scott@vtx-cpd.com

Replying to Jeanette Tungesvik 18/11/2021 - 16:14

Hello Jeanette.

This is a great question.

I am not sure that there is any evidence to support its use in this way, but it still might be something to consider.

I will pop this question on the list to ask Danielle at the live Q&A too.

Hope you are safe and well.

Scott 🙂

Replying to Emma Holt 17/11/2021 - 11:21

Hello!

I would definitely agree that there is a real push towards medical management if possible. I would agree that doing what we can to predict stone type is a good thing. I must admit I do not use the app (I am old you knwo) but I must check it out.

The ACVIM consensus definitely reads very much with an emphasis of dissolution:

https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.14559

Have you used the app?

Scott 🙂

Replying to Alice L 11/11/2021 - 16:14

Hello Alice.

I hope you are well. I tried to answer some of these questions at the Q&A, let me know if I made sense!

I will ask the feline question again at the next Q&A so we can also get input from Danielle.

You can find the amazing valves below:

https://www.milainternational.com/products/centesis-valve/centesis-adapter-automatic-3-way.html

Scott 🙂

Replying to Sophie I. 11/11/2021 - 22:25

Sophie!

You are never too late for this CPD party!!!! How lovely to hear from you and thank you for supporting our course. Hope you enjoy and let me know if you have any questions at anytime.

Scott 🙂

Replying to Lucie T. 14/11/2021 - 14:50

Hello Lucie.

I hope you are well.

I am so glad you are enjoying the course, we really appreciate the support.

I will pass this on to Laura, were there ant particular videos/procedures you were looking for?

Scott 🙂

Replying to Megan B. 11/11/2021 - 22:46

Hello Megan.

I totally agree with Liz. If you can get a hold of a mucus trap and use a suction unit, it really does help with this technique:

https://burtonsveterinary.com/mucus-collection-trap-pack-of-10.html

Bronchoalveolar lavage (BAL) can be performed without endoscopic guidance when diffuse disease is present. This sampling method differs from those described above by providing sample from the lower airways. This technique is most successful in small to medium-sized pets. Sterile aspiration catheters are probably the best thing to use, but ultimately any soft catheter that is long enough could be considered.

The patient is anesthetised, intubated with a sterile endotracheal tube, and placed in lateral recumbency. If the disease process is more marked on one side, the patient should be positioned with that side down. An open-ended sterile aspiration catheter is passed through the endotracheal tube until it is gently wedged and cannot be advanced further. Withdrawing the catheter a few millimeters, rotating the catheter slightly and gently advancing again until wedged will help ensure that the catheter is wedged within an airway and not becoming lodged at an airway division. Once the catheter is in place, warmed sterile 0.9% saline is instilled through the catheter and immediately aspirated. The volume infused has not been standardized and recommendations vary from 5-30 mL aliquots to using 2-5 mL/kg. An additional aliquot may need to be infused to recover adequate volume. The volume of sample recovered should be 40-50% of the total volume instilled. After the sampling is complete, the patient is placed on 100% oxygen for about 5-10 minutes.

I hope that helps a little.

Scott 🙂

Replying to Anna Bassett 08/11/2021 - 21:21

Thank you so much Anna.

Your feedback is really helpful and really kind.

I am so pleased you are enjoying the course.

Scott 🙂