ended up not using steroids in this case, but had blood on hand at the time of surgery to be prepared for any decompensation with the anaemia. I also started some sAME (acetylcysteine). To see is I could help protect the red blood cells a bit.

This was a tricky case from a decision making point of view. Thank you again for all of your brilliant contribution.

Scott 🙂

Replying to Sarah M. 26/07/2023 - 12:59

Hello Sarah!

I hope you are well. Nice to see a fellow Ayrshire resident on here!

No surprised to hear about your own dog, it seems we are cursed in that way.

Please let us know if you have any questions. Thank you again for joining the course.

Scott 🙂

Replying to Suzanne Reeve 25/07/2023 - 16:49

Hello Suzanne.

Thank you so much for joining us. I hope you have had a lovely week.

Keeping up to date is definitely a challenge. Every time I present a webinar I am frantically looking up the most recent papers! I have this irrational fear they will publish something the day I record and I will miss it! 🙂

I really hope the course helps.

Scott 🙂

Replying to Victoria Rubasinska 28/07/2023 - 19:37

Hello Vicki!

Great question! I hope you are having a great week and enjoying the course.

I will pop the question to Ariane. I will also be interested to see her answer!

Scott 🙂

Replying to Nadia C. 26/07/2023 - 23:12

Hey Nadia!

This is a REALLY interesting question. I have definitely used TXA in GI bleeding cases, but often the more chronic cases that are bleeding due to NSAIDs or masses. I would also use in GI bleeding cases with thrombocytopenia. Most of the AHD cases self resolve and many of them present with high PCV’s. I must admit I do not routinely use TXA in these cases.

There is nothing as far as I am aware in the veterinary literature about this and I am not able to find anything in the human literature.

It is an interesting thought, but I am not sure I would be using in these acute HGE cases.

Love to hear your thought though!

Scott 🙂